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Victoria, Arnet <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Monday, May 8, 2023 2:59 PM <br />To: pocha@pocharte.com; Arts and Culture; eddie.quillares.rlwt@statefarm.com <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Sandra Pena Sarmiento <br />Name: <br />Project TBD (022) <br />Number: <br />Project American Rescue Plan Act Compliance - Sandra Pena Sarmiento <br />Name: <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 />POLICY <br />TYPE OF INSURANCE <br />NUMBER <br />GENERAL LIABILITY <br />92KJQ2552 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WAIVER <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />5/8/2023 5:58 PM <br />EXPIRATION <br />DATE <br />COI DATE FILE NAME <br />03/02/2024 <br />03/09/2023 COSA COI <br />2023.pdf <br />08/04/2023 <br />03/02/2023 Worker's Comp <br />Declaration.pdf <br />1 <br />