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Burrola, Melissa <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Thursday, June 15, 2023 10:09 AM <br />To: Burrola, Melissa; certs@aseroins.com; Doris.chambers@assuredpartners.com; Frankston, <br />Emerson; Gabriel, Jason; psomerville@markthomas.com; snavarro@markthomas.com <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE NYITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Mark Thomas & Company, Inc. <br />Name: <br />Project TBD (072) <br />Number: <br />Project Consultant Agreement Between The City Of Santa Ana And Mark Thomas <br />Name: & Company, Inc. For On -Call Engineering Services <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 EXPIRATIONCOI DATE <br />NUMBER DATE <br />AUTOMOBILE LIABILITY <br />6078951371 <br />09/15/2023 <br />05/22/2023 <br />GENERAL LIABILITY <br />6078951385 <br />09/15/2023 <br />05/22/2023 <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />DPR5014213 07/01/2024 06/08/2023 <br />6078951418 09/15/2023 <br />09/19/2022 <br />FILE NAME <br />Santa Ana, City <br />of - COI's (Mark <br />Thomas).pdf <br />Santa Ana, City <br />of - COI's (Mark <br />Thomas).pdf <br />CERT- <br />407681976.pdf <br />Santa Ana, City <br />of (Agent A- <br />2018-159) Gen <br />Auto WC - COI <br />Renewal Exp <br />09.15.23.pdf <br />1 <br />