D&M Registration 2020x0atot I
(F- I I SD
ALL MATERIAL ENCLOSED
CITY OFBLAIR
218S16TH STREET
I
1102 1 v
WNP&M.N.N.U.N.
BLAIR, NE 68008
(402)426-4191 / 2020 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
Certificate Issued To:
D & M Roofing
General Contractor License
Certificate Type:
Liability Certificate
12/31/2019
Expires:
04/20/20,ilEXPIRED
o)
/7
Issued by: �/`-
Brenda
Wheeler, City Clerk
1/31/2020 Official Nebraska Department of Labor - Contractor Registration - Contractor Details
-.ntractor Details
Contractor/Subcontractor Name
DNDMROOFING, INC dba D&M Roofing Inc
Corporation Name
DNDMROOFING, INC.
Business Entity
Corporation
5314 N. 281st Circle
Address
Valley, NE 68064
City
Valley
State
NE
Zip
68064
Telephone
(402) 289-4776
Registration Number
41432-19
Certificate Expiration
6/1/2020
Sales Tax Option
2
Number of Employees
4
Worker's Compensation Status
Certificate on File
https://dol.nebraska.gov/conreg/Contractor/Details/4143219 1 /1