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Date: 9/24/2021 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Re: Auto Insurance Requirement <br />Dear City of Santa Ana Risk Management Division: <br />[Maritsa Secundo] has intent to enter into an agreement with the City of Santa Ana. <br />Throughout the course of this agreement, [Maritsa Secundo] attests to the following: <br />1. [Maritsa Secundo], will not use/drive any vehicle during the Course and scope of <br />the services provided in the agreement/contract: <br />2. [Maritsa Secundo] will not use any owned/rented/leased vehicles during the <br />course and scope of the services provided in the agreement/contract. <br />3. [Maritsa Secundo] consultants/independent contractors/employees utilize their <br />personal vehicles/non-company owned, borrowed, or rented/leased vehicles for <br />transportation to and from work and if applicable carry their own automobile <br />insurance. <br />By signing below, I, Maricsa Secundo attest that I possess the legal authority to enter <br />intoan agreement with the City of Santa Ana as well as the legal authority to attest to the <br />statements above. If at any time it is found that [company name] is not adhering to any/all <br />statements in this document and has not provided the minimum Auto liability insurance <br />coverage of $1 million per occurrence, the contract will be considered null and void and <br />the company will be held fully liable for any and all damages. <br />Signature <br />Maricsa Secundo] <br />Dance Instructor <br />Contact <br />Phone:? 1478 1.9017 <br />Emall Address: <br />mlJxasecundo@gmall.com <br />fiF w�.yi WdiMaAFnRotaivldcn <br />{ j RtYte &AFFROV ft <br />?1'�ii 's1I � 7axl �<cr.ar <br />-�Rul<lAnna9eninn 4alulAide S; <br />