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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 AUTOMOBILE LIABILITY INSURANCE <br /> I Katherina Sutter Representative"),attest that I am an authorized <br /> (Name and Title of Vendor Representative) <br /> representative of Katherina Sutter ("Company"),and <br /> (ConsultantfCompany 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 2025-134 <br /> (`Agreement")to provide Dance Programming ("Services"): <br /> (Services to be provided under agreementicontract) <br /> During the course and scope of Company's agreement with the City of Santa Ana, <br /> Company employees,consultants,representatives,and agents will not use and/or drive <br /> any Company owned/rented/leased/borrowed vehicles to perform 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 automobile 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. APPROVED <br /> By Tu Tran Nguyen at 9.04 am,Apr 29,2021 <br /> Signature Date <br /> Katherina Sutter <br /> Print game <br /> Ms. 1 L f-C"(-(Z- tit S r cam,C. cs� <br /> 949 290 89851 katherine.sutteraa g mail.com <br /> Contact Inrormation,i.e,Telephone ;umber and/or Email Ad,Jress <br /> Affidavit of Exemption for Automobile Liability insurance 11.12.2024 <br />