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from!. GIN11 N Dma <br />Tul y <br />Subject: 3rfxrnd Ncbi a of Comp m m <br />Date: Hwday, Au" 28, 2023 1031AS AM <br />NOTICE OF COMPLIANCE <br />CITY ST A r1:: PREW THIS PAGE AND INCLUDE W MI AGREEMENT TO THE CLERK OF THE C'OtrNCIL <br />Contractor <br />ECUM Consultants, Inc,. <br />Name: <br />Project <br />A-2019-117-04A <br />Number: <br />Project <br />Extension of Agreement To Provide Engineering, <br />Technical, and Administrative Support Services Agreement <br />Name: <br />No. A-2019-117-04 <br />The Certificate of Insurance (C01) submitted indicates that the coverages are in <br />compliance with the insurance requirements. No further action is required at this <br />time. <br />The compliant coverage(s) are: <br />TYP@_ ON INSURANCE POLICY EXPIRATION COI DATE FILE <br />NUMBER DATE NAME <br />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />1 <br />PROFESSIONAL LIABILITY <br />i <br />AW3H036914 09t01/2024 <br />i <br />03314038906 09/0112024 <br />DPP4203925 03/04/2 24 <br />I <br />WORKERS COMPENSATION AND UI371C1812(.MI <br />EMPLOYERS' LIABILITY <br />A7/0901124 <br />004/2023 <br />OV24Z2023 <br />031O312023 <br />06114121123 <br />Rcoosal Curt <br />for City of <br />Santa Ana <br />Issued 118-24- <br />2023.pd1' <br />Renewal Ccrt <br />for Cite of <br />Santa Ana <br />Issacd 08-24- <br />2423.pdf <br />Rcrlctval Ccrt <br />for Cit.. of <br />Santa <br />Amp& <br />CAI of Santa <br />Ana COI <br />Renewal 6- <br />