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Vazquez, Sylvia <br />From: Vazquez, Sylvia <br />Sent: Thursday, December 22, 2022 10:58 AM <br />To: RM D <br />Subject: Request for COI Review: THRIVE Santa Ana Inc. <br />Attachments: Cert of Ins - City of Santa Ana.PDF; A-2020-044 - DDA THRIVE 061820.pdf; Thrive Bldrs <br />Risk Policy.pdf; 20221214_ADDITIONAL INSURED -STATE OR GOVERNMENTAL AGENCY <br />OR SUBDIVISION OR POLITICAL SUBDIVISION -PERMITS OR AUTHORIZATIONS <br />RELATING TO PREMISES.pdf; RE: Thrive Santa Ana, Inc. - City of Santa Ana Additional <br />Insured and Certificate Holder <br />Request Type (check only one): <br />®Standard COI Review — Risk Management will review and approve insurance documents submitted. This applies to <br />PO, Event, Reservations, Permit and Agreements. <br />❑New Contractor or New Agreement— Risk Management will request insurance documents from Contractor/Insured <br />Contact in accordance with agreement. <br />All fields required to advance the process — do not delete or modify. <br />City Contact <br />Department: <br />CDA <br />Project Manager Name: <br />Sylvia Vazquez <br />Project Manager Email: <br />syazquez(c�santa-ana.orq <br />Contractor/Insured Contact <br />Business Name: <br />THRIVE Santa Ana <br />Agreement Number and Agreement Link: <br />Ground Lease Attached - DDA attached <br />Vendor Contact Name: <br />Luis Sarmiento <br />Vendor Contact Phone: <br />thrivesantaana()gmail.com <br />Vendor Email Address: <br />714-425-5562 <br />Insurance Contact (may be found at top right of ACORD form) <br />Contact Name: <br />Christine R Sousa <br />Contact Phone: <br />(626)339-9921 <br />Contact Email Address: <br />christine(a)bakerromero.com <br />Thank you, <br />Sylvia Vazquez I Economic Development Specialist II <br />Community Development Agency 120 Civic Center Plaza <br />714-647-5445 1 svazquez@santa-ana.org <br />OWNEW, MR <br />1�1 <br />V <br />Santa Ana, CA 92701 <br />