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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PACE A\D INCLI'DE WITH ACREE,NIENT TO THE CLERK OF THE COI NCIL <br />Contractor BOA Architecture <br />Name: <br />Project TBD (026) <br />Number: <br />Project Agreement With Block O'Dowd And Associates, Inc., DBA <br />Name: BOA Architecture To Provide Architectural Services For <br />Restroom Improvements <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in <br />compliance with the insurance requirements. No further action is required at this time. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE POLICY EXPIRATION COI DATE FILE <br />NUMBER DATE NAME <br />ACORD <br />AUTOMOBILE LIABILITY <br />PSB0007999 <br />11/20/2023 <br />11/28/2022 <br />Form <br />20221129- <br />093311.pdf <br />ACORD <br />GENERAL LIABILITY <br />PSB0007999 <br />11/20/2023 <br />11/28/2022 <br />Form <br />20221129- <br />093311.pdf <br />ACORD <br />PROFESSIONAL LIABILITY <br />AAAE10026404 <br />11/20/2023 <br />11/28/2022 <br />Form <br />20221129- <br />093311.pdf <br />ACORD <br />WORKERS COMPENSATION AND <br />Form <br />EMPLOYERS' LLABILITY <br />pSW0004454 <br />11/20/2023 <br />11/28/2022 <br />20221129- <br />09331Lpdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/3/2023 6:36 PM <br />