Laserfiche WebLink
Ho, Josephine <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Tuesday, January 10, 2023 10:01 AM <br />To: Concentra_unit@grahamco.com; Ho, Josephine; Nguyen, Danvi; info@grahamco.com; <br />Murray, James; Schnaider, Lori <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Occupational Health Centers of California, A Medical Corporation <br />Name: <br />Project A-2019-006-01 <br />Number: <br />Project Extension of Agreement to Provide Medical Services Review, No. A-2019- <br />Name: 006 <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 />GENERAL LIABILITY <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY EXPIRATION COI DATE <br />NUMBER DATE <br />HAZ40322445817 01/01/2024 01/04/2023 <br />HAZ40322445817 <br />WA763D510199352 <br />1 <br />01/01/2024 01/05/2023 <br />04/01/2023 03/30/2022 <br />FILE NAME <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />He 1-1-23-1-I-20 1- <br />4- <br />2023_1091828540.pdf. <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />He 1-1-23-1-1-20 1- <br />_ 4 <br />2023_1091828540.pdf <br />Occupational Health <br />Center of CA DBA <br />Concentra COI Exp 4- ' <br />1-23 <br />RMD04042022.pdf <br />