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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Ware Malcomb <br />Name: <br />Project TBD (091) <br />Number: <br />Project Extension to Agreement (#A-2020-230-10) to Provide On -call Space <br />Name: Planning and Architectural Consulting Services <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with <br />the insurance requirements. No further action is required at this time. <br />The compliant coveraqe(s) are: <br />TYPE OF INSURANCE <br />AUTOMOBILE LIABILITY <br />POLICY EXPIRATION Coi FILE NAME <br />NUMBER DATE F DATE <br />jSanta-Ana-Public- <br />Wo_WARE- <br />7015145362 06/20/2024 06/21/2023 MALCOMB_No-Umbrella- <br />an 6-21- <br />2023_286869446_l.pdf <br />GENERAL LIABILITY 1 7015145376 06/20/2024 1 06/21/2023 <br />PROFESSIONAL LIABILITY IA X1964750122 06/20/2024 06/21/2023 <br />WORKERS <br />COMPENSATION AND 7015145393 06/20/2024 06/21/2023 <br />EMPLOYERS' LLABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/8/2024 11:26 AM <br />City-of-Santa-Ana_WARE- <br />MALCOMB_GAU(1) WP(2)- <br />AI_6-21- <br />2023_963534612_Lpdf <br />City-of-Santa-Ana_WARE- <br />MALCOMB_GAU(I)WP(2)- I <br />AI_6-21- <br />2023_963534612_1.pdf <br />City-of-Santa-Ana_W ARE- <br />MALCOMB GAU(1)WP(2)- <br />AI 6-21- <br />2023_963534612_1.pdf <br />