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NOTICE OF COMPLIANCE <br />Contractor Palacios Law Office <br />Name: <br />Project N-2022-334 <br />Number: <br />Project City Of Santa Ana Agreement With Palacios Law Office To Provide <br />Name: Administrative Hearing 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 />EXPIRATION <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />COI DATE <br />FILE NAME <br />DATE <br />Palacios - Cert of <br />Insurance <br />AUTOMOBILE LIABILITY <br />65SBMTH3424 <br />06/28/2023 <br />09/15/2022 <br />(General <br />Liability) SEP <br />2022.Pdf <br />Palacios - <br />General Liability <br />GENERAL LIABILITY <br />65SBMTH3424 <br />06/28/2023 <br />01/05/2023 <br />Certificate for <br />Santa Ana 5 JAN <br />2023.pdf <br />Palacios updated <br />PROFESSIONAL LIABILITY <br />JQF1801940 <br />02/01/2023 <br />01/04/2023 <br />cert Santa <br />Ana.pdf <br />Palacios Workers <br />WORKERS COMPENSATION AND EMPLOYERS' <br />WAIVER <br />10/29/2023 <br />12/27/2022 <br />Comp Affidavit <br />LIABILITY <br />29 OCT <br />20221.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/9/2023 6:33 PM <br />