2021/04/21 NextRequest CoTHE HARTFORD
BUSINESS SERVICE CENTER
THE 3600 WISEMAN BLVD
HARTFORD SAN ANTONIO TX 78251
MB 01 002000 48696 H 9 A
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City of Menifee and its officers,
employees, agents and
authorized volunteers
29844 HAUN RD
MENIFEE CA 92586-6539
Policy Information:
Policy Holder Details
NEXTREQUEST CO
Policy Number
Policy Term
46 WBG AP1337
04/21/21 to 04/21/22
Additional Information:
Policy Type: Workers' Compensation
Dear Customer,
July 8, 2021
Contact Us
Business Service Center
Business Hours: Monday - Friday
(7AM - 7PM Central Standard Time)
Phone: (866) 467-8730
Fax: (888) 443-6112
Email: aoencv.servicesAthehartford.com
Webslte: hftps://business,theharlfgrd.corn
Our records indicate that a Certificate of Insurance was issued, providing proof of insurance, on behalf of the above
named insured.
This is to inform you that effective 06/22/21,all coverage shown on the certificate for the above policy number is cancelled.
Should you have any questions, please do not hesitate to contact our office.
Sincerely,
Your Hartford Service Team
CertlnsRC