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<br /> <br />NOTICE OF COMPLIANCE <br /> <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br />Occupational Health Centers of California, A Medical Corporation <br /> <br />Name: <br />Project <br />A-2019-006-01 <br /> <br />Number: <br />Project Extension of Agreement to Provide Medical Services Review, No. A- <br /> <br />Name: 2019-006 <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 time. <br /> <br />The compliant coverage(s) are: <br />EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME <br />DATE <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />GENERAL LIABILITY HAZ40322445817 01/01/2024 01/04/2023 He_1-1-23-1-1-20_1- <br />4- <br />2023_1091828540.pdf <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />PROFESSIONAL LIABILITY HAZ40322445817 01/01/2024 01/05/2023 He_1-1-23-1-1-20_1- <br />4- <br />2023_1091828540.pdf <br />Occupational Health <br />Center of CA DBA <br />WORKERS COMPENSATION AND <br />WA763D510199352 04/01/2023 03/30/2022 Concentra COI Exp 4- <br />EMPLOYERS' LIABILITY <br />1-23 <br />RMD04042022.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br /> <br />