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Mazariego, Diana <br />Subject: <br />FW: Internal Notice of Compliance <br />From: City of Santa Ana <certificate- request @ctrax.jdidata.com> <br />Sent: Monday, April 17, 2023 9:53 AM <br />To: apatel@beyazpatel.com; certs@fenner-esler.com; Mazariego, Diana <dmazariego@santa-ana.org>; Burk, James <br /><jburk@santa-a na.org> <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 Beyaz & Patel Inc. <br />Name: <br />Project A-2020-063 <br />Number: <br />Project Agreement to Provide Engineering Services For Seismic and Structural <br />Name: Assessment of Water Storage Reservoirs <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 POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />ACORD Form <br />AUTOMOBILE LIABILITY <br />AWY078382604 <br />01/01/2024 <br />04/10/2023 <br />20230410- <br />064149.pdf <br />ACORD Form <br />GENERAL LIABILITY <br />OBY078384104 <br />01/01/2024 <br />04/10/2023 <br />20230410- <br />064149.pdf <br />ACORD Form <br />PROFESSIONAL LIABILITY <br />AEXNYABKZN4008 <br />01/01/2024 <br />04/10/2023 <br />20230410- <br />064149.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />ACORD Form <br />WBY078382904 <br />01/01/2024 <br />04/10/2023 <br />20230410- <br />LIABILITY <br />064149.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />4/17/2023 12:52 PM <br />