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Garcia, Stephanie <br />From: City of Santa Ana < Certificate- request@ctrax.jdid ata.com> <br />Sent: Wednesday, March 15, 2023 3:15 PM <br />To: kabobaholic@gmail.com; long.ton.xbz3@statefarm.com; Baird, Sarah; Garcia, Stephanie <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Kababalicious & Kabobaholic <br />Name: <br />Project TBD (014) <br />Number: <br />Project Agreement With Kabobalicious LLC DBA Kababaholic To Provide Food <br />Name: Vending At City's Spring Fest Event <br />The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the <br />insurance requirements. No further action is required at this time. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE <br />AUTOMOBILE LIABILITY <br />GENERAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />POLICY EXPIRATION COI DATE <br />NUMBER DATE <br />WAIVER 03/07/2024 03/15/2023 <br />92JOQ1138 07/01/2023 02/10/2023 <br />92J9M0129 07/02/2023 02/10/2023 <br />FILE NAME <br />Agreement - Kabobalicious <br />LLC dba <br />Kabobaholic_FINAL_3.7.23.pdf <br />COI - ALI POOYA DBA <br />KABOBALICIOUS & <br />KABOBAHOLIC (THE CITY OF <br />SANTA ANA) SPRING FEST.pdf <br />COI - ALI POOYA DBA <br />KABOBALICIOUS & <br />KABOBAHOLIC (THE CITY OF <br />SANTA ANA) SPRING FEST.pdf <br />1 <br />