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CITY 4F 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 Martha Wan Rooijen ("Representative"),attest that I am an authorized <br /> (Name and Title of Vendor Representative) <br /> representative of MVR Consulting ("Company"), and <br /> (Consultant/Company Name) <br /> possess the authority to legally bind Company. <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 N-2g22-357 <br /> ("Agreement")to provide SOFTWARE MAINTENANCE SUPPORT ("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 liability/errors <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 /> ❑igda'y sq-'yy Ma"". "q.n <br /> Martha R. van Rooijen oN cn=Me haR ��R�le� e�ai,-manha�mv«o s�hageom, 6-1-2925 <br /> .=US <br /> Date:2025.06.01 18.3127-07'00' <br /> Signature Date <br /> Martha van Rooijen <br /> Print Name <br /> Owner <br /> Title <br /> 951-845-4391 martha@mvrconsulting.com <br /> Contact Information,i.e.,Telephone Number and/or Email Address <br /> Affidavit of Exemption for Professional Liability Insurance 11.12,2024 <br />