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Vega, Brenda <br />From: City of Santa Ana < certificate- request@ctraxjdidata.com> <br />Sent: Monday, February 27, 2023 1:42 PM <br />To: jpbryan@momsorangecounty.org; Vega, Brenda; kdruckman@tdwrisk.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 MOMS Orange County <br />Name: <br />Project A-2022-092-08 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Moms Orange County <br />Name: For Use Of Community Development 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 <br />EXPIRATIONNUMBER <br />COI DATE <br />FILE NAME <br />DATE <br />AUTOMOBILE LIABILITY <br />PEPK2505955 <br />02/24/2024 <br />02/21/2023 <br />COI MOMS OC <br />Exp022424.pdf <br />GENERAL LIABILITY <br />PHPK2505955 <br />02/24/2024 <br />02/21/2023 <br />COI MOMS OC <br />Exp022424.pdf <br />WORKERS COMPENSATION AND <br />TWC4162402 <br />10/O1/2023 <br />09/15/2022 <br />City of Santa <br />EMPLOYERS' LIABILITY <br />Ana.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />2/27/2023 4:42 PM <br />1 <br />