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Castro, Jose <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Tuesday, March 21, 2023 9:45 AM <br />To: Kharns@pachydro.com; Castro, Jose;jlopez@thebrokerageins.com; Thomas, Sean <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PACE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Pacific Hydrotech Corporation <br />Name: <br />Project 13-6433 <br />Number: <br />Project Well 32 Rehabilitation <br />Name: <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 />AUTOMOBILE LIABILITY <br />' GENERAL LIABILITY <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />2022-2023 <br />BAP250685100 <br />07/01/2023 <br />03/16/2023 <br />Certificates of <br />Insurance - City of <br />Santa Ana.pdf <br />2022-2023 <br />GL0250685000 <br />07/01/2023 <br />03/16/2023 <br />Certificates of <br />Insurance - City of <br />Santa Ana.pdf <br />COI Pacific <br />PPACI005722 <br />07/01/2023 <br />03/03/2023 <br />Hydrotech Corp._13- <br />6433_GL,WC Exp_7- <br />1-2023-Pending.pdf <br />_COI_Pacific <br />WC250685200 <br />07/01/2023 <br />03/03/2023 <br />Hydrotech Corp._13- <br />6433_GL,WC Exp_7- <br />1-2023-Pending.pdf <br />1 <br />