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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 /> Ultimate Attractions LLC <br />Name: <br />Project <br /> <br />N-2023-149 <br />Number: <br />Project Agreement With Ultimate Attractions, LLC, To Provide Outdoor Inflatable <br /> <br />Name: Attractions <br /> <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 /> <br />The compliant coverage(s) are: <br />EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME <br />DATE <br />Auto <br />AUTOMOBILE LIABILITY WAIVER 06/01/2024 06/19/2023 Requirement - <br />UA 2023.pdf <br />Auto Infinity <br />AUTOMOBILE LIABILITY 504610061952001 06/30/2024 06/01/2023 Insurance 2023 - <br />U.E..pdf <br />City Of Santa <br />GENERAL LIABILITY PAIL012010763501 08/31/2023 06/20/2023 Ana COI 2023 <br />$5M.pdf <br />Workmans <br />WORKERS COMPENSATION AND EMPLOYERS' <br />EIG479036401 06/01/2024 06/01/2023 Comp - 2003 <br />LIABILITY <br />UE.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 />6/30/2023 6:02 PM <br /> <br />