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Burrola, Melissa <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Wednesday, June 7, 2023 2:36 PM <br />To: Burrola, Melissa; Mazariego, Diana; Reyes, Erendida; greylingcerts@greyling.com; Burk, <br />James; Polezhaev, Katerina; Aguirre, Robert; Zavala, Talisa <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITI STAFF: PRINT TIIIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Psomas, Inc. <br />Name: <br />Project TBD (042) <br />Number: <br />Project Consultant Agreement Between The City Of Santa Ana And Psomas For <br />Name: 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 <br />AUTOMOBILE LIABILITY <br />30q►1 q: 1UUI0110 111arry <br />PROFESSIONAL LIABILITY <br />WORKERS <br />COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY NUMBER <br />CA4489706 <br />GL5268212 <br />DPR5003444 <br />EXPIRATION COI <br />DATE <br />DATE <br />04/01/2024 <br />05/11/2023 <br />04/01/2024 <br />05/11/2023 <br />10/15/2023 <br />04/26/2023 <br />FILE NAME <br />Psomas COI.pdf <br />Psomas COI.pdf <br />C OI_P S O MA S_P L-10-15 - <br />23.pdf <br />WC015893764WC015893765 04/02/2024 04/01/2023 SBR08_56426746_32827.pdf <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />