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<br /> <br />NOTICE OF COMPLIANCE <br /> <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> Dennys Diaz <br />Name: <br />Project <br />N-2022-260-01 <br /> <br />Number: <br />Project Extension of Agreement #N-2022-260 for Recreation Class <br /> <br />Name: Services <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in <br />compliance with the insurance requirements. No further action is required at this time. <br /> <br />The compliant coverage(s) are: <br />EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME <br />DATE <br />Account <br />84527366 <br />Dennys Diaz- <br />GENERAL LIABILITY PHPK2457612001 09/01/2024 08/31/2023 <br />Additional <br />Insured <br />(1).pdf <br />Dennys Diaz- <br />GENERAL LIABILITY PHPK2457612001 09/01/2024 08/31/2023 SAM <br />coverage.pdf <br />WORKERS COMPENSATION AND Dennys Diaz <br />WAIVER 07/14/2024 09/18/2023 <br />EMPLOYERS' LIABILITY WC 7.23.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />9/21/2023 7:21 PM <br /> <br />