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Garcia, Stephanie <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Thursday, May 11, 2023 11:30 AM <br />To: MadscienceWOC@gmail.com; Dee.Harville@Hylant.com; Sepulveda, Maria; Baird, Sarah; <br />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 Jay Particle <br />Name: <br />Project TBD (006) <br />Number: <br />Project Agreement With The Jay Particle, LLC , DBA Mad Science To Provide <br />Name: Entertainment Services For The City Events <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 POLICY NUMBER EXPIRATION COI DATE FILE NAME <br />DATE <br />22-23 MASTER - <br />ABUSE/MOLESTATION <br />PHPK2477743 <br />11/04/2023 <br />10/18/2022 <br />City of Santa <br />Ana.pdf <br />City of Santa <br />AUTOMOBILE LIABILITY <br />PHPK2514415 <br />01/27/2024 <br />04/25/2023 <br />Ana.pdf <br />City of Santa <br />GENERAL LIABILITY <br />PHPK2514415 <br />01/27/2024 <br />04/25/2023 <br />Ana.pdf <br />WORKERS COMPENSATION AND EMPLOYERS' <br />45WECAV71-187 <br />01/27/2024 <br />04/25/2023 <br />City of Santa <br />LIABILITY <br />Ana.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />