2020/07/01 Adlerhorst International, LLCIN REPLY REFER TO:
JULY 2, 2021
MENIFEE POLICE DEPARTMENT
29714 HAUN RD
MENIFEE CA 92586-6540
CERTIFICATE OF WORKERS'
-----------------------
COMPENSATION INSURANCE
----------------------
CANCELLATION NOTICE
-------------------
RE: CERTIFICATE DATED JULY 1, 2020
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW HAS BEEN CANCELLED EFFECTIVE JULY 1, 2021 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
ADLERHORST INTERNATIONAL, LLC
3951 VERNON AVE
JURUPA VALLEY, CA 92509
POLICY 9017352-20
CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE CENTER
(888) 782-8338
5860 Owens Drive • Pleasanton, CA 94588-3900
Mailing Address: P.O. Box 8192 • Pleasanton, CA 94588-9682
SCIF 19102