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Rodriguez, Teresa <br />From: City of Santa Ana < Certificate- request@ctrax.jdidata.com> <br />Sent: Wednesday, May 24, 2023 11:01 AM <br />To: Ruvalcaba, Angelica; Reyes, Erendida; Castro, Jose; lisa@socalinsurance.com; Furjanic, <br />Suzi; Rodriguez, Teresa; vidosam@yahoo.com <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 Vido Samarzich, Inc. <br />Name: <br />Project TBD (103) <br />Number: <br />Project ON -CALL EMERGENCY ASPHALT AND PCC SERVICES <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 POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />23-6476 COI GL <br />AUTOMOBILE LIABILITY <br />5164139EO975E <br />11/09/2024 <br />05/08/2023 <br />UL WC_EXP 12- <br />23-23 AL_EXP <br />11-09-23.pdf <br />17-6880 Vido <br />GENERAL LIABILITY <br />VCGP028753 <br />12/23/2023 <br />12/22/2022 <br />Samarzich <br />G L, W C 05-22- <br />2023.pdf <br />Professional <br />PROFESSIONAL LIABILITY <br />WAIVER <br />05/18/2024 <br />05/24/2023 <br />Liability <br />Letter. pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />COI - GL and <br />WSD507134900 <br />05/22/2024 <br />05/23/2023 <br />Workers Comp <br />LIABILITY <br />Glenwood <br />