Laserfiche WebLink
a. For Standard COI Review attach insurance documents and relevant documents including <br /> agreement, contract, PO/quote, waivers, application, permit, etc. <br /> b. For New Contractor or New Agreement attach Agreement <br /> 4. You will receive an auto reply confirming receipt of request. <br /> 5. Risk Management will monitor the progress of request and notify sender upon approval. <br /> 6. If you have questions, please call Risk Management at x5470. <br /> Request Type (check only one): <br /> X New Contractor or New Agreement— Risk Management will request insurance documents from <br /> Contractor/Insured Contact in accordance with agreement. <br /> City Contact <br /> Department: Purchasing-FMSA <br /> Project Manager Name: Megan Ornelas <br /> Project Manager Email: MOrnelas(a�santa-ana.org <br /> Contractor/Insured Contact <br /> Business Name: Mente Inc., DBA Cesar Vargas and Associates <br /> Agreement Number and Draft agreement with CAO Sig attached hereto <br /> Agreement Link: — and is attached to RFP 24-022A <br /> Vendor Contact Name: Cesar Vargas <br /> Vendor Contact Phone: 714-987-2889 <br /> Vendor Email Address: cavargas a(�hotmail.com <br /> Insurance Contact (may be found at top right of ACORD form) <br /> Contact Name: Sariah Devereaux-Barrientos <br /> Contact Phone: 714-541-7280 <br /> Contact Email Address: sariah.devereaux.t8lb(c�statefarm.com <br /> All fields required to advance the process—do not delete or modify. <br /> 3 <br />