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Mazariecio, Diana <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Monday, July 31, 2023 10:13 AM <br />To: Mazariego, Diana; annetteh@cbelow.com; cartificates@pdins.com; Aguirre, Robert; <br />tina@cornerstonespecialty.com <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 C Below, Inc. <br />Name: <br />Project A-2020-188-03 <br />Number: <br />Project Agreement To Provide Subsurface Utility 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 />POLICY NUMBER <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />DATE <br />AUTOMOBILE LIABILITY <br />1337546178 <br />05/15/2024 <br />07/18/2023 <br />COI.pdf <br />GENERAL LIABILITY <br />4611548 <br />03/01/2024 <br />07/18/2023 <br />COI.pdf <br />PROFESSIONAL LIABLE&O <br />121MPLO21234302 <br />03/01/2024 <br />07/18/2023 <br />COI.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />014122658 <br />03/01/2024 <br />07/18/2023 <br />COI.pdf <br />LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />7/31/2023 1:12 PM <br />1 <br />