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Sepulveda, Maria <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Tuesday, March 14, 2023 2:00 PM <br />To: Sepulveda, Maria; certificates@pdins.com <br />Subject: Internal Notice of Compliance <br />Follow Up Flag: Follow up <br />Flag Status: Flagged <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT"LHIS PAGE AND INCLUDE WITH AGRE:ENIENT TO TI-IE CLERK OF THE COUNCIL <br />Contractor Java Connections. LLC <br />Name: <br />Project A-2020-249A <br />Number: <br />Project Kiosk Support Agreement <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 />TYPE OF INSURANCE <br />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />PROFESSIONAUCYBER LIABILITY <br />POLICY <br />EXPIRATION <br />NUMBER <br />DATE <br />ODFD78534404 <br />12/ 15/2023 <br />ODFD78534404 <br />! 12/15/2023 <br />ESL0339596353 1 02/01/2024 <br />WORKERS COMPENSATION AND UB7P2720972342 03/15/2024 <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />j COI <br />ATE FILE NAME <br />11/30/2022 i CERT-560878378.pdf <br />11/30/2022 CERT-560878378.pdf <br />_. <br />01/27/2023 ACORD Form 20230127- <br />102007.pdf <br />santa_ana_1_Cer ificate UB- <br />02/24/2023 i 7P272097-23- <br />42_2885062.pdf <br />1 <br />