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Registrations <br />Page 1 of 2 <br />State of California <br />k Department of Industrial Relations <br />(https-I , r. 1r ca govl) <br />Irki-I <br />Contractor Information <br />Legal Entity Name <br />Corporation <br />Active <br />1000004273 <br />07/01/20 <br />06/30/23 <br />1717 W PARK AVE REDLANDS 92373 CA United States of America <br />1717 W PARK AVE REDLANDS 92373 CA United States of America <br />moniq ue.lewinski@gcinc.com <br />LAYNE CHRISTENSEN COMPANY <br />License Number (s) <br />CSL6:510011 <br />CSLB:510011 <br />Legal Entity Information <br />Corporation Entity Number: <br />Federal Employment Identification Number: <br />President Name: <br />Vice President Name: <br />Treasurer Name: <br />Secretary Name: <br />CEO Name: <br />Agency for Service: <br />Agent of Service Name: <br />Agent of Service Mailing Address: <br />Worker's Compensation <br />LAYNE CHRISTENSEN COMPANY <br />247-53949 <br />480920712 <br />Robert C. VanGorder <br />Kent M. Wartick <br />Kenneth B. Olson <br />Aaron Storm <br />Back to DIR» (https://www.dir.ca.gov/) <br />CT CORPORATION SYSTEM <br />818 WEST 7TH STREET LOS ANGELES 90017 CA United States of America <br />Do you lease employees through Professional Employer Organization (PEO)?: <br />No <br />Please provide your current worker's compensation insurance information below: <br />PEO PEO PEO <br />PEO InformationName Phone Email <br />Insured by Carrier <br />Policy Holder Name: <br />LAYNE CHRISTENSEN CO <br />Insurance Carrier: <br />Valley Forge Ins Co <br />Policy Number: <br />WC 274978630 <br />Inception date: <br />10/01/20 <br />Expiration Date: <br />10/01/21 <br />About DIR <br />Who we are (https://www.dir.ca.gov/aboutdir.htmi) <br />DIR Divisions, Boards & Commissions (https://www.dir.ca.gov/divisions_and_programs.html) <br />Contact DIR (https://www.dir.ca.gov/Contactus.html) <br />Work with Us <br />Jobs at DIR (https://www.dir.ca.gov/didobs/dirjobs.htm) <br />Licensing, registrations, certifications & permits (https://www.dir.ca.gov/permits-licenses-certifications.htmi) <br />Required Notifications (https://www.dir.ca.gov/dosh/Required-Notifications.htmi) <br />Public Records Requests (https://www.dir.ca.gov/pra_request.html) <br />Learn More <br />Acceso al idioma (http://www.dir.ca.gov//Bilingual-Services-Act/default.htmi) <br />Frequently Asked Questions (https://www.dir.ca.gov/faqslist.html) <br />https:Hcadir. secure.force.com/ContractorSearchlregistrationSearchDetails?id=a 1 Rt00000... 10/28/2020 <br />