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HALCYON BEHAVIORAL, LLC dba HALCYON BEHAVIORAL ADMINISTRATORS (2)
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HALCYON BEHAVIORAL, LLC dba HALCYON BEHAVIORAL ADMINISTRATORS (2)
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Last modified
8/8/2024 4:19:35 PM
Creation date
12/2/2021 3:34:07 PM
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Contracts
Company Name
HALCYON BEHAVIORAL, LLC dba HALCYON BEHAVIORAL ADMINISTRATORS
Contract #
N-2021-201-01
Agency
Human Resources
Expiration Date
6/30/2024
Insurance Exp Date
1/1/2025
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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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 <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />12192022 CERT City of Santa Ana <br />AUTOMOBILE LIABILITY 57SBABN5132 01/01/2024 12/19/2022 <br />Compliance (CSA - R1351).pdf <br />SIMTH01-City of Santa Ana- <br />EXCESS TECH E&O/CYBER E5K3485033 07/01/2024 07/07/2023 <br />19715405(R).pdf <br />2022 CERT City of Santa Ana <br />GENERAL LIABILITY 57SBABN5132 01/01/2024 12/26/2022 Compliance (CSA - R1351) <br />12262022.pdf <br />SIMTH01-City of Santa Ana- <br />TECH E&O/CYBER H23TG3367600 07/01/2024 07/07/2023 <br />19715405(R).pdf <br />2022 CERT City of Santa Ana <br />UMBRELLA LIABILITY 57SBABN5132 01/01/2024 12/26/2022 Compliance (CSA - R1351) <br />12262022.pdf <br />WORKERS COMPENSATION AND 12192022 CERT City of Santa Ana <br />57WECAF7PA9 01/01/2024 12/19/2022 <br />EMPLOYERS' LIABILITY Compliance (CSA - R1351).pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br /> <br />
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