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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 />Number: <br />Project Agreement To Provide On-Call Building Safety Inspection <br /> <br />Name: Services <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply <br />with the insurance requirements. <br /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />AUTOMOBILE LIABILITY 8106X632782 03/15/2025 03/25/2024 cert.pdf <br />GENERAL LIABILITY 6806X631656 03/15/2025 03/25/2024 cert.pdf <br />PROFESSIONAL LIABILITY HCC2425616 03/15/2025 03/25/2024 cert.pdf <br />WORKERS COMPENSATION AND <br />F0WC521971 03/15/2025 03/25/2024 cert.pdf <br />EMPLOYERS' LIABILITY <br />No further action is required at this time. <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />3/26/2024 11:22 AM <br /> <br />
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