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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 /> Halcyon Behavioral LLC <br />Name: <br />Project <br /> N-2021-201-01 <br />Number: <br />Project <br /> First Amendment To Agreement With Halcyon Behavioral, LLC <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 />City of Santa Ana <br />AUTOMOBILE LIABILITY 57SBAAY4GNC 01/01/2025 12/19/2023 Insurance COI <br />12.19.2023.pdf <br />City of Santa Ana <br />GENERAL LIABILITY 57SBAAY4GNC 01/01/2025 01/11/2024 COI 01112024 <br />CORRECTED.pdf <br />SIMTH01-City of <br />TECH E&O/CYBER H23TG3367600 07/01/2024 07/07/2023 Santa Ana- <br />19715405(R).pdf <br />SIMTH01-City of <br />TECH E&O/CYBER H23TG3367600 07/01/2024 07/07/2023 Santa Ana- <br />19715405(R).pdf <br />City of Santa Ana <br />UMBRELLA LIABILITY 57SBAAY4GNC 01/01/2025 01/11/2024 COI 01112024 <br />CORRECTED.pdf <br />City of Santa Ana <br />WORKERS COMPENSATION AND <br />37WECAF7PA9 01/01/2025 12/19/2023 Insurance COI <br />EMPLOYERS' LIABILITY <br />12.19.2023.pdf <br />No further action is required at this time. <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/17/2024 12:11 PM <br />