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Veqa, Brenda <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Tuesday, October 24, 2023 9:29 AM <br />To: Martinez, Patricia; Ochoa, Antonio; Vega, Brenda; Frankston, Emerson; Martinez, Elena; <br />Arroyo, Francisco; Matthews, Lauren <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CI I S STAFF: PRINTTIIP9 P.-AGF kA D INCLUDE AA ITH AGRELMEN 1 10 THE CLERK OF I IIL ( ODACIL <br />Contractor Delhi Center <br />Name: <br />Project A-2022-029-13 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Delhi Center For Use Of <br />Name: Community Development Block Grant Funds <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 />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />POLICY EXPIRATION COI DATE FILE NAME <br />NUMBER DATE <br />ACORD Form <br />202301376 11/01/2024 10/17/2023 20231017- <br />174127.pdf <br />ACORD Fonn <br />202301376 11/01/2024 10/17/2023 20231017- <br />174127.pdf <br />ACORD Form <br />BNUWC0152622 11/01/2024 10/17/2023 20231017- <br />174127.pdf <br />