2023/05/25 ADP TotalSource DE IV, Inc.05/25/2023
Marsh Affinity
a division of Marsh USA LLC.
PO BOX 14404
Des Moines, IA 50306-9686
Marsh Affinity
800-743-8130
ADPTotalSource@marsh.com
AIU Insurance Company 19399
A 07/01/2022 07/01/2023
2,000,000
2,000,000
2,000,000
ADP TotalSource DE IV, Inc.
5800 Windward Parkway
Alpharetta, GA 30005
L/C/F:
NEARMAP US INC.
4116 SAN FERNANDO RD
Glendale, CA 912040000
WC 053418691 CA
All worksite employees working for NEARMAP US INC. paid under ADP TOTALSOURCE, INC.'s payroll, are
covered under the above stated policy.
City of Menifee
29844 Haun Road
Menifee, CA 92586
X
DocuSign Envelope ID: F6F864F5-256F-4E5D-8316-151841F50B7A