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Mai, Danny <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Tuesday, December 19, 2023 9:44 AM <br />To: ConstructionContracts; Hanna, Andrew; davidw@onyxpaving.com; <br />jacksonh@onyxpaving.com;joshn@onyxpaving.com; Michael.tran@wgbib.com <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 Name: Onyx Paving Company, Inc. <br />Project 20-6964 <br />Number: <br />Project 20-6964 <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 />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />PROFESSIONAL LIABILITY <br />WORKERS COMPENSATION AND EMPLOYERS' <br />LIABILITY <br />POLICY EXPIRATION COI DATE FILE NAME <br />NUMBER DATE <br />City-of-Santa- <br />Ana_Onyx-Paving- <br />BAP106300605 <br />10/01/2024 <br />10/02/2023 <br />Com_#1-2023-GL-WC- <br />A_10-2- <br />2023_909412858_1.pdf <br />City-of-Santa- <br />Ana_Onyx-Paving- <br />BCS2000426 <br />03/14/2024 <br />10/02/2023 <br />Com_#1-2023-GL-WC- <br />A_10-2- <br />2023_909412858_S.pdf <br />Signed Letter of No <br />WAIVER <br />05/25/2024 <br />05/30/2023 <br />Professional <br />Liability.pdf <br />WC106300505 <br />10/01/2024 <br />10/02/2023 <br />City-of-Santa- <br />Ana—Onyx-Paving- <br />1 <br />