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Mazariego, Diana <br />Subject: <br />FW: 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 NV5, Inc. <br />Name: <br />Project TBD (007) <br />Number: <br />Project Extension of Agreement for On -Call Water Resources Construction <br />Name: Management and Inspection Services Agreement No. A-2020-076-01 <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 />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />AUTOMOBILE LIABILITY <br />7014842659 <br />05/01/2024 <br />05/01/2023 <br />COI 23-24 - City <br />of Santa Ana.pdf <br />GENERAL LIABILITY <br />7014856125 <br />05/01/2024 <br />05/01/2023 <br />COI 23-24 - City <br />of Santa Ana.pdf <br />PROF/POLL LIAB <br />42EPP32132802 <br />05/01/2024 <br />05/01/2023 <br />COI 23-24 - City <br />of Santa Ana.pdf <br />WORKERS COMPENSATION AND <br />7014842810CA <br />05/01/2024 <br />05/01/2023 <br />COI 23-24 - City <br />EMPLOYERS' LIABILITY <br />of Santa Ana.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />5/10/2023 12:00 PM <br />1 <br />