Laserfiche WebLink
<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 /> T.E. Roberts, Inc. <br />Name: <br />Project <br /> A-2019-142-03A <br />Number: <br />Project Extension of Agreement To Provide On-Call Emergency Water And Sewer <br /> <br />Name: System Repair Services <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply with the <br />insurance requirements. <br /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />#5866 COI exp <br />AUTOMOBILE LIABILITY BAP302554101 09/01/2024 08/30/2023 <br />090124.pdf <br />#5866 COI exp <br />GENERAL LIABILITY GL0302554201 09/01/2024 08/30/2023 <br />090124.pdf <br />23-24 Master - <br />PROFESSIONAL LIABILITY PEC005263605 09/01/2024 01/29/2024 City of Santa <br />Ana.pdf <br />WORKERS COMPENSATION AND #5866 COI exp <br />WC302554401 09/01/2024 08/30/2023 <br />EMPLOYERS' LIABILITY 090124.pdf <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 />1/31/2024 7:35 PM <br /> <br />