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Perez, Ricardo <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Tuesday, January 2, 2024 4:35 PM <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 Onyx Paving Company, Inc. <br />Name: <br />Project 23-7543 <br />Number: <br />Project Residential Street Repair Program FY 22/23 <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 <br />EMPLOYERS' LIABILITY <br />POLICY EXPIRATION <br />NUMBER DATE <br />COI DATE <br />FILE NAME <br />City-of-Santa- <br />Ana_Onyx-Paving- <br />BAP106300605 10/01/2024 <br />10/02/2023 <br />Com#1-2023-GL- <br />W_C-A 10-2- <br />2023_909412858_Lpdf <br />City-of-Santa- <br />Ana_Onyx-Paving- <br />BCS2000426 03/14/2024 <br />10/02/2023 <br />Com_#I-2023-GL- <br />WC-A 10-2- <br />2023_909412858_I.pdf <br />Signed Letter of No <br />WAIVER 05/25/2024 <br />05/30/2023 <br />Professional <br />Liability.pdf <br />City-of-Santa- <br />WC106300505 10/01/2024 <br />10/02/2023 <br />Ana_Onyx-Paving- <br />Com #I-2023-GL- <br />1 <br />