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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 /> <br />Name: <br />Project <br />N-2022-369 <br /> <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 <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />Backflow <br />AUTOMOBILE LIABILITY BA7N173419 10/31/2024 10/10/2023 Apparatus & <br />Valve COI.pdf <br />Backflow <br />GENERAL LIABILITY 6308J664090 10/31/2024 10/10/2023 Apparatus & <br />Valve COI.pdf <br />23-24 <br />Workers <br />WORKERS COMPENSATION AND <br />UB3R155740 08/27/2024 08/22/2023 Comp <br />EMPLOYERS' LIABILITY <br />Renewal <br />Certificate.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />10/19/2023 1:59 PM <br /> <br /> <br />