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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-2021-201-01 <br />Number: <br />Project <br /> <br />First Amendment To Agreement With Halcyon Behavioral, LLC <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 /> The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />2022 CERT City of <br />AUTOMOBILE LIABILITY 57SBABN5132 01/01/2023 09/27/2022 Santa Ana <br />09272022.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 />CYBER LIABILITY AX01055004 07/01/2023 10/14/2022 <br />03 Acroform- <br />locked.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 />2022 CERT City of <br />GENERAL LIABILITY 57SBABN5132 01/01/2023 09/27/2022 Santa Ana <br />09272022.pdf <br />2022 CERT City of <br />WORKERS COMPENSATION AND <br />57WECAF7PA9 01/01/2023 09/27/2022 Santa Ana <br />EMPLOYERS' LIABILITY <br />09272022.pdf <br /> Thank you, <br /> City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />10/25/2022 11:58 AM <br />
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