CONTRACTORS STATE LICENSE BOARD STATE OF CALIFORNIA 9821 Business Park Drive, Sacramento, CA 95827 Mailing Address: P.O. Box 26000, Sacramento, CA 95826 800.321.CSLB (2752) | www.cslb.ca.gov | CheckTheLicenseFirst.com 13A-7 (rev. 06/17) IMPORTANT NOTICE REGARDING CONVICTIONS PLEASE READ CAREFULLY Failure to accurately report a conviction (except as explained below) may result in an application being denied. In this notice and on the application, the term 223conviction224 includes pleading guilty or nolo contendere (223no contest224) or being convicted by a court of any misdemeanor or felony in this state or elsewhere. As part of the Contractors State License Board (CSLB) application process and as required by law, you must be fingerprinted if you have not been fingerprinted by CSLB before or if your previous fingerprint record was purged by CSLB due to a voided application; disassociated, revoked, or cancelled license or registration; or for some other reason. After an application is accepted by CSLB as complete (also known as 223posted224), the applicant will be sent instructions on the process for obtaining and submitting fingerprints, usually via live scan electronic transmission. Your fingerprints will be compared to the records of the California Department of Justice and the Federal Bureau of Investigation. If you have ever been convicted of a crime, your criminal record information will be reported to CSLB. This includes DUIs and other Vehicle Code violations resulting in a conviction. Even if you pled 223no contest,224 had the conviction set aside, or judgment deferred pursuant to Penal Code sections 1000 or 1203.4 (commonly understood as 223expunged224), the past conviction will still be reported to CSLB and must be disclosed on the application. However, some convictions or charges should NOT be disclosed, including the following: Convictions that were adjudicated in the juvenile court; Convictions under California Health and Safety Code sections 11357 (b), (c), (d), or (e) or section 11360 (b) that are two years old or older; and Charges that were dismissed as the result of successful completion of a deferred entry of judgment program (diversion program) under California Penal Code section 1000.3. If you have ever been convicted of a crime (except in the three circumstances outlined above), you should answer 223Yes224 to the criminal conviction question on the application and provide a detailed explanation of the circumstances resulting in your conviction. To help ensure that you provide the required information, you should complete and submit the Disclosure Statement Regarding Criminal Plea/Conviction form that is available on CSLB222s website on the Forms and Applications page. Applicants with criminal convictions are not automatically denied licensure 226 each application is reviewed individually based on the applicable sections of law. When reviewing criminal convictions, CSLB considers factors such as the nature and severity of the crimes, the amount of time that has passed since the convictions, and any evidence of rehabilitation submitted by the applicant. For rehabilitation evaluation, pursuant to Title 16, California Code of Regulations section 869, CSLB is generally looking for three (3) years to have passed after a misdemeanor conviction and seven (7)years to have passed after a felony conviction, without further violations of law. Thesetimeframes are calculated from the applicant222s date of release from incarceration or from the end ofprobation if no time was served and are subject to reduction or extension based on several factors,including the nature of the applicant222s conviction history as a whole. In addition, any type ofconviction could be considered substantially related to the qualifications or duties of a contractorwhen evaluated in the context of the applicant222s entire conviction record.Failure to accurately report any and all disclosable convictions may be grounds for denial of your application. If your application is denied, you will be notified of the earliest date when you may re-apply, which will vary based upon the facts of each case, from one (1) to five (5) years from the effective date of the denial. (Business and Professions Code sections 486 and 7073) American LegalNet, Inc. www.FormsWorkFlow.com CONTRACTORS STATE LICENSE BOARD STATE OF CALIFORNIA 9821 Business Park Drive, Sacramento, CA 95827 Mailing Address: P.O. Box 26000, Sacramento, CA 95826 800.321.CSLB (2752) | www.cslb.ca.gov | CheckTheLicenseFirst.com 13A-7 (rev. 06/17)GeneralInformation APPLICATION TO ADD NEW PERSONNEL TO EXISTING CORPORATE OR LIMITED LIABILITY COMPANY LICENSE General Information Listed below is general information to assist you as you complete the attached application. Do not submit this General Information portion with your completed application 226 the actual application begins immediately following this section on Application 226 Page 1 of 2. Before you submit your application, please review it and be sure that you have completed all requested information. Be sure you enclose the nonrefundable $100 application fee with your completed application for each new personnel. (Business and Professions Code [BPC] sections 7137 and 7138) Your application may be returned to you if it is insufficient or incomplete. You must provide any missing information, make corrections, and resubmit your completed application to CSLB within 90 days after the date that it was returned to you or your application will be deemed abandoned and will become void. You cannot reinstate an abandoned application 226 you must submit a new application and $100 application fee if you wish to reapply. (BPC section 7074 and Title 16, California Code of Regulations section 813) Complete the application legibly in black or dark blue ink, with a typewriter, or on CSLB222s website using the easy-fill feature. Forms completed in pencil will be returned to you. Please make sure that you and other authorized individuals sign and date the application. Leave no space blank. If a particular question or request for information does not apply to you, write 223N/A224 in the blank space to indicate that the question has received your attention but that it is not applicable. The 223#224 symbol is used interchangeably with the word 223number224 where space is limited on the application. Limited Liability Company (LLC) Personnel and Liability Insurance Requirement If the existing license is an LLC, you will be aware that all LLC licenses are required to have liability insurance in an amount that is not less than one million dollars ($1,000,000) or more than five million dollars ($5,000,000), based on the number of personnel of record on the license. For five (5) or fewer personnel, the amount is not less than $1 million. For each additional member of the personnel, the amount increases $100,000, up to $5 million maximum. For example, an LLC that has eight (8) members of personnel would be required to carry a $1,300,000 liability insurance policy. Therefore, the additional personnel being added with this application may result in the need to increase the amount of the liability insurance. (BPC section 7071.19) LLCs can have managers or members that are corporations or other LLCs, as opposed to individual people. When an LLC has corporate or LLC managers or members, complete Section 2 for those companies, omitting the fields that do not apply (e.g., date of birth, SSN/ITIN, and driver license number). Since corporations and LLCs are incapable of signing documents (e.g., applications, renewals, etc.), you must also report at least one individual person who will be an authorized responsible signer for that company. To do this, you must make a copy of Page 1 of the application after Section 1 has been completed and fill in portions of Section 2 using this individual person222s personal information. Identify that person as the 223Authorized Signer for 224 (inserting the name of the corporation or LLC on behalf of which the individual person will sign). This individual person will not be part of the official license personnel of record (unless they are also an actual respon