Laserfiche WebLink
<br /> <br />NOTICE OF COMPLIANCE <br /> <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> Java Connections. LLC <br />Name: <br />Project <br /> A-2020-249A <br />Number: <br />Project <br /> Kiosk Support Agreement <br />Name: <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in <br />compliance with the insurance requirements. No further action is required at this time. <br /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION COI <br />TYPE OF INSURANCE FILE NAME <br />NUMBER DATE DATE <br />CERT- <br />AUTOMOBILE LIABILITY ODFD78534404 12/15/2023 11/30/2022 <br />560878378.pdf <br />CERT- <br />GENERAL LIABILITY ODFD78534404 12/15/2023 11/30/2022 <br />560878378.pdf <br />ACORD Form <br />PROFESSIONAL/CYBER <br />ESL0339596353 02/01/2024 01/27/2023 20230127- <br />LIABILITY <br />102007.pdf <br />Certificate_UB- <br />WORKERS COMPENSATION AND <br />UB7P2720972242 03/15/2023 11/02/2022 7P272097-22- <br />EMPLOYERS' LIABILITY <br />42_2699375.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/31/2023 6:14 PM <br /> <br />