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Hoang, Julie <br /> From: City of Santa Ana <certificate-request@ctrax.jdidata.com> <br /> Sent: Thursday, May 9, 2024 9:30 AM <br /> To: Hoang, Julie; Baird, Sarah <br /> Subject: Internal Notice of Compliance <br /> lttenri��n: tla:-;rui: <br /> SANTA ANA <br /> 1869 <br /> NOTICE OF COMPLIANCE <br /> CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL <br /> Contractor SMASHvent, LLC <br /> Name: <br /> Project N-2023-155 <br /> Number: <br /> Project AGREEMENT WITH SMASHVENT, LLC, DBA OC FUN EVENTS ALSO DBA <br /> Name: OC LASER TAG TO PROVIDE SPECIAL ENTERTAINMENT EQUIPMENT <br /> FOR OUTDOOR PARK EVENTS <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 EXPIRATION COI FILE NAME <br /> NUMBER DATE DATE <br /> GENERAL LIABILITY PAC4725034 07/27/2024 08/01/2023 GAP 114762 City of Santa A 2023 08- <br /> 01.pdf <br /> SEXUAL ABUSE WAIVER 08/08/2024 08/10/2023 RM_OC Fun Events Memo.pdf <br /> WORKERS COMPENSATION AND 5WC1455004 09/01/2024 08/12/2023 SMASHvent_AC25_Certificate2023- <br /> EMPLOYERS' LIABILITY 08-12.pdf <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 /> 1 <br />