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<br />NOTICE OF COMPLIANCE <br /> <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> William H. Nuesse, M.D. and Mary-Ann Nuesse, D.O. <br />Name: <br />Project <br /> N-2021-179-01 <br />Number: <br />Project <br /> First Amendment To Agreement For Medical Services And Testing <br />Name: <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the <br />insurance requirements. No further action is required at this time. <br /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />Sunrise COI Exp <br />AUTOMOBILE LIABILITY 602378275 05/29/2023 01/11/2023 <br />05-29-23.pdf <br />Sunrise COI Exp <br />GENERAL LIABILITY 602378275 05/29/2023 05/13/2022 <br />05-29-23.pdf <br />2023 CAP MPT <br />- Doctors - <br />PROFESSIONAL LIABILITY COC 12/31/2023 01/10/2023 <br />Certificate of <br />Coverage.pdf <br />City of Santa <br />WORKERS COMPENSATION AND <br />25601701 08/01/2023 10/03/2022 Ana, Risk <br />EMPLOYERS' LIABILITY <br />Management.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 />1/11/2023 5:55 PM <br /> <br /> <br /> <br /> <br />