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STATE OF W SHINGTON <br />Department of Labor & Industries <br />Certificate of Workers' Compensation Coverage <br />WA UBI No_ <br />L&I Account ID <br />Legal Business Name <br />Doing Business As <br />Workers' Comp Premium Status: <br />Estimated Workers Reported <br />(See Description Below) <br />Account Representative <br />Licensed Contractor? <br />January 30, 2026 <br />604 817 226 <br />185,334-00 <br />PEERS RISING <br />PEERS RISING <br />Account is in good standing. <br />Quarterly report received and is being <br />processed. <br />Pending current quarter filing <br />Employer Services Help Line, (360) 902-4817 <br />No <br />What does "Estimated Workers Reported" <br />mean? <br />Estimated workers reported represents the number of <br />full time position requiring at least 480 hours of work <br />per calendar quarter. A single 480 hour position may <br />be filled by one person, or several part time workers. <br />Industrial Insurance Information <br />Employers report and pay premiums each quarter <br />based on hours of employee work already performed, <br />and are liable for premiums found later to be due. <br />Industrial insurance accounts have no policy periods, <br />cancellation dates, limitations of coverage or waiver of <br />subrogation (See RCW 1.1 2.050 and -, I . � � 19iCD- <br />