2021/01/01 Rooftek Roofing and WaterproofingIN REPLY REFER TO:
JUNE 23, 2021
CITY OF MENIFEE
29714 HAUN RD
MENIFEE CA 92586-6540
CERTIFICATE OF WORKERS'
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COMPENSATION INSURANCE
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CANCELLATION NOTICE
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RE: CERTIFICATE DATED JANUARY 1, 2021
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW WILL BE CANCELLED EFFECTIVE JULY 29, 2021 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
ROOFTEK ROOFING AND WATERPROOFIN
31556 RAILROAD CANYON RD
CANYON LAKE, CA 92587
POLICY 9149583-21
POLICYHOLDER SERVICES
SPECIALTY OPERATIONS DISTRICT OFFICE
(925) 523-5199
5860 Owens Dr Pleasanton, CA 94588-3900
Mailing Address: P.O. Box 8192 • Pleasanton, CA 94588-9682
SCIF 19102