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Reyes, Erendida <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Tuesday, October 10, 2023 8:18 AM <br />To: Mai, Danny; Reyes, Erendida; Ortiz, Michael; Perez, Ricardo; Thomas, Sean <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />Contractor EBS General Engineering, Inc. <br />Name: <br />Project A-2023-076-02 <br />Number: <br />Project Agreement With EBS General Engineering, Inc., To Provide On -Call <br />Name: Emergency Asphalt And PCC Services For The City Of Santa Ana <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 />EXPIRATION <br />TYPE OF INSURANCE <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />AUTOMOBILE LIABILITY <br />7018007509 <br />02/01/2024 <br />05/01/2023 <br />COI EBS <br />02.01.24.pdf <br />EBS General - <br />GENERAL LIABILITY <br />7018007493 <br />02/01/2024 <br />02/01/2023 <br />COI #22138 - <br />2023-24.pdf <br />INSURANCE <br />PROFESSIONAL LIABILITY <br />WAIVER <br />10/05/2024 <br />10/05/2023 <br />EXCEPTION <br />2023.pdf <br />23105 ACORD <br />WORKERS COMPENSATION AND <br />7034507011 <br />09/28/2024 <br />05/01/2023 <br />Form 20230929- <br />EMPLOYERS' LIABILITY <br />094639.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />