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Barba, Sandy <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Wednesday, January 4, 2023 1:08 PM <br />To: thuynh@occorps.org; Goodson, Audrey; Star_Metry@ajg.com <br />Subject: Internal Notice of Compliance <br />M <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Orange County Conservation Corps <br />Name: <br />Project A-2022-127 <br />Number: <br />Project Agreement Under The Workforce Innovation And O <br />Name: g Opportunity Act <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 />ABUSE & MOLESTATION <br />PAC515468018 <br />10/01/2023 <br />10/28/2022 <br />OCCC <br />10012023.pdf <br />AUTOMOBILE LIABILITY <br />CAP099124909 <br />10/01/2023 <br />10/28/2022 <br />OCCC <br />10012023.pdf <br />Equipment <br />EQUIPMENT COVERAGE <br />WAIVER <br />01/04/2024 <br />01/04/2023 <br />coverage memo <br />- OCCC.pdf <br />GENERAL LIABILITY <br />PAC515468018 <br />10/01/2023 <br />10/28/2022 <br />OCCC <br />10012023.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />OCCC Workers <br />LIABILITY <br />NPUWCGO012023 <br />01/01/2024 <br />01/04/2023 <br />comp <br />01012024.pdf <br />Thank you, <br />City of Santa Ana <br />1 <br />