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Mazariego, Diana <br />From: CTrax <certificate-request@ctrax.jdidata.com> <br />Sent: Wednesday, September 14, 2022 8:43 AM <br />To: troberts@teroberts.com; Mai, Danny; Castillo, Jose Gilbert; Payo, Mahina <br />Subject: Internal Notice of Compliance <br />Follow Up Flag: Follow up <br />Flag Status: Flagged <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor T.E. Roberts, Inc. <br />Name: <br />Project A-2019-142-03 <br />Number: <br />Project Agreement To Provide On -Call Emergency Water And Sewer System <br />Name: Repair Services <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 />RIIIIIiPriYllfWIT03Lli110 <br />GENERAL LIABILITY <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />POLICY NUMBER <br />EXPIRATION DATE <br />COI DATE <br />FILE NAME <br />BAP302554100 <br />09/01/2023 <br />08/31/2022 <br />5882 SA OnCAII COI <br />exp 090123.pdf <br />GL0302554200 <br />09/01/2023 <br />08/31/2022 <br />5882 SA OnCAII COI <br />exp 090123.pdf <br />_COI_T.E. Roberts <br />PECO05263604 <br />09/01/2023 <br />08/31/2022 <br />Inc_GL_AL_WC_PL_Exp <br />09_0123pending <br />l.pdf <br />WC302554400 <br />09/01/2023 <br />08/31/2022 <br />5685 SA WM Vault coi <br />exp 090123.pdf <br />1 <br />