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From: City of Santa Ana <br />To: DeLeon, Rocio <br />Subject: Internal Notice of Compliance <br />Date: Wednesday, August 30, 2023 11:39:08 AM <br />NOTICE OF COMPLIANCE <br />C'ITN' STAFF: PRINT THIS PACE .AND INCLTDE V\ I FH ACREENIENT TO THE CLERK OF THE COI'N('IL <br />Contractor Service First <br />Name: <br />Project A-2021-218 <br />Number: <br />Project Agreement To Provide Fountain Maintenance And Repair <br />Name: Services <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 <br />time. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE POLICY EXPIRATION COI DATE <br />NUMBER DATE <br />AUTOMOBILE 6780936FO775 <br />LIABILITY <br />GENERAL LIABILITY G74417115001 <br />PROFESSIONAL <br />LIABILITY WAIVER <br />WORKERS <br />COMPENSATION AND AMX0820021006 <br />EMPLOYERS' <br />LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />06/07/2024 <br />07/17/2023 <br />08/01/2024 <br />07/28/2023 <br />08/09/2024 <br />08/09/2023 <br />10/01/2023 <br />09/14/2022 <br />FILE NAME <br />City of Santa Ana.pdf <br />2023 - 2024 Certificate <br />of Insurance - City of <br />Santa Ana.pdf <br />City of Santa Ana <br />Professional Liability <br />Waiver.pdf <br />City -of -Santa - <br />Ana Service -First 22- <br />23-WC-Servic 9-14- <br />2022_828343779_Lpdf <br />