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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 LIABMTY INSURANCE <br /> t Carlos Morales president ("Representative"),attest that T am an aulhori7.ed <br /> r tmmme:aid Tide©['Vendor Represent�tivc) <br /> representative of ACM Lighting Services (-Company"'), and <br /> WorialtanUCnmpany Name) <br /> possess the authority to legally bind Company. <br /> In my capacity as Representative of Company, 1 represent and confirm the following, as relates to the <br /> agreement between Company and City of Santa Ana, agreement number <br /> RFP 24-149A Bristol-Tolliver Basketball Court Lighting , <br /> (`'Agreement")to provide ( Set Vices"}: <br /> (.4crl,iccs co he provided under agrecmenticontraetl <br /> Daring 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 liability,er Tors <br /> & urrliss-tons liability insurance coverage in the performance of Services to, for,or on <br /> behalf of City of Santa Ana. <br /> Nat any time it is round 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 /> Signanue Datz <br /> Carlos Morles <br /> President <br /> 951 -272-4881 acml_ighting cx sbcglobai.net <br /> Contactlnrmmntior-i.e..TelephoneNwmret'andw Email Address <br /> Affidavit of Exemption for Professional Uab litylnsurance 11.112024 <br />