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<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 /> Backflow Apparatus & Valve <br />Name: <br />Project <br /> TBD (024) <br />Number: <br />Project Agreement With Backflow Apparatus & Valve, Co., To Provide <br /> <br />Name: Testing And Inspection Of Backflow Prevention Services <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 COI <br />TYPE OF INSURANCE FILE NAME <br />NUMBER DATE DATE <br />AUTOMOBILE LIABILITY BA7N173419 10/31/2023 12/20/2022 Certificate.pdf <br />GENERAL LIABILITY 6308J664090 10/31/2023 11/01/2022 Certificate.pdf <br />WORKERS COMPENSATION AND <br />UB3R1557402214G 08/27/2023 11/01/2022 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 />1/3/2023 6:33 PM <br /> <br /> <br />