2018/08/23 Richard Lee Sherman Plumbing Certificate of Workers' Compensation Insurance - Cancellation Withdrawal Notice STATE
COMPENSATION
IN SUR AN CE
FUND
City prl REPLY REFER TO:
AUGUST 23 , 2018
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'OCT 122o18
CITY OF MEN I FEE Receive',
29714 HAUN RD
MENIFEE CA 92586-6540
CERTIFICATE OF WORKERS'
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COMPENSATION INSURANCE
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CANCELLATION WITHDRAWAL NOTICE
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RE: CERTIFICATE DATED JULY 27 , 2018
THE CANCELLATION HAS BEEN WITHDRAWN FOR THE WORKERS' COMPENSATION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 AUGUST 16, 2018.
THIS EMPLOYER' S WORKERS' COMPENSATION INSURANCE COVERAGE CONTINUED
UNINTERRUPTED.
EMPLOYER:
RICHARD LEE SHERMAN PLUMBING
30623 JEDEDIAH SMITH RD
'TEMECULA, CA 92592
POLICY 9066738-18
CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE CENTER
(888) 782-8338
5860 Owens Dr Pleasanton, CA 94588-3900
Mailing Address: P.O. Box 8192 • Pleasanton, CA 94588-9682
SCIF 19102