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From: City of Santa Ana <br />To: Burrola. Melissa; Ramirez. David; certifcateiftanover com; Frankston. Emerson; Gilbert. Havlev; <br />oeter(abucknam-inc.com <br />Subject: Internal Notice of Compliance <br />Date: Friday, October 6, 2023 1:42:29 PM <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Bucknam Infrastructure Group Inc <br />Name: <br />Project TBD (046) <br />Number: <br />Project Second Amendment To Agreement To Provide Pavement <br />Name: Management Program And GIS Map Integration Services <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 <br />time. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE POLICY EXPIRATION COI DATE FILE NAME <br />NUMBER DATE <br />BUCKNAM <br />ARCHITECTS & LHCH02371704 09/16/2024 08/22/2023 INFRASTRUCTURE <br />ENGINEERS PROF LIAB GR_CityOfSantaAna_8- <br />22.pdf <br />AUTOMOBILE <br />LIABILITY <br />GENERAL LIABILITY <br />WORKERS <br />COMPENSATION AND <br />EMPLOYERS' <br />LIABILITY <br />BUCKNAM <br />OBCA39995609 09/16/2024 08/22/2023 INFRASTRUCTURE <br />GR_CityOfSantaAna_8- <br />22.pdf <br />BUCKNAM <br />OBCA39995609 09/16/2024 j 08/22/2023 INFRASTRUCTURE <br />GR_CityOfSantaAna_8- <br />22.pdf <br />-- BUCKNAM <br />WZCA39994609 09/16/2024 08/22/2023 INFRASTRUCTURE 1 <br />GR_CityOfSantaAna_8- <br />22.pdf <br />