2019/06/25 ND Construction Company, Inc. Certificate of Workers' Compensation InsuranceIN REPLY REFER TO:
DECEMBER 6, 2019
CITY OF MENIFEE
FINANCE
MENIFEE
29844 HAUN RD�C'��
MENIFEE CA 92586-6539
CERTIFICATE OF WORKERS'
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COMPENSATION INSURANCE
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CANCELLATION WITHDRAWAL NOTICE
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RE: CERTIFICATE DATED JUNE 25, 2019
THE CANCELLATION HAS BEEN WITHDRAWN FOR THE WORKERS' COMPENSATION
INSURANCE POLICY FOR THE EMPLOYER NAMED BELOW. THIS LETTER SUPERSEDES
THE NOTICE OF CANCELLATION SENT TO YOU ON NOVEMBER 22, 2019.
THIS EMPLOYER'S WORKERS' COMPENSATION INSURANCE COVERAGE CONTINUED
UNINTERRUPTED.
REP D1
EMPLOYER:
ND CONSTRUCTION COMPANY, INC.
2201 E WINSTON RD STE M
ANAHEIM, CA 92806
POLICY 1066062-19
POLICYHOLDER SERVICES
SPECIALTY OPERATIONS DISTRICT OFFICE
(925) 523-5199
5860 Owens Dr Pleasanton, CA 94588-3900
Mailing Address: P.O. Box 8192 • Pleasanton, CA 94588-9682
SCIF 19102