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<br />From:City of Santa Ana <br />To:Quintana, David <br />Subject:Internal Notice of Compliance <br />Date:Monday, January 8, 2024 10:53:12 AM <br /> <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> Jacob Green & Associates <br />Name: <br />Project <br /> A-2023-206 <br />Number: <br />Project <br /> A-2023-206 <br />Name: <br /> <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 /> <br />The compliant coverage(s) are: <br />POLICYEXPIRATION <br />TYPE OF INSURANCECOI DATEFILE NAME <br />NUMBERDATE <br />JGA GL PL AND <br />AUTO CERT AND <br />PROFESSIONAL LIABILITYP5M003972220608/09/202412/15/2023ENDORSEMENTS <br />SANTA ANA <br />CH.pdf <br />JGA WC SANTA <br />WORKERS <br />ANA CH <br />COMPENSATION AND76WEGAS7GJL05/24/202412/14/2023 <br />EXPIRES 5-24- <br />EMPLOYERS' LIABILITY <br />2024.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/8/2024 1:52 PM <br />