D&M Registration 2019.tif?_3
CITY OF BLAIR
218S16TH STREET
BLAIR, NE 68008
(402) 426-4191 2019 Renewal Form
FAX (402) 426-4195
EMAIL: building@BlairNebraska.org
D & M Roofing
5314 N 281st Cir
Valley, NE 68064
YOUR CERTIFICATE OF LIABILITY
INSURANCE IS EXPIRED OR ABOUT TO
EXPIRE. PLEASE SUBMIT A NEW COPY WITH
YOUR RENEWAL,
Contractor Registration Report
License Number: LCL201500417
License Issued To: License Type: Expires:
D & M Roofing
General Contractor License
Certificate Issued To: Certificate Type:
12/31/2018
Expires:
D & M Roofing Liability Certificate 04/20/2018 EXPIRED
Issued by: &,Ak k G'+�'W--,2,c
Brenda Wheeler, City Clerk
1/2/2019 Official Nebraska Department of Labor - Contractor Registration - Contractor Details
Contractor Details
Contractor/Subcontractor Name
DNDMROOFING, INC dba D&M Roofing Inc
Corporation Name
DNDMROOFING, INC.
Address
5314 N. 281st Circle
Valley, NE 68064
City
Valley
State
NE
Zip
68064
Telephone
(402)289-4776
Registration Number
41432-18
Certificate Expiration
6/1/2019
_.
Contractor Option
2
Number of Employees
4
Worker's Compensation Status
Certificate on File
https://dol.nebraska.gov/conreg/Contractor/Details/4143218 1/1