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Reyes, Erendida <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Tuesday, May 23, 2023 12:46 PM <br />To: nalsmadi@wrbconstruction.com; Reyes, Erendida; info@adelfiainsurance.com; Ortiz, <br />Michael <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />(,IT), STAFF: PRINT THIS PAGE AND INCLUDE WITH .AGREE\1ENT TO THE CLERK OF TILE C01 V 11 <br />Contractor We R Builders, Inc. <br />Name: <br />Project TBD (034) <br />Number: <br />Project Agreement With We R Builders, Inc., To Provide On -Call Emergency <br />Name: 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 />COI <br />TYPE OF INSURANCE <br />FILE NAME <br />NUMBER <br />DATE <br />DATE <br />AUTOMOBILE LIABILITY <br />BA040000076983 <br />I1/07/2023 <br />04/11/2023 <br />COI WR13 11.10.23.pdf <br />GENERAL LIABILITY <br />VIGPO22648 <br />11/10/2023 <br />04/11/2023 <br />COI WRB 11.10.23.pdf <br />PROFESSIONAL LIABILITY <br />WAIVER <br />05/16/2024 <br />05/23/2023 <br />Notice of Statement.pdf <br />WORKERS COMPENSATION AND <br />BNUWC0158286 <br />10/23/2023 <br />05/11/2023 <br />city of santa ana 11635416.pdf <br />EMPLOYERS' LIABILITY <br />— — <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />5/23/2023 3:45 PM <br />1 <br />