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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 /> Pure Game <br />Name: <br />Project <br />2023 EPA (015) <br /> <br />Number: <br />Project <br /> <br />2023 Event Permit Application - Pure Game <br />Name: <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 />Pure Game <br />AUTOMOBILE LIABILITY PHPK2424442 07/17/2023 04/26/2023 COI City of <br />Santa Ana.pdf <br />Pure Game <br />GENERAL LIABILITY PHPK2424442 07/17/2023 04/26/2023 COI City of <br />Santa Ana.pdf <br />Pure Game <br />WORKERS COMPENSATION AND <br />WCNCC338193 01/15/2024 05/10/2023 ACORD <br />EMPLOYERS' LIABILITY <br />Forms.pdf <br /> <br />Thank you, <br /> <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />5/16/2023 12:30 PM <br /> <br /> <br />