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<br /> <br />NOTICE OF COMPLIANCE <br /> <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> Roberto Zavala <br />Name: <br />Project <br /> N-2022-214 <br />Number: <br />AGREEMENT ROBERTO ZAVALA DBA COSMOS EVENT RENTALS TO <br />Project <br /> PROVIDE Lo EVENT EQUIPMENT RENTAL SERVICES FOR THE CITY OF <br />Name: <br />SANTA ANA <br /> <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 /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />SA Liability <br />Insurance <br />GENERAL LIABILITY MP0004014001196 01/14/2024 01/30/2023 <br />Document <br />2023.pdf <br />COI for 1994 <br />GMC for City <br />VEHICLE LIABILITY 1957791F1275D 12/12/2023 12/13/2022 <br />of Santa Ana <br />2022-2023.pdf <br />WORKERS COMPENSATION AND WC Declaration <br />WAIVER 01/19/2024 01/30/2023 <br />EMPLOYERS' LIABILITY Rev.2019.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />2/9/2023 8:14 PM <br /> <br /> <br />