Laserfiche WebLink
Lynch, Breanna <br />From: City of Santa Ana <certificate-request@ctrax jdidata.com> <br />Sent: Thursday, January 4, 2024 1:21 PM <br />To: Lynch, Breanna; Concentra_unit@grahamco.com; Nguyen, Danvi; HR Admin; <br />info@grahamco.com; Murray, James, Schnaider, Lori <br />Subject: Internal Notice of Compliance <br />Follow Up Flag: — - Follow up <br />Flag Status; Flagged <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Occupational Health Centers of California, A Medical Corporation <br />Name: <br />Project A-2019-006-02 <br />Number: <br />Project A-2019-006-02 <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 />�. POLICY NUMBER <br />EXPIRATION, COI , F ' i` NA1 <br />. <br />DATE <br />DATE; 3 r- , <br />CITY-OF-SANTA- " <br />ANA_Occupational- <br />EXCESS LIABILITY <br />CO23701009 <br />01/01/2025 <br />: 12/29/2023 : He 1-1-24-1-1- -! <br />20 12-29- <br />2023 386481816.pdf,i <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />GENERAL LIABILITY <br />HAZ40322445818 <br />01/01/2025 <br />12/29/2023 He_1-1-24-1.1- <br />20-12-29- <br />2023.386481816.pdf <br />WORKERS <br />- <br />CERTCERT9.pdf <br />COMPENSATION AND <br />WA763D510199353WC2631510199263 <br />04/01/2024 <br />03/27/2023 <br />130 <br />EMPLOYERS' LIABILITY <br />1 <br />