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Garcia, Stephanie <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Thursday, May 18, 2023 3:14 PM <br />To: ladonna@stus.app; info@theeventhelper.com; mleon@santa-ana.com; 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 Patchbayz LLC <br />Name: <br />Project TBD (094) <br />Number: <br />Project Agreement With Patchbayz, LLC, DBA Stus To Provide A Live <br />Name: Performance By Futa Toro At City Of Santa Ana's 2023 Juneteenth 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 <br />AND EMPLOYERS' LIABILITY <br />Thank you, <br />POLICY NUMBER <br />WAIVER <br />EXPIRATION COI DATE <br />DATE <br />FILE NAME <br />04/03/2024 04/12/2023 Auto_Insurance_RequIrement_Waiver.pdf <br />3DS5474M3330857 06/18/2023 02/17/2023 <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />5/18/2023 6:13 PM <br />WAIVER 04/03/2024 04/12/2023 <br />3DS5474-M3330857 Certificate of <br />Insurance(1).pdf <br />W orkers_Com pensation_Waiver.pdf <br />1 <br />