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Last modified
2/1/2024 11:20:43 AM
Creation date
12/23/2020 3:37:24 PM
Metadata
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Template:
Contracts
Company Name
TE ROBERTS
Contract #
A-2020-245-01
Agency
Public Works
Council Approval Date
12/1/2020
Expiration Date
11/30/2023
Destruction Year
2028
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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 /> T.E. Roberts, Inc. <br />Name: <br />Project <br /> A-2020-245- 01 <br />Number: <br />Project <br /> SA-5 Vault Modifications <br />Name: <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply with the <br />insurance requirements. <br /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />23-24 Master - <br />AUTOMOBILE LIABILITY BAP302554101 09/01/2024 08/30/2023 City of Santa <br />Ana (4).pdf <br />23-24 Master - <br />GENERAL LIABILITY GL0302554201 09/01/2024 08/30/2023 City of Santa <br />Ana (4).pdf <br />23-24 Master - <br />PROFESSIONAL LIABILITY PEC005263605 09/01/2024 01/29/2024 City of Santa <br />Ana.pdf <br />23-24 Master - <br />WORKERS COMPENSATION AND <br />WC302554401 09/01/2024 08/30/2023 City of Santa <br />EMPLOYERS' LIABILITY <br />Ana (4).pdf <br />No further action is required at this time. <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/31/2024 7:03 PM <br /> <br />
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