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Garcia, Stephanie <br />From: <br />Sent: <br />To: <br />Subject: <br />Contractor <br />Name: <br />Project <br />Number: <br />Project <br />Name: <br />City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Friday, January 26, 2024 12:55 PM <br />Garcia, Stephanie; Hernandez, Erendira; Lpraya@pacbell.net; Montes, Miguel; Baird, <br />Sarah <br />Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREE ME NT TO THE CLERIC OF THE COUNCIL <br />Raya Foundation <br />TBD (121) <br />RECREATION SERVICES AGREEMENT WITH RAYA FOUNDATION TO <br />PROVIDE VARIOUS SPORTS CLASSES <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply with the <br />insurance requirements. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />COSA <br />CONTRACT <br />AUTOMOBILE LIABILITY <br />6BRPG0000007893500 <br />02/28/2025 <br />12/12/2023 <br />INSURANCE <br />FOR 2024- <br />2025.pdf <br />K & K insurance <br />GENERAL LIABILITY <br />6BRPG0000007893500 <br />02/28/2025 <br />01/04/2024 <br />for City of SA <br />2024-25.pdf <br />RAYA <br />SEXUALABUSE <br />6BRPG0000007788000 <br />02/28/2024 <br />02/13/2023 <br />FOUNDATION <br />INSURANCE <br />COSA 2023.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />City of SA <br />WAIVER <br />02/27/2024 <br />02/28/2023 <br />Workers Comp <br />LIABILITY <br />Ltr -RAYA <br />1 <br />