Laserfiche WebLink
Garcia, Stephanie <br />From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br />Sent: Wednesday, December 6, 2023 8:27 AM <br />To: Garcia, Stephanie; carrie@twinlakesins.com; osharp@challengersports.com; Baird, Sarah <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 Challenger Sports Corp <br />Name: <br />Project TBD (046) <br />Number: <br />Project Recreation Services Agreement With Challenger Sports Corporation To <br />Name: Provide Youth Soccer Classes <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 />23-24 Updated <br />AUTOMOBILE LIABILITY <br />10161716CA <br />01/21/2024 <br />11/17/2023 <br />COI_Challenger <br />Sports.pdf <br />23-24 Updated <br />GENERAL LIABILITY <br />PHPK2519956 <br />03/01/2024 <br />11/17/2023 <br />COI —Challenger <br />Sports.pdf <br />23-24 Updated <br />SEXUAL ABUSE/MCLESTATION <br />PHPK2519956 <br />03/01/2024 <br />11/17/2023 <br />COI_Challenger <br />Sports.pdf <br />Worker's <br />WORKERS COMPENSATION AND EMPLOYERS' <br />WAIVER <br />09/27/2024 <br />12/04/2023 <br />Compensation <br />LIABILITY <br />Declaration <br />Form_CSC.pdf <br />Thank you, <br />I <br />