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Mazariego, Diana <br />From: <br />Sent: <br />To: <br />Subject: <br />Contractor <br />Name: <br />Project <br />Number: <br />Project <br />Name: <br />City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Friday, February 9, 2024 9:24 AM <br />Burrola, Melissa; wateradmin; acostello@monumentrow.com; Ramirez, David <br />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 />Monument ROW <br />A-2020-259-02 <br />Agreement To Provide On -Call Right Of Way Acquisition Services For <br />The City Of Santa Ana <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply with the <br />insurance requirements. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />AUTOMOBILE LIABILITY 6807P4562802342 <br />04/23/2024 <br />04/17/2023 <br />COI - City of <br />Santa Ana.pdf <br />GENERAL LIABILITY 6807P4562802342 <br />04/23/2024 <br />04/17/2023 <br />COI - City of <br />Santa Ana.pdf <br />PROFESSIONAL LIABILITY (CLAIMS MADE & MPL444730523 <br />04/23/2024 <br />04/17/2023 <br />COI - City of <br />REPORTED) <br />Santa Ana.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' EIG473996502 <br />04/23/2024 <br />04/17/2023 <br />COI - City of <br />LIABILITY <br />Santa Ana.pdf <br />No further action is required at this time. <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />2/9/2024 12:23 PM <br />1 <br />