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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND IN( LI DE NYITH AGREENIENT TO THE CLERK OF THE COI-'NCIL <br />Contractor <br />FM Thomas Air Conditioning, Inc. <br />Name: <br />Project <br />A-2021-036-04 <br />Number: <br />Project <br />Contractor Agreement - FM Thomas Air Conditioning <br />Name: <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply <br />with the insurance requirements. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE <br />POLICY EXPIRATION COI DATE FILE NAME <br />NUMBER DATE <br />AUTOMOBILE LIABILITY 6057258063 04/01/2025 03/25/2024 Certificate.pdf <br />GENERAL LIABILITY 6057223216 04/01/2025 03/25/2024 Certificate.pdf <br />WORKERS COMPENSATION AND W51)505258304 01/01/2025 12/18/2023 Certificate.pdf <br />EMPLOYERS' LIABILITY <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 />3/26/2024 11:19 AM <br />