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Le, Tram <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Monday, February 5, 2024 9:52 AM <br />To: Arts and Culture; vpayan@alumni.stanford.edu <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Victor Payan <br />Name: <br />Project TBD (039) <br />Number: <br />Project Arts And Culture Artist Grant Program Agreement Between The City Of <br />Name: Santa Ana And Victor Payan <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply with the <br />insurance requirements. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE <br />POLICY <br />EXPIRATIONNUMBER <br />COI DATE <br />FILE NAME <br />DATE <br />GENERAL LIABILITY <br />92KJQ2552 <br />03/02/2024 06/15/2023 <br />V Payan COI <br />Santa Ana.pdf <br />WORKERS COMPENSATION <br />AND <br />Workers <br />EMPLOYERS' LIABILITY <br />WAIVER <br />10/26/2024 10/26/2023 <br />Comp, Victor <br />Payan.pdf <br />No further action is required <br />at this time. <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />2/5/2024 12:51 PM <br />1 <br />