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Dominguez, Diana <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Monday, December 11, 2023 8:57 AM <br />To: PBA Admin; Gabriel, Jason; Burrola, Melissa <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor CSG Consultants, Inc. <br />Name: <br />Project A-2022-072-04 <br />Number: <br />Project Agreement To Provide On -Call Building Safety Inspection Services <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 <br />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY EXPIRATION <br />NUMBER DATE <br />161001088 12/04/2024 <br />CGA1414883 12/04/2024 <br />83 OHO4 895 03 23 12/04/2024 <br />152000753 12/04/2024 <br />COI DATE <br />FILE NAME <br />23-24 Certificate <br />11/29/2023 <br />of Liability - <br />City of Santa <br />Ana.pdf <br />23-24 Certificate <br />11/29/2023 <br />of Liability - <br />City of Santa <br />Ana.pdf <br />12/06/2023 <br />23-24 City of <br />Santa Ana.pdf <br />23-24 Certificate <br />11/29/2023 <br />of Liability - <br />City of Santa <br />Ana.pdf <br />