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SOLOMON AND ASSOCIATES <br />HEARING OFFICERS <br />January 26, 2021 <br />City of Santa Ana <br />Risk management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />Re: Auto Insurance Requirement <br />Dear City of Santa Ana Risk management Division: <br />I, _Stephen Salomon _ , have entered into an agreement with the City of Santa Ana. <br />Throughout the course of this agreement, I attest to the following: <br />As an independent contractor, I. will utilize my personal vehicle/non-company owned, borrowed, or <br />rented/leased vehicle for transportation to and from work, and will carry my own automobile insurance. <br />I, _Stephen Salomon attest that I possess the legal authority to enter into an <br />agreement with the City of Santa Ana as well as the legal authority to attest to the statements above. If <br />at any time, it is found that I am not adhering to any/all statements in this document and have not <br />provided the minimum Auto liability insurance coverage of $1 million per occurrence, the contract will <br />be considered null and void and I will be held fully liable for any and all damages. <br />Sincerely, <br />Stephen Solomon <br />Solomon and Associates <br />Hearing Officers <br />(714) 345-9767 <br />ssolomon408 @gmail.cam <br />L-d <br />Risk Mwmgemad Division <br />REVIEWED & APPROVED BY. <br />— Risk Management Analyst <br />d6V Z L ` l Z Co qaj <br />