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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Elliott Auto Supply Co., Inc <br />Name: <br />Project A-2019-085-01 <br />Number: <br />Project Extension of COnsultant Agreement No. A-2019-085 to <br />Name: Provide Miscellaneous Vehicle Parts <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 <br />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />5/23/2023 2:27 PM <br />POLICY <br />EXPIRATION <br />COI <br />NUMBER <br />DATE <br />DATE <br />FILE NAME <br />City-of-Santa- <br />J <br />Ana_Elliott-Auto- <br />2I39543 <br />11/15/2023 <br />11/10/2022 <br />Su_22-23-All- <br />Liabi_11-10- <br />2022_143744177_l.pdf <br />City-of-Santa- <br />Ana_Elliott-Auto- <br />2D39543 <br />11/15/2023 <br />11/10/2022 <br />Su_22-23-All- <br />Liabi_11-10- <br />2022_143744177_l.pdf <br />City-of-Santa- <br />Ana_Elliott-Auto- <br />2L39543 <br />11/15/2023 <br />11/10/2022 Su_22-23-All- <br />Liabi_11-10- <br />2022_143744177_l.pdf <br />