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Last modified
8/19/2024 9:49:46 AM
Creation date
3/1/2022 3:22:24 PM
Metadata
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Template:
Contracts
Company Name
INTER-PACIFIC
Contract #
A-2022-025-01
Agency
Public Works
Council Approval Date
2/15/2022
Expiration Date
2/14/2025
Insurance Exp Date
2/14/2025
Destruction Year
2030
Notes
For Insurance Exp. Date see Notice of Compliance
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<br /> <br />NOTICE OF COMPLIANCE <br /> <br /> <br />Contractor <br /> <br />Inter-Pacific Inc. <br />Name: <br />Project <br /> <br />A-2022-025-01 <br />Number: <br />Project Agreement To Provide On-Call Electrical Repair And <br /> <br />Name: Rehabilitation 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 />22-23 REN CERT <br />AUTOMOBILE LIABILITY BAS62698905 01/29/2023 09/09/2022 City of Santa Ana <br />w- Forms.pdf <br />22-23 REN CERT <br />GENERAL LIABILITY BKW56144681 09/08/2023 09/09/2022 City of Santa Ana <br />w- Forms.pdf <br />InterPacific <br />PROFESSIONAL LIABILITY WAIVER 09/28/2023 10/04/2022 Exemption for <br />Professional.pdf <br />Inter-Pacific Inc. <br />WORKERS COMPENSATION AND <br />SWC1391498 06/09/2023 06/06/2022 COI Exp 9-8-22 <br />EMPLOYERS' LIABILITY <br />RMD06152022.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 />10/4/2022 7:08 PM <br /> <br /> <br />
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