Laserfiche WebLink
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 />_�' 12-lWCIA- &AW lft-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 />&rve'LIP' will not use/drive any vehicle during the course <br />and scope of the services provided in the agreement/contract. <br />2. -0�CL-V KP, (%VCIPs— will not use any owned/rented/leased vehicles <br />during thecourse and scope of the services provided in the agreement/contract. <br />3.4Xji2'(e.GV �Z C LA- 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,-"OV,-Tgv6L74t 6N2t(A-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 $1 million per occurrence, the contract <br />will be considered null and void andthe company will be held fully liable for any and all <br />damages. <br />Signature: `G''' <br />Name:-l-WYLAoNLtft 6P2Gti- <br />Job Title: I N GIOC 10 (Z <br />Company Name: <br />Contact Phone:-1H ll$-400$ <br />Email Address: "Oy4evX;i c-% 11vv%_6l2. YX tij (5 tKvu i I • <br />