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Middleton, Samuel <br /> From: CTrax <certificate-request@ctraxjdidata.com> <br /> Sent: Monday, October 3, 2022 2:26 PM <br /> To: Arroyo, Francisco; Frankston, Emerson <br /> Subject: Internal Notice of Compliance <br /> i <br /> 0 <br /> II <br /> 1 <br /> NOTICE OF COMPLIANCE <br /> CITY LF "A,AFF II111RIN I' I'IIIIIII°i 1111,10E AND INC'LLEE FI I 111I AGREEkIELT" O 111IE CLERK CIF 1111E COLNC'IL <br /> Contractor America On Track <br /> Name: <br /> Project A-2022-069-02 <br /> Number: <br /> Project A-2022-069-02 <br /> Name: <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 POLICY NUMBER EXPIRATION COI DATE FILE NAME <br /> DATE <br /> ACORD Form <br /> AUTOMOBILE LIABILITY 202206180 09/01/2023 08/03/2022 20220816- <br /> 090140.pdf <br /> ACORD Form <br /> GENERAL LIABILITY 202206180 09/01/2023 08/03/2022 20220816- <br /> 090140.pdf <br /> IMPROPER SEXUAL CONDUCT LIABILITY SOCIAL ACORD Form <br /> SERVICE PROFESSIONAL LIABILITY 202206180 09/01/2023 08/03/2022 20220816- <br /> 090140.pdf <br /> WORKERS COMPENSATION AND EMPLOYERS' America On Track <br /> LIABILITY UB2L2721992242 01/01/2023 08/15/2022 COI WC Exp 1-1-23 <br /> RMD05262022.pdf <br /> Thank you, <br /> City of Santa Ana <br /> Risk Management Division <br /> in partnership with <br /> 1 <br />