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<br /> <br />NOTICE OF COMPLIANCE <br /> <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor <br /> USA Boxing Inc Sponsor Club TKO Boxing Club <br />Name: <br />Project <br /> A-2021-187-01 <br />Number: <br />First Amendment To Facility Use Agreement With TKO Youth <br />Project <br /> Foundation For Use Of The Fitness Room At Jerome <br />Name: <br />Community Center <br /> <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in <br />compliance with the insurance requirements. No further action is required at this time. <br /> <br />The compliant coverage(s) are: <br />POLICY EXPIRATION <br />TYPE OF INSURANCE COI DATE FILE NAME <br />NUMBER DATE <br />GENERAL LIABILITY OVE000001301 01/01/2024 12/28/2022 Certificate.pdf <br />WORKERS COMPENSATION AND <br />WAIVER 10/26/2023 10/27/2022 Scan_0003.pdf <br />EMPLOYERS' LIABILITY <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />1/5/2023 11:12 AM <br /> <br /> <br />