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Vega, Brenda <br />From: City of Santa Ana <cenificate-request@ctraxjdidata.com> <br />Sent: Monday, February 6, 2023 5:17 PM <br />To: Vega, Brenda <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor America On Track <br />Name: <br />Project A-2022-092-05 <br />Number: <br />Project Agreement Between The City Of Santa Ana And America On Track For <br />Name: Use Of Community Development Block Grant Funds <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 EXPIRATIONNUMBER DATE COI DATE FILE NAME <br />AUTOMOBILE LIABILITY <br />202206180 09/01/2023 08/03/2022 20220816- <br />090140.pd£ <br />ACORD Form <br />GENERAL, LIABILITY <br />202206180 09/01/2023 09/03/2022 20220816- <br />090140.pdf <br />WORKERS COMPENSATION AND <br />ACORD Form <br />EMPLOYERS' LIABILITY <br />93304922023 01/01t2024 12/30/2022 20221230- <br />110802.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1 <br />