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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 />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 />EXCESS LIABILITY <br />GENERAL LIABILITY <br />WORKERS <br />COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY NUMBER <br />CO23701009 <br />HAZ40322445818 <br />EXPIRATION COI <br />DATE DATE <br />01 /01 /2025 12/29/2023 <br />FILE NAME <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />He_1-1-24-1-1- <br />20 12-29- <br />2023_386481816.pdf <br />CITY-OF-SANTA- <br />ANA_Occupational- <br />01/01/2025 12/29/2023 He_1-1-24-I-1- <br />20 12-29- <br />2023_386481816.pdf <br />WA763D510199353WC2631510199263 04/01/2024 03/27/2023 <br />CERT- <br />1309430899.pdf <br />1 <br />