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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Delhi Center <br />Name: <br />Project A-2022-069-06 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Delhi Center <br />Name: For Use Of American Rescue Plan Act (ARPA) Funds <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 />The compliant coverage(s) are: <br />TYPE OF INSURANCE <br />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />— <br />— NUMBER <br />DATE <br />ACORD Form <br />AUTOMOBILE LIABILITY <br />202201376 <br />11/01/2023 <br />09/06/2022 <br />20221025- <br />132337.pdf <br />-- <br />l <br />ACORD Form <br />GENERAL LIABILITY <br />202201376 <br />11/01/2023 <br />09/06/2022 <br />20221025- <br />132337.pdf <br />UOCIAL SERVICE PROFESSIONAL LIABILITY <br />ACORD Form <br />IMPROPER SEXUAL CONDUCT LIABILITY <br />202201376 <br />11/01/2023 <br />09/06/2022 <br />20221028- <br />094302.pdf <br />WORKERS COMPENSATION AND <br />ACORD Form <br />EMPLOYERS' LIABILITY <br />SNUWC0152622 <br />, 11/01/2023 <br />09/06/2022 <br />20221021- <br />154756.pdf <br />_...-- <br />—__I__—_ <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />10/31/2022 12:49 PM <br />