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Le, Tram <br />From: City of Santa Ana <certificate-request@ctraxjdidata.com> <br />Sent: Thursday, February 22, 2024 11:33 AM <br />To: jasminesolei@gmail.com; Arts and Culture <br />Subject: Internal Notice of Compliance <br />NOTICE OF COMPLIANCE <br />CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREENI ENT TO THE CLERK OF THE COUNCIL <br />Contractor <br />Jasmine Young -Lynch <br />Name: <br />Project <br />TBD (157) <br />Number: <br />Project <br />ARTS AND CULTURE ARTIST GRANT PROGRAM <br />Name: <br />The Certificate of Insurance (COI) submitted indicates that the coverages comply with the <br />insurance requirements. <br />The compliant coverage(s) are: <br />TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE COI DATE FILE NAME <br />GENERAL LIABILITY M1RPG000000O161400 01/30/2025 01/30/2024 COI _Jasmine <br />Young.pdf <br />WORKERS COMPENSATION WAIVER 10/26/2024 10/26/2023 <br />EXEMPTION <br />No further action is required at this time. <br />Thank you, <br />City of Santa Ana <br />Risk Management Division <br />in partnership with <br />CTrax Plus Services Team <br />2/22/2024 2:32 PM <br />Workers <br />Comp_Jasmine.pdf <br />1 <br />