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Barba, Sandy <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Tuesday, January 9, 2024 10:49 AM <br />To: Garcia, Stephanie; Goodson, Audrey, ana@occtac.org; Vega. Brenda; carlosb@occtac.org; <br />Frankston, Emerson; Hernandez, Erendira; Arroyo, Francisco; <br />jeremy@thecomprehensiveinsurance.com <br />Subject: 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 />Contractor Orange County Children's Therapeutic Arts Center <br />Name: <br />Project A-2023-118 <br />Number: <br />Project Agreement Under The Workforce Innovation And Opportunity Act <br />Name: <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 />POLICY <br />EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER <br />DATE <br />ACORD Form <br />AUTOMOBILE LIABILITY <br />202309201 <br />' 12/21/2024 <br />12/20/2023 <br />20231220- <br />_ <br />123319 SA.pdf <br />ACORD Form <br />GENERAL LIABILITY <br />202309201 <br />12/21/2024 <br />12/20/2023 <br />20231220- <br />123319 SA.pdf <br />ACORD Form <br />RAPROPER SEXUAL CONDUCT LIABILITY <br />202309201 <br />12/21/2024 <br />12/20/2023 <br />20231220- <br />123319 SA.pdf <br />ACORD Form <br />UMBRELLA LIABILITY <br />202309201 <br />12/21/2024 <br />12/20/2023 <br />20231220- <br />123319 SA.pdf <br />WORKERS COMPENSATION AND <br />ACORD Form <br />EMPLOYERS' LIABILITY <br />925517123 <br />06/05/2024 <br />12/20/2023 <br />20231220- <br />123319 SA.pdf <br />