2021/09/02 ND Construction Company, Inc. Workers Compensation Insurance Policy CancellationIN REPLY REFER TO
JULY 28, 2021
CITY OF MENIFEE
29844 HAUN RD
MENIFEE CA 92586-6539
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 SEPTEMBER 2, 2021 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
ND CONSTRUCTION COMPANY, INC.
2201 E WINSTON RD STE M
ANAHEIM, CA 92806
POLICY 1066062-21
CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE CENTER
(888) 782-8338
5860 Owens Dr Pleasanton, CA 94588-3900
Mailing Address: P.O. Box 8192 • Pleasanton, CA 94588-9682
SCIF 19102