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Diaz, Janet <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Monday, May B, 2023 5:03 PM <br />To: jsmith@jstminc.com; Ramirez, David; Reyes, Erendida;jane@parmenterins.com; Burrola, <br />Melissa; Ortiz, Michael <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 J. Smith and T. Multi, Inc. <br />Name: <br />Project N-2022-169 <br />Number: <br />Project Agreement To Provide Lake Engineering Services <br />Name: <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 />GENERAL LIABILITY <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY <br />NUMBER <br />72SBABG1946 <br />72SBABG1946 <br />P1011386942 <br />WAIVER <br />EXPIRATIONTCOI DATE j FILE NAME <br />CERTIFICATE <br />04/29/2024 <br />05/01/2023 <br />OF <br />INSURANCE <br />(COI).Pdf <br />CERTIFICATE <br />04/29/2024 <br />05/01/2023 <br />OF <br />INSURANCE <br />(COI).Pdf <br />04/29/2024 <br />05/01/2023 <br />City of Santa <br />Ana updated.pdf <br />05/01/2024 <br />05/05/2023 <br />work comp <br />exemption.pdf <br />I <br />