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NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br />Contractor Train Party Express, LLC <br />Name: <br />Project TBD (099) <br />Number: <br />Project Agreement With Train Party Express, LLC, To Provide Special <br />Name: Entertainment Equipment For Outdoor Park 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 />Auto Liability <br />(Non -Use <br />AUTOMOBILE LIABILITY WAIVER <br />06/08/2024 <br />06/08/2023 Agreement) <br />Request for <br />Waiver —Santa <br />Ana. pdf <br />USSS27609 City <br />GENERAL LIABILITY SRPGAPML1010122 <br />10/02/2023 <br />05/25/2023 ofSanta A2023- <br />05-25.pdf.PDF <br />Worker's <br />WORKERS COMPENSATION AND EMPLOYERS' <br />Compensation <br />LIABILITY WAIVER <br />06/02/2024 <br />06/08/2023 Declaration <br />Form —Santa <br />Ana.pdf <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />6/8/2023 12:44 PM <br />