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NOTICE OF COMPLIANCE <br />CITY "A,AM I1111RINT I'III I Pi I1111 AGE AND INCLUDE Ck I 111 1AGREEMENTTOT111I➢C CLERK CSC 1111IE COUNCIL <br />Contractor Kimco Staffing Services, Inc. <br />Name: <br />Project A-2023-122-04 <br />Number: <br />Project Consultant Agreement Between The City Of Santa Ana And Kimco <br />Name: Staffing Services, Inc. For On -Call Temporary Staffing 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 />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />23-24 All Lines <br />AUTOMOBILE LIABILITY <br />PHPK2599195 <br />09/01/2024 <br />09/01/2023 <br />22-23 WC - City <br />of Santa Ana - <br />COLpdf <br />23-24 All Lines <br />GENERAL LIABILITY <br />PHPK2599195 <br />09/01/2024 <br />09/01/2023 <br />22-23 WC - City ; <br />of Santa Ana - <br />COLpdf <br />23-24 All Lines <br />PROFESSIONAL LIABILITY <br />PHPK2599195 : <br />09/01/2024 <br />09/01/2023 <br />22-23 WC - City <br />of Santa Ana - <br />COLpdf <br />WORKERS COMPENSATION AND <br />RWD300121606 <br />12/31/2023 <br />06/30/2023 <br />KIMCO Staffing <br />EMPLOYERS' LIABILITY <br />COLpdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />9/11/2023 1:13 PM <br />