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Vega, Brenda <br />From: City of Santa Ana < certificate- request@ctrax.jdidata.com> <br />Sent: Monday, February 12, 2024 2:37 PM <br />To: Vega, Brenda; aDejohn@carriageTraderinsurance.com; <br />afigas@carriagetradeinsurance.com;jpijloo@lsssc.org; Reina.jimenez@lsssc.org <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGRFENI ENT TO THE CLERIC OF THE COUNCIL <br />Contractor Lutheran Social Services of Southern California <br />Name: <br />Project A-2023-084-12 <br />Number: <br />Project First Amendment To Community Development Block Grant Subrecipient <br />Name: Agreement Between The City Of Santa Ana And Lutheran Social Services <br />Of Southern California <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 <br />NUMBER <br />AUTOMOBILE LIABILITY WPPI86062503 <br />EQUIPMENT COVERAGE WAIVER <br />GENERAL LIABILITY WPPI86062503 <br />EXPIRATION <br />DATE <br />07/01/2024 <br />06/30/2024 <br />07/01/2024 <br />COI DATE <br />07/28/2023 <br />08/14/2023 <br />09/21/2023 <br />WORKERS COMPENSATION AND LUWC524062 01/01/2025 12/21/2023 <br />EMPLOYERS' LIABILITY <br />No further action is required at this time. <br />Thank you, <br />FILE NAME <br />COI Lutheran <br />Social Services <br />070124.pdf <br />Memo <br />Regarding <br />Equipment <br />Coverage.pdf <br />City of Santa <br />Ana.pdf <br />LSSSC City of <br />Santa Ana <br />Cert.pdf <br />I <br />