HomeMy WebLinkAboutCOI - PYRO Spectaculars North, Inc. - Expires 2022-10-14STATE
COMPENSATION
INSURANCE
FUND
JULY 14, 2022
CITY OF GILROY
7351 ROSANNA ST
GILROY CA 95020-6141
IN REPLY REFER TO:
Policy No(s): 804575-21 L&H-0904575-21
RE
JUL 18 2022
GILROY CITY CLERK'S OFFICE
CERTIFICATE OF WORKERS'
COMPENSATION INSURANCE
CANCELLATION NOTICE
RE: CERTIFICATE DATED MAY 13, 2022
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW WILL BE CANCELLED EFFECTIVE OCTOBER 14, 2022 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
PYRO SPECTACULARS NORTH, INC.
PO BOX 2329
RIALTO, CA 92377
POLICY 0804575-21
CUSTOMER SERVICES UNIT
SACRAMENTO DISTRICT OFFICE
(888) 782-8338
94588-3900
Mailir- .s ".C' 0192 • Pleasanton,. CA 94588-9682
SCIF 19102