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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 /> David Salas <br />Name: <br />Project <br />A-2023-216 <br /> <br />Number: <br />Project Agreement With David Salas To Provide A Live Performance At City Of <br /> <br />Name: Santa Ana's 2023 Chicano Festival <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 />EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME <br />DATE <br />Tierra Legacy - Auto <br />Liability (Non-Use <br />AUTOMOBILE LIABILITY WAIVER 06/28/2024 07/10/2023 Agreement) Request <br />for <br />Waiver_Fillable.pdf <br />Certificate_Additional <br />GENERAL LIABILITY PLE919362CEP118042 08/29/2024 06/28/2023 <br />Insured.pdf <br />Tierra Legacy - <br />Worker's <br />WORKERS COMPENSATION AND <br />WAIVER 06/28/2024 07/10/2023 Compensation <br />EMPLOYERS' LIABILITY <br />Declaration <br />Form_fillable (1).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 />8/25/2023 1:51 PM <br /> <br />