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CITY OF SANTA ANA <br />Risk Management a division of Human Resources <br />Managing Risk through Awareness and Action <br />AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE <br />I, <br />Don Allison, President <br />("Representative"), attest that I am an authorized <br />(Name and Title of Vendor Representative) <br />representative of Allison Mechanical, Inc. <br />(Consultant/Company Name) <br />possess the authority to legally bind Company. <br />("Company"), and <br />In my capacity as Representative of Company, I represent and confirm the following, as relates to the <br />agreement between Company and City of Santa Ana, agreement number A-2021-162-03 <br />("Agreement") to provide On -Call HVAC Maintenance and Repair Services ("Services"): <br />(Services to be provided under agreement/contract) <br />During the course and scope of Company's agreement with the City of Santa Ana, <br />Company will not use the services of an expert necessitating professional liabilityerrors <br />& omissions liability insurance coverage in the performance of Services to, for, or on <br />behalf of City of Santa Ana. <br />If at any time it is found that Company is not adhering to any and/or all of the statements in this <br />document and does not maintain the minimum professional liability insurance coverage as <br />required in the Agreement, it will be considered a breach of Agreement rendering the Agreement <br />null and void and Company will be fully liable for any and all damages. <br />11 /05/2025 <br />Date <br />Don Allison <br />President <br />Print Name <br />Title <br />909-478-5633 / dallison@allison1.net <br />Contact Information, i.e., Telephone Number and/or Email Address <br />Affidavit of Exemption for Professional Liability Insurance 11.12.2024 <br />