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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF 1'HE COUNCIL <br />Contractor California Barricade Rentals, Inc. <br />Name: <br />Project A-2023-096 <br />Number: <br />Project First Amendment To Agreement With California Barricade Rentals, Inc., <br />Name: To Provide Traffic Control Equipment And Services To The City Of Santa <br />Ana <br />The Certificate of Insurance (C01) submitted indicates that the coverages are in compliance with the <br />insurance requirements. No further action is required at this time. <br />The compliant coverages) are: <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EXPIRATION <br />COI DATE <br />I <br />FILE NAME I <br />_.............._...... --- .-.-._.----.-_----- ........ _..__......_.._...._-......____..__.....____._.._________-___-_..._...... <br />_.. ._......_,. <br />DATE <br />.. .._____..___...._.....-___.......-.._ <br />---,.__. <br />I <br />AUTOMOBILE LIABILITY <br />504610175691001 <br />07/01/2024 <br />--------------- <br />I 07/12/2023 <br />............ ._...._____-_....... <br />COI -City of <br />Santa Ana.pdf <br />COI - City of <br />GENERAL LIABILITY <br />BCS2000642 <br />07/01/2024 <br />09/14/2023 <br />Santa Ana <br />004.pdf <br />I <br />C01-City of <br />PROFESSIONAL LIABILITY <br />G73540124003 <br />07/01/2024 <br />09/14/2023 <br />Santa Ana <br />-.------- <br />------- __...____ <br />004 pdf <br />WORKERS COMPENSATION AND EMPLOYERS <br />LIABILITY <br />906360823 <br />07/01/2024 <br />07/12/2023 <br />. . _.. _.,__--__ <br />COI City of <br />i-. _ __.... _ -___- _._. <br />........._..... _. ____ �.._. <br />_...,.,.,. _. _-_ <br />_ _ ________________ _ . _ _ <br />Santa Ana df <br />._...... ._....p .-.......) <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />9/18/2023 12:23 PM <br />