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Zavala, Talisa <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Monday, January 30, 2023 11:27 AM <br />To: Sbreeze@opalfuels.com; Fernandez, Armando; certificates@robinsins.com; Aguirre, <br />Robert; Zavala, Talisa <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITISTAFF: PRINT THIS PAGE AND INCLUDE %%IT[I AGREEMENT FO IIIE CLERK OF THE ( 0( NC'II- <br />Contractor Opal Fuels Station Services LLC <br />Name: <br />Project TBD (042) <br />Number: <br />Project This Amended And Restated Design -Build Agreement For CNG Station <br />Name: With Opal Fuels Station Services <br />The Certificate otdnsurance (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 POLICY EXPIRATION COI DATE FILE NAME <br />NUMBER DATE <br />Risk Management <br />AUTOMOBILE LIABILITY <br />TRAU305122 <br />06/02/2023 <br />01/19/2023 <br />GL Dec <br />Endorsements <br />1.19.23.pdf <br />Risk Management <br />GENERAL LIABILITY <br />EPK139845 <br />06/02/2023 <br />01/19/2023 <br />GL Dec <br />Endorsements <br />1.19.23.pdf <br />Risk Management <br />GENERAL LIABILITY <br />EPK139845 <br />06/02/2023 <br />01/19/2023 <br />GL Dec <br />Endorsements <br />1.19.23.pdf <br />WORKERS COMPENSATION AND <br />cert_NYC_City of <br />EMPLOYERS' LIABILITY <br />71927340AOS <br />01/01/2024 <br />01/20/2023 <br />Santa <br />Ana— II189116_9.pdf <br />1 <br />