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<br /> <br />NOTICE OF COMPLIANCE <br /> CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> <br />Western A/V Inc <br />Name: <br />Project <br /> <br />A-2022-107 <br />Number: <br />Project <br /> <br />A-2022-107 <br />Name: <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 />AUTOMOBILE LIABILITY 6759458F0275Q 06/02/2023 11/16/2022 Certificate.pdf <br />COI update <br />GENERAL LIABILITY 92GYD8120 10/31/2023 12/14/2022 <br />12-14-22.pdf <br />WORKERS COMPENSATION AND <br />92MWF6739 01/01/2023 11/16/2022 Certificate.pdf <br />EMPLOYERS' LIABILITY <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />12/15/2022 5:29 PM <br /> <br /> <br />