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MELGOZA, JORGE dba ARDENT ERGONOMICS
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MELGOZA, JORGE dba ARDENT ERGONOMICS
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Last modified
7/1/2024 5:28:00 PM
Creation date
2/3/2022 3:19:23 PM
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Contracts
Company Name
MELGOZA, JORGE dba ARDENT ERGONOMICS
Contract #
N-2022-027
Agency
Human Resources
Expiration Date
11/22/2024
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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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 /> <br />Jorge B Melgoza <br />Name: <br />Project <br /> <br />N-2022-027 <br />Number: <br />Project Agreement With Jorge Melgoza, DBA Ardent Ergonomics, To <br /> <br />Name: Provide Preventative Ergonomics Assessments <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 />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />Jorge B Melgoza <br />dba Ardent <br />AUTOMOBILE LIABILITY 5837885D1555 10/15/2022 09/20/2022 Ergonomics COI <br />Exp 10-15-22 <br />RMD02012022.pdf <br />Jorge B Melgoza <br />dba Ardent <br />GENERAL LIABILITY 90E3K8745 10/15/2022 01/20/2022 Ergonomics COI <br />Exp 10-15-22 <br />RMD02012022.pdf <br />Jorge B Melgoza <br />dba Ardent <br />WORKERS COMPENSATION AND <br />WAIVER 01/17/2023 09/20/2022 Ergonomics COI <br />EMPLOYERS' LIABILITY <br />Exp 10-15-22 <br />RMD02012022.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />9/20/2022 12:36 PM <br /> <br />
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