2021/04/21 NextRequest Co (5)THA'dTHE HARTFORD
BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
HARTFORD SAN ANTONIO TX 78251
MB 01 002001 48696 H 9 A
Jill llllJill 'lllllll'Illlllllllll"ll'I'Illlllllll'Illlll'Illll'I
City of Menlfee and Its officers,
employees, agents, and
authorized volunteers
29844 Haun Rd.
Menlfee 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:
1_ 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
ME
Fax: (888) 443-6112 _-
Email: agency.services(&thehartford.com =_
Website: https://business.thehartford.com
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