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Page 1 of 1 <br />N- x2069 -060 <br />Mitre - Ramirez, Norma <br />From: <br />Sheedy, Laura <br />Sent: <br />Wednesday, June 13, 2007 11:26 AM <br />To: <br />Thompkins, Carla <br />Cc: <br />Mitre - Ramirez, Norma <br />Subject: <br />Acosta Carnival <br />Attachments: WORKERS' COMPENSATION FORM.doc <br />Carla <br />Will you ask Acosta to sign the attached workers comp declaration regarding employees for the carnivals. I understand that <br />the carnival company has insurance for its workers and that Acosta will not have employees working on these carnivals. <br />Norma needs the declaration on file to complete the paperwork for Acosta. <br />Thankyou <br />Laura Sheedy <br />Assistant City Attorney <br />(714) 647 -5201 <br />THIS COMMUNICATION AND ANY ATTACHMENTS MAY CONTAIN LEGALLY PRIVILEGED AND /OR OTHER CONFIDENTIAL INFORMATION. IF YOU ARE NOT <br />THE INTENDED RECIPIENT(S) OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERY OF THIS COMMUNICATION TO THE INTENDED RECIPIENT(S) <br />OR BELIEVE THAT YOU MAY HAVE RECEIVED THIS COMMUNICATION IN ERROR, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION, <br />COPYING, OR OTHER USE OF THE INFORMATION CONTAINED IN THIS COMMUNICATION IS STRICTLY PROHIBITED. PLEASE REPLY TO THE SENDER <br />INDICATING THE FACT OF THE ERROR AND DELETE THE COPY YOU RECEIVED FROM YOUR COMPUTER. <br />6/13/2007 <br />