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Vega, Brenda <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Monday, January 8, 2024 2:09 PM <br />To: Garcia, Stephanie; Goodson, Audrey, ana@occtac.org; Vega, Brenda; <br />carlosb@occtac.org; 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 PACE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Orange County Children's Therapeutic Arts Center <br />Name: <br />Project A-2022-092-21 <br />Number: <br />Project Agreement Between The City Of Santa Ana And Orange County <br />Name: Childrens Therapeutic Arts Center For Use Of Community Development <br />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 POLICY EXPIRATION <br />COI DATE <br />FILE NAME <br />NUMBER DATE <br />ACORD Form <br />AUTOMOBILE LIABILITY 202309201 12/21/2024 <br />12/20/2023 <br />20231220- <br />123319 SA.pdf <br />ACORD Form <br />GENERAL LIABILITY 202309201 12/21/2024 <br />12/20/2023 <br />20231220- <br />123319 SA.pdf <br />WORKERS COMPENSATION AND <br />925517123 06/05/2024 <br />05/18/2023 <br />OCTTAC WC <br />EMPLOYERS' LIABILITY <br />06052024.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />1 <br />