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NOTICE OF COMPLIANCE <br />CITY "A,AM I1111RINT I'IIII Pi I1111A E AND INCLUDE Ck I 111 1AGREEMENTTOT111IE CLERK CSC 1111IE COUNCIL <br />Contractor William H. Nuesse, M.D. and Mary -Ann Nuesse, D.O. <br />Name: <br />Project N-2021-179-01 <br />Number: <br />Project First Amendment To Agreement For Medical Services And Testing <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 />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />AUTOMOBILE LIABILITY <br />602378275 <br />05/29/2023 <br />01/11/2023 <br />Sunrise COI Exp <br />05-29-23.pdf <br />GENERAL LIABILITY <br />602378275 <br />05/29/2023 <br />05/13/2022 <br />Sunrise COI Exp <br />05-29-23.pdf <br />2023 CAP MPT <br />PROFESSIONAL LIABILITY <br />COC <br />12/31/2023 <br />01/10/2023 <br />- Doctors - <br />Certificate of <br />Coverage.pdf <br />WORKERS COMPENSATION AND <br />City of Santa <br />EMPLOYERS' LIABILITY <br />25601701 <br />08/01/2023 <br />10/03/2022 <br />Ana, Risk <br />Management.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/11/2023 5:55 PM <br />