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Sean Djalilvand <br />Sr. Insurance & Risk Advisory Analyst <br />JS SEMPRA <br />January 23, 2024 <br />City of Santa Ana <br />Risk Management <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Insurance & Risk Advisory <br />488 81n Ave. HQ06N1, San Diego, CA 92101 <br />insurance@sempra.com <br />Re: Work Permit - Project # 247662 <br />Angie <br />Aceve <br />do <br />Digitally signed <br />by Angie <br />Acevedo <br />Date: <br />2024.02.08 <br />16:39:00-08'00' <br />Please accept this letter as compliance with your request for evidence of self-insurance in <br />accordance with the terms of the above -referenced agreement, as dictated under the <br />terms of the agreement, between Southern California Gas Company ("SoCa/Gas'l and <br />requester. SoCalGas hereby acknowledges that it is permissibly self -insured by the State <br />of California and that the following program(s) are in full force and effect: <br />Type of Insurance <br />Type of Policy <br />Policy Period <br />Limit <br />Commercial General <br />Liability <br />Self -Insured <br />Continuous <br />$1,000,000 <br />Automobile Liability <br />Self -Insured <br />Continuous <br />$1,000,000 <br />Workers' Compensation <br />Self -Insured <br />Continuous <br />Statutory <br />Any claims resulting from our operations may be referred to: <br />Southern California Gas Company <br />Attention: Roy Christian, Claims Manager <br />555 W. 511 Street <br />Los Angeles, CA 90013-1011 <br />Should you have any questions or require additional coverage information, please feel free <br />to contact me. <br />cc: Ami Desai <br />sempra.com <br />By its duly authorized representative, <br />SearvwVj> rlGlvcnd <br />Sean Djalilvand <br />Sr. Insurance & Risk Advisory Analyst <br />100 <br />lUsk MRmgemmtDivision <br />RE)AEwm&APPRav®By: <br />`® <br />Risk Management Specialist <br />