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Burrola, Melissa <br />From: City of Santa Ana <certificate-request@ctrax jdidata.com> <br />Sent: Wednesday, August 2, 2023 3:37 PM <br />To: jeffrey.katz@kersherlawgroup.com; cortiz@tutton.com; Burrola, Melissa; Soto, Yvonne <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 Floral Park Neighborhood Association <br />Name: <br />Project TBD (027) <br />Number: <br />Project License Agreement <br />Name: <br />The Certificate of Insurance (C01) 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 />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />8/2/2023 6:37 PM <br />POLICY <br />NUMBER <br />202333335 <br />202333335 <br />WAIVER <br />EXPIRATION <br />COI DATE <br />DATE <br />05/18/2024 <br />05/25/2023 <br />05/18/2024 <br />05/25/2023 <br />07/25/2024 <br />08/01/2023 <br />FILE NAME <br />Floral Park - 05 <br />IS 24 - COI.pdf <br />Floral Park - 05 <br />18 24 - COI.pdf <br />Santa Ana.pdf <br />1 <br />