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Vega, Brenda <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Wednesday, October 26, 2022 8:37 AM <br />To: star_metry@ajg.com, Vega, Brenda <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 Community Action Partnership of Orange County <br />Name: <br />Project A-2022-092-19 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Community Action <br />Name: Partnership Of Orange County For Use Of Community Development <br />Block Grant Funds <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 NUMBER <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />DATE <br />AUTOMOBILE LIABILITY <br />202200441 <br />07/01/2023 <br />07/07/2022 <br />COI-CAPOC <br />Exp.pdf <br />GENERAL LIABILITY <br />202200441 <br />07/01/2023 <br />07/07/2022 <br />COI-CAPOC <br />Exp.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />COI-CAPOC <br />LIABILITY <br />WVE505610702 <br />07/01/2023 <br />07/07/2022 <br />Exp.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership imith <br />CTrax Plus Services Team <br />10/26/2022 11:36 AM <br />1 <br />