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NOTICE OF COMPLIANCE <br />CITY <br />. "A ,AM I1111RI T I'III I IPi 1111AGE ,CND INCLUDE Ck I 111 1AGREEMENTTOT111IE CLERK CSC 111I➢C COUNCIL <br />Contractor <br />Hey Hey Entertainment <br />Name: <br />Project <br />N-2023-107 <br />Number: <br />Project <br />Speaker/Performer Engagement Agreement - Hey Hey <br />Name: <br />Entertainment <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in <br />compliance with the insurance requirements. No further action is required at this time. <br />The compliant coverage(s) are: <br />POLICY <br />EXPIRATION <br />TYPE OF INSURANCE <br />NUMBER <br />DATE <br />COI DATE <br />FILE NAME <br />Richard Woloski <br />AUTOMOBILE LIABILITY <br />WAIVER <br />04/20/2024 <br />05/17/2023 <br />Automobile Liability <br />Insurance Release <br />Document.pdf <br />GENERAL LIABILITY <br />18LB4030 <br />03/27/2024 <br />05/26/2023 <br />Primary Recipients like , <br />Insured_48.pdf <br />WORKERS COMPENSATION AND <br />Richard Woloski WC <br />EMPLOYERS' LIABILITY <br />WAIVER <br />04/20/2024 <br />05/17/2023 <br />Declaration <br />Rev.2019.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />6/6/2023 1:41 PM <br />