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Sepulveda, Maria <br />From: City of Santa Ana < certificate- request@ctrax.jdidata.com> <br />Sent: Wednesday, July 5, 2023 10:31 AM <br />To: ndoyel@burgessmoving.com; cal.cpu@hubinternational.com; Sepulveda, Maria <br />Subject: Internal Notice of Compliance <br />Follow Up Flag: Follow up <br />Flag Status: Flagged <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Inland Moving & Storage, Inc. <br />Name: <br />Project TBD3000 <br />Number: <br />Project TBD3000 <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 />POLICY <br />EXPIRATION <br />TYPE OF INSURANCE <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />AUTOMOBILE LIABILITY <br />TCP011035719 <br />04/01/2024 <br />06/20/2023 <br />2023-06-20 <br />GL.pdf <br />GENERAL LIABILITY <br />TCP011035719 <br />04/01/2024 <br />06/20/2023 <br />2023-06-20 <br />GL.pdf <br />WORKERS COMPENSATION AND <br />2023-06-26 <br />WSD503405807 <br />07/01/2024 <br />07/05/2023 <br />EMPLOYERS' LIABILITY <br />WC.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 />