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Martinez, Leo <br />From: City of Santa Ana < certificate- request@ctrax.jdidata.com> <br />Sent: Monday, July 31, 2023 1:24 PM <br />To: Hiltbrand, Jeff; jfiller@fssconsulting.net <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PACE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Filler Security Strategies, Inc. <br />Name: <br />Project TBD (100) <br />Number: <br />Project Agreement With Filler Security Strategies, Inc. To Provide Revision To <br />Name: The Countywide Homeland Security Grants Strategy <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 />Mlle[ TIM111-l"M\7 <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY NUMBER <br />PHBX21002045 <br />PHSD1757581 <br />EXPIRATIONCOI DATE <br />DATE <br />02/22/2024 07/18/2023 <br />02/22/2024 1 07/18/2023 <br />02/22/2024 :07/18/2023 <br />WORKERSCOM PENSATION DECLARATION 1 07/03/2024 07/12/2023 <br />FILE NAME <br />SANTA ANA <br />CERT OF <br />INS23.pdf <br />SANTA ANA <br />CERT OF <br />INS23.pdf <br />SANTA ANA <br />CERT OF <br />INS23.pdf <br />Workers <br />Compensation <br />Declaration <br />Form <br />2023.pdf <br />t <br />