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NOTICE OF COMPLIANCE <br />CITY t„„ . "A ,AM I1111RINT I'III I IPi I1111 AGL ,CLL INCLUDE Ck I 111 1AGREEMENTTOT111IL CLERK CAL MIL COUNCIL <br />IL <br />Contractor Jay Broderick <br />Name: <br />Project N-2023-066 <br />Number: <br />Project Speaker/Performer Engagement Agreement - The Jay Particle <br />Name: <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 />The compliant coveraae(s) are: <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />4/26/2023 10:57 AM <br />POLICY <br />EXPIRATION COI DATE <br />FILE <br />NUMBER <br />DATE <br />NAME <br />PHPK2514415 <br />01/27/2024 04/25/2023 <br />City of Santa <br />Ana.pdf <br />45WECAV7H87 <br />01/27/2024 04/25/2023 <br />= City of Santa <br />Ana.pdf <br />