Laserfiche WebLink
Garcia, Stephanie <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Monday, July 10, 2023 10:12 AM <br />To: itsfoamtime@gmail.com; Balleza, Marco; Baird, Sarah; Garcia, Stephanie; <br />support@nextinsurance.com; Sandoval, William <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 It's Foam Time <br />Name: <br />Project TBD (113) <br />Number: <br />Project AGREEMENT BETWEEN THE CITY OF SANTA ANA AND ITS FOAM TIME, <br />Name: LLC, FOR FOAM EVENTS AT SUMMER SPLASH DAY CAMP <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 />Santa Ana Auto <br />Liability (Non - <br />AUTOMOBILE LIABILITY <br />WAIVER <br />07/10/2024 <br />07/10/2023 <br />Use Agreement) <br />Request for <br />Waiver_Fillable <br />2.pdf <br />GENERAL LIABILITY <br />NXTXTJ9PJF00GL <br />02/23/2024 <br />07/10/2023 <br />Santa Ana <br />COAI.pdf <br />SEXUAL ABUSE <br />WAIVER <br />07/10/2024 <br />07/10/2023 <br />Santa Ana <br />COAI.pdf <br />Santa Ana <br />WORKERS COMPENSATION AND EMPLOYERS' <br />WAIVER <br />07/10/2024 <br />07/10/2023 <br />Worker's <br />LIABILITY <br />Compensation <br />Declaration.pdf <br />1 <br />