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From: City of Santa Ana <br />To: cathvchuocoCdexceloavino.net; Ramirez David; Reyes, Erendida; Castro, Jose; Ortiz, Michael; Thomas. Sean; <br />wohilIios(a)exceloavinc.net <br />Subject: Internal Notice of Compliance <br />Date: Friday, May 5, 2023 10:16:58 AM <br />19 <br />NOTICE OF COMPLIANCE <br />C'ITN" STAFF: PRINT TIIIS PAGE .AN D I S('LUDE R'ITH AGREE:NIE\"ITO THE CL,ER6 OF THE COUN('IL <br />Contractor Palp, Inc. <br />Name: <br />Project TBD (086) <br />Number: <br />Project Agreement With Palp, Inc., DBA Excel Paving Co. To <br />Name: Provide On -Call Emergency Asphalt And PCC Services For <br />The City Of Santa Ana <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 <br />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 EXPIRATION <br />NUMBER DATE <br />511I1I17�'iS 1rLrKIM <br />60041245 06/01/2023 <br />117AIIIIL' f31I �171LII <br />T10221268 06/01/2023 <br />COI DATE FILE NAME <br />COI Excel <br />05/01/2023 <br />Paving <br />6.01.23.pdf <br />COI Pulp, <br />Inc. l9- <br />6948 GL <br />02/17/2023 <br />2023-06-01 <br />AL 2023-06- <br />01 WC 2023- <br />06-Ol.pdf <br />09/06/2022 <br />City of Santa <br />Ana.pdf <br />_COI_Palp, <br />Inc. 19- <br />6948 GL <br />02/17/2023 <br />2023-06-01 <br />