2021/04/21 NextRequest Co (4)THE HARTFORD
BUSINESS SERVICE CENTER
THE'j3600 WISEMAN BLVD
HARTF'ORD SAN ANTONIO TX 78251
MB 01 001999 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
46 WBG AP1337
Additional Information:
July 8, 2021
�►Q Contact Us
Business Service Center
Business Hours: Monday - Friday
Policy Term (7AM - 7PM Central Standard Time)
04/21/21 to 04/21/22 Phone: (866) 467-8730
Fax: (888) 443-6112 -_
Email: agency.services@,thehartford.com
Website:https;Jlbusiness.theharEford.com
Policy Type: IWorkers' Compensation
Dear Customer,
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