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Request Type (check only one): <br /> ❑ Standard COI Review-- Rink Management will review and approve insurance documents submitted. This applies to PO, Event. <br /> Permit, and Agreements. <br /> ❑ Renewal COI Review- Risk Management will review and approve renewal insurance documents submitted. This applies to PC <br /> Reservations, Permit, and Agreements. Please attach insurance requirements and previously approved COI(s). <br /> ® Request 1'nsurance Requirements - Risk Management will provide insurance requirements for agreements and: RFPs. <br /> ❑ Review Agreement/RFP Language - Risk Management will review Insurance, Indemnification/Hold Harmless, Limitation of Lie <br /> of agreements and RFPs. <br /> All fields required to advance the process--do not delete or modify. <br /> City Contact <br /> Department: Planning and Building Agency <br /> Project Manager Name: Lizbhet Reyes <br /> Project Manager Email: LReyes Ccr santa-ana.orq <br /> Contract Details: <br /> Business Name: Bowers Museum <br /> Agreement Number and Agreement New Facility Use Rental Agreement <br /> Link: <br /> am preparing a Bowers Museum Facility Use Rental Agreement to <br /> be submitted to the City Attorney's office for preparation and review. <br /> Please review and reply if there are any City/RMD Insurance <br /> Requirements. <br /> Communication Linkage Forum Annual Awards Event on June 25, <br /> 2025 <br /> Invoice/Fee Total: $2,110 <br /> Brief description of services: Similar Facility Use Agreements with Bowers: <br /> N-2025-031 - <br /> Bowers Museum Facility Use Rental Agreement <br /> Communication Linkage Forum Annual Awards on 06/26/2025 <br /> Agreement Processed by CMO's office (Gaston) <br /> N-2024-371 <br /> Bowers Museum Facility Use Rental Agreement <br /> PBA Community Meeting Event (Transit Zoning Code Update) <br /> on 11/21/2024 <br /> Agreement Processed by PBA <br /> Contractor/f nsured Contact <br /> Contact Name: Sean Zairemmi --- -- _� <br /> Contact Email Address: SZarembaQbowers.org <br /> (714) 567-3617 <br /> Contact Phone; <br /> Insurance Contact (may be found at � _ <br /> top right of the ACORD form) <br /> 2 <br />