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L nch, Breanna <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Thursday, October 27, 2022 8:08 AM <br />To: Flo, Josephine; Lynch, Breanna; pramirez@wisg,com <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF. PRINT THIS PACE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Sterling H.S.A., Inc. <br />Name: <br />Project N-2019-252 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Sterling Health Services <br />Name: For Affordable Care Act Compliance <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 />The compliant coverage(s) are: <br />TYPE OF INSI!RANCE POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />Sterling Health <br />AUTOMOBILE LIABILITY <br />690OR423616 <br />05/14/2023 <br />05/20/2022 <br />Services COI Exp 5- <br />14-23 <br />RMD05262022.pdf <br />GENERAL LIABILITY <br />680OR423616 <br />05114/2023 <br />05/20/2022 <br />COI & WOS - City <br />of Santa Ana,pdf <br />Sterling Health <br />PROFESSIONAL LIABILITY <br />POOI00012245403 <br />05/14/2023 <br />09/29/2022 <br />Services COI Exp 5- <br />14-23 <br />RMD05262022.pdf <br />Sterling Health <br />WORKERS COMPENSATION AND EMPLOYERS` <br />STWC352048 <br />05/1412023 <br />05/20/2022 <br />Services COI Exp 5- <br />LIABILITY <br />14-23 <br />RMD05262022.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />1 <br />