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SERVICE ELECTRIC CO INC Page 1 of 1 <br /> StAl E 0+.WASH'NOON <br /> Department of Labor & Industries <br /> Certificate of Workers' Compensation Coverage <br /> February 6, 2018 <br /> WA UBI No. 179 023 787 <br /> L&I Account ID 119,876-01 <br /> Legal Business Name SERVICE ELECTRIC CO INC <br /> Doing Business As SERVICE ELECTRIC CO INC <br /> Workers' Comp Premium Status: Account is current. <br /> Estimated Workers Reported Quarter 4 of Year 2017 "11 to 20 <br /> (See Description Below) Workers" <br /> Account Representative Employer Services Help Line, (360) <br /> 902-4817 <br /> Licensed Contractor? Yes <br /> License No. SERVIEC564RU <br /> License Expiration 07/31/2019 <br /> What does "Estimated Workers Reported" mean? <br /> Estimated workers reported represents the number of full time position requiring at least 480 <br /> hours of work per calendar quarter. A single 480 hour position may be filled by one person, or <br /> several part time workers. <br /> Industrial Insurance Information <br /> Employers report and pay premiums each quarter based on hours of employee work already <br /> performed, and are liable for premiums found later to be due. Industrial insurance accounts have <br /> no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW <br /> 51 .12.050 and 51.16.190). <br /> https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=179023787&LIC=SE... 2/6/2018 <br />