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Auto Liability (Non -Use Agreement) <br />Date <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Re: Auto Insurance Requirement <br />Dear City of Santa Ana Risk Management Division: <br />t NCW_VtV% OO(CS has intent to enter into an agreement with the City of Santa <br />Ana. Throughout the course of this agreement, attests to the following: <br />1. tiA r� <br />sL �Oe,r 5 will not use/drive any vehicle during the course <br />and scope of the services provided in the agreement contract. <br />2. �A cA,,v, \ e� t £ C 5 will not use any owned/rented/leased vehicles <br />during thhecourse and scope of the services provided in the agreement/contract. <br />3. consultants/independent contractors/employees <br />utilize their personal vehicles/non-company owned, borrowed, or rented/leased <br />vehicles for transportation to and from work and if applicable carry their own <br />automobile insurance. <br />By signing below, I, Mct l V\ Tvt(e j attest that I possess the legal authority <br />to enter into an agreement with the City of Santa Ana as well as the legal authority <br />to attest to the statements above. If at any time it is found that <br />is not adhering to any/all statements in this document and has not provided the <br />minimum Auto liability insurance coverage of S 1 million per occurrence, the contract <br />will be considered null and void andthe company will be held fully liable for any and all <br />damages. <br />Signature: �^ <br />Name: j✓{�ri V\ tic+ C t S <br />Job Title: A,iur ct�; �5 111S�R C �01 <br />Company Name:cct+ <br />Contact Phone: 71y _.��rLG <br />Email AdcjC r) <br />dress: 1 <br />vrl�orcCS1 �; cc+ O..cyvjc�+\ , <br />'.1af11 Id l;' <br />®' <br />Ride MacgementDMslon <br />RenE &Apr m8y: <br />A, pAa*44 <br />Risk Management Specialist <br />