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<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 /> <br />Halcyon Behavioral LLC <br />Name: <br />Project <br /> <br />N-2021-201 <br />Number: <br />Project Agreement With Halcyon Behavioral Administrators To <br /> <br />Name: Provide Wellness Program Plus Services <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 />12192022 CERT City <br />of Santa Ana <br />AUTOMOBILE LIABILITY 57SBABN5132 01/01/2024 12/19/2022 <br />Compliance (CSA - <br />R1351).pdf <br />09282022 CERT City <br />CYBER LIABILITY AX01055004 07/01/2023 09/28/2022 <br />of Santa Ana.pdf <br />09282022 CERT City <br />CYBER LIABILITY AX01055004 07/01/2023 09/28/2022 <br />of Santa Ana.pdf <br />1665748585.0524035- <br />ACORD 0025 2016- <br />EXCESS TECH E&O / CYBER EKS3445640 07/01/2023 10/14/2022 <br />03 Acroform- <br />locked.pdf <br />12192022 CERT City <br />of Santa Ana <br />GENERAL LIABILITY 57SBABN5132 01/01/2024 12/19/2022 <br />Compliance (CSA - <br />R1351).pdf <br />1665748585.0524035- <br />ACORD 0025 2016- <br />UMBRELLA LIABILITY 57SBABN5132 01/01/2023 10/14/2022 <br />03 Acroform- <br />locked.pdf <br /> <br />