HomeMy WebLinkAboutPeckham & McKenney - Insurance CertificateMARCH 21, 2016
CITY OF GILROY, CA
7351 ROSANNA ST
GILROY CA 95020 -6141
IN REPLY REFER T0:
CERTIFICATE OF WORKERS'
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COMPENSATION INSURANCE
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CANCELLATION WITHDRAWAL NOTICE
------------------------ - - - - --
RE: CERTIFICATE DATED OCTOBER 26, 2015
THE CANCELLATION HAS BEEN WITHDRAWN FOR THE WORKERS' COMPENSATION
INSURANCE POLICY FOR THE EMPLOYER NAMED BELOW. THIS LETTER SUPERSEDES
THE NOTICE OF CANCELLATION SENT TO YOU ON MARCH 15, 2016.
THIS EMPLOYER'S WORKERS' COMPENSATION INSURANCE COVERAGE CONTINUED
UNINTERRUPTED.
EMPLOYER:
PECKHAM & MCKENNEY, INC.
300 HARDING BLVD., 106 E
ROSEVILLE, CA 95678
POLICY 9103671 -15
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
IN REPLY REFER T0:
MARCH 15, 2016
CITY OF GILROY, CA
7351 ROSANNA ST
GILROY CA 95020 -6141
CERTIFICATE OF WORKERS'
-----------------------
COMPENSATION INSURANCE
----------------------
CANCELLATION NOTICE
------------- - - - - --
RE: CERTIFICATE DATED OCTOBER 26, 2015
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW WILL BE CANCELLED EFFECTIVE APRIL 20, 2016 AT
12 :01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
PECKHAM « MCKENNEY , INC.
300 HARDING BLVD., 106 E
ROSEVILLE, CA 95678
POLICY 9103671 -15
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