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Entry Properties
Last modified
4/8/2024 9:20:52 AM
Creation date
7/11/2022 4:38:37 PM
Metadata
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Template:
Contracts
Company Name
4LEAF
Contract #
A-2022-072-01
Agency
Planning & Building
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Destruction Year
2030
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 /> 4LEAF, Inc. <br />Name: <br />Project <br />A-2022-072-01 <br /> <br />Number: <br />Project <br /> <br />Agreement To Provide On-Call Building Safety Inspection Services <br />Name: <br /> <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 /> <br />The compliant coverage(s) are: <br />EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME <br />DATE <br />4LEAF EXP <br />AUTOMOBILE LIABILITY 8107R025623 04/09/2024 04/19/2023 <br />4.9.24.pdf <br />4LEAF EXP <br />GENERAL LIABILITY 6800J268720 04/09/2024 04/19/2023 <br />4.9.24.pdf <br />4LEAF EXP <br />PROFESSIONAL LIABILITY MKLV7PL0005809 04/09/2024 04/19/2023 <br />4.9.24.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' 4LEAF EXP <br />UB2T357728 04/09/2024 04/19/2023 <br />LIABILITY 4.9.24.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 />5/8/2023 4:43 PM <br /> <br /> <br />
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