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Vega, Brenda <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Monday, November 20, 2023 9:51 AM <br />To: Vega, Brenda <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 Human Options, Inc. <br />Name: <br />Project A-2022-092-11 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Human Options For Use <br />Name: Of Community Development Block Grant Funds <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 />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />Certificate of <br />AUTOMOBILE LIABILITY <br />010041351 <br />09/23/2024 <br />09/29/2023 <br />Insurance for <br />City of Santa <br />Ana 2024.pdf <br />Memo <br />EQUIPMENT COVERAGE <br />WAIVER <br />07/13/2024 <br />07/18/2023 <br />Regarding <br />Equipment <br />Coverage.pdf <br />Certificate of <br />GENERAL LIABILITY <br />010041350 <br />09/23/2024 <br />09/29/2023 <br />Insurance for <br />City of Santa <br />Ana 2024.pdf <br />COI Human <br />WORKERS COMPENSATION AND <br />010037245 <br />04/01/2024 <br />03/27/2023 <br />Options Workers <br />EMPLOYERS' LIABILITY <br />Comp <br />040124.pdf <br />1 <br />