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Mai, Danny <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Thursday, August 10, 2023 10:10 AM <br />To: Mai, Danny; constructioncerts@MarshMMA.com; Castillo, Jose Gilbert;jharris@baker- <br />electriccom <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 Baker Electric & Renewables LLC <br />Name: <br />Project 23-6033 <br />Number: <br />Project Street Light Poles Replacement <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 />POLLUTION / ENVIRONMENTAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY NUMBER EXPIRATION COI DATE <br />DATE <br />MWTB31255323 03/01/2024 06/05/2023 <br />MWZY31255423 03/01/2024 07/17/2023 <br />PCADB50215290323 03/01/2024 06/05/2023 <br />M W C31255523 <br />1 <br />03/01/2024 06/05/2023 <br />FILE NAME <br />COI —Baker Electric 23- <br />6033_GL_AL_WC_Exp_03- <br />01-24_pending.pdf <br />City -of -Santa -An a_Ba ker- <br />Electric-_23-24-G L-AL- <br />WC-_7-17- <br />2023_28646321.pdf <br />COI —Baker Electric_23- <br />6033_GL_AL_WC_Exp_03- <br />01-24_pending.pdf <br />COI _Baker Electric_23- <br />6033_GL_AL_WC_Exp_03- <br />01-24_pending.pdf <br />