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Cardenas, Vanessa <br />From: City of Santa Ana < certificate- request@ctraxjdidata.com> <br />Sent: Tuesday, December 19, 2023 8:35 AM <br />To: Burk, James; Cardenas, Vanessa; Franklin, Fallon <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AG RE EMENT TO THE CLERK OF THE COUNCIL <br />Contractor XV Solutions <br />Name: <br />Project A-2019-179-01 <br />Number: <br />Project Extension of Agreement #A-2019-179, amended, to Provide Supervisory <br />Name: Control Data Acquisition (SCADA) Support Services <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 />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY EXPIRATION COI DATE <br />NUMBER DATE <br />46SBMUN0237 06/30/2024 05/23/2023 <br />46SBMUN0237 06/30/2024 05/23/2023 <br />FILE NAME <br />XV Solutions - COI 2023-2024.Pdf <br />XV Solutions - COI 2023-2024.Pdf <br />UB7584592523 09/23/2024 09/08/2023 562381042521152C20230908125432061792.pdf <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />12/19/2023 11:34 AM <br />t <br />