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NOTICE OF COMPLIANCE <br />(T] N STAFF: PRINT THIS PAGE AND INCIA DE PITH AGREL\11 \ 1 TO THE CLERK OF IIIB COIN( IL <br />Contractor BOA Architecture <br />Name: <br />Project N-2022-376 <br />Number: <br />Project Agreement With Black O'Dowd And Associates, Inc., DBA <br />Name: BOA Architecture To Provide Architectural Services For <br />Restroom Improvements <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in <br />compliance with the 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 />POLICY EXPH3ATION COI DATE <br />NUMBER DATE <br />PSB0007999 11/20/2024 <br />I;�y3iI1I1 • • i�I�%IIYk! <br />PROFESSIONAL LIABILITY CLAIMS AAAE10026405 11/20/2024 <br />MADE <br />WORKERS COMPENSATION AND PSW0004454 11/20/2024 <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />f i IY�•lYZ�Y�cL `��� I�i � <br />11/20/2023 <br />11/20/2023 <br />11/20/2023 <br />11/20/2023 <br />FILE <br />NAME <br />City of Santa <br />Ana.pdf <br />City of Santa <br />Ana.pdf <br />City of Santa <br />Ana.pdf <br />City of Santa <br />Ana.pdf <br />