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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITB AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Fifth Asset, Inc. <br />Name: <br />Project N-2022-171 <br />Number: <br />Project Order Form <br />Name: <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 coveraSe(s) are: <br />TYPE OF INSURANCE <br />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />.._.. ___..__--- <br />NUMBER <br />DATE <br />---------- --- ._.__-------- <br />--- _------ —._._.._.... <br />--- <br />_._......___...__....._. _ <br />_ ..__.._..--- _._.._._.._ <br />Santa Ana CA i <br />AUTOMOBILE LIABILITY <br />7012519506 <br />11/01/2023 <br />11/04/2022 <br />11.2022 <br />I <br />LIABILITY.pdf <br />I <br />Santa Ana CA <br />GENERAL LIABILITY <br />7012519506 <br />11/01/2023 <br />11/04/2022 <br />11.2022 <br />LIABILITY.pdf <br />02072023 <br />TECH E&O <br />AX01103704 <br />02/01/2024 <br />02/07/2023 <br />CERT City of <br />j <br />Santa Ana <br />CA pdf <br />WORKERS COMPENSATION AND <br />C5143 8346 <br />10/01 /2023]___ <br />11 /22/2 022 <br />Santa Ana CA <br />[ <br />EMPLOYERS' LIABILITY <br />1 <br />WC 11.22 pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />2/8/2023 12:10 PM <br />