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Polezhaev, Katerina <br />From: City of Santa Ana < certificate- request@ctraxjdidata.com> <br />Sent: Thursday, April 20, 2023 8:41 AM <br />To: dcayetano@psomas.com; Fernandez, Armando; greylingcerts@greyling.com; Burk, <br />James; Polezhaev, Katerina; Zavala, Talisa <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />I I I 1 s rAFF: PRIM I I II I I' %(,I kND INCLUDE N7I'll AGW I %I I N"[" TO THE CLERK OF THE COtIV II <br />Contractor Psomas, Inc. <br />Name: <br />Project TBD (057) <br />Number: <br />Project Extension of Agreement (A-2020-075-03) to Provide On -Call Water <br />Name: Resources Engineering Services <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 />PROFESSIONAL LIABILITY <br />CLAIMS MADE <br />WORKERS <br />COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY NUMBER <br />CA4489706 <br />GL5268212 <br />' :- L► --1 <br />EXPIRATION COI FILE NAME <br />DATE DATE <br />04/01/2024 04/01/2023 SBR08 56426746 32827.Pdf <br />04/01/2024 04/01/2023 SBR08_56426746 32827.pdf <br />10/15/2023 10/12/2022 <br />City-of-Santa- <br />Ana_PSOMAS_PL-2-2-(10- <br />23)_10-12- <br />2022_904355163_l.pdf <br />WC015893764WC015893765 04/02/2024 04/01/2023 SBR08_56426746_32827.pdf <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />1 <br />