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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Seaside Ice, LLC <br />Name: <br />Project TBD (073) <br />Number: <br />Project Agreement With Ice -America To Provide An Outdoor Holiday <br />Name: Ice Skating Rink For Winter Village 2023 <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 />TYPE OF INSURANCE POLICY EXPIRATION COI DATE FILE <br />NUMBER DATE NAME <br />Ice -America <br />AUTOMOBILE LIABILITY <br />AU202200014259 <br />10/26/2023 <br />10/25/2022 COI 2022- <br />2023.pdf <br />Ice -America <br />GENERAL LIABILITY <br />PK202200012079 <br />10/26/2023 <br />10/25/2022 <br />COI 2022- <br />2023.pdf <br />WORKERS COMPENSATION AND <br />Ice -America <br />EMPLOYERS'LIABILITY <br />WC2022000155661 <br />10/26/2023 <br />10/25/2022 <br />COI 2022- <br />2023.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />10/4/2023 1:38 PM <br />