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Mai, Danny <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Tuesday, November 21, 2023 9:55 AM <br />To: Mai, Danny; Perez, Ricardo; Thomas, Sean <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 <br />CS Legacy Construction, Inc <br />Name: <br />Project <br />Number: <br />23-6625 <br />Project <br />King Street Urban Greening <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 POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />AUTOMOBILE LIABILITY <br />504610192757001 <br />09/19/2024 <br />03/24/2023 <br />South Main <br />Certificate.pdf <br />CSL Cent - City of <br />GENERAL LIABILITY <br />VCGP029252 <br />03/19/2024 <br />11/20/2023 <br />SA - King <br />Street.pdf <br />Professional <br />PROFESSIONAL LIABILITY <br />WAIVER <br />12/14/2023 <br />11/18/2022 <br />Liability Letter - <br />CS Legacy.pdf <br />G L (a i-pw-ws) - <br />Auto - WC (ws) - <br />WORKERS COMPENSATION AND EMPLOYERS' <br />XS - Comp. Ops - <br />CSWC459765 <br />11/15/2024 <br />11/16/2023 <br />Poll Opt. 1 Opt. <br />LIABILITY <br />2 Equipment - C <br />S Legacy <br />Construc.pdf <br />1 <br />