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Itvsru CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MhIIDDIYYYY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICq TE301 HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: if 1110 certificate holder Is an ADDITIONAL INSURED, the policy(lee) ,at have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, 00110111 policies may require an endorsement. A statement on
<br />tills an IFlcaa does not confer rights 10 the. Certificate holderin III r,r—eh o,.,,,..o,,........,_,
<br />g r)acy, Inc.
<br />FL 32317
<br />INSURED MGTOF-1
<br />MGT of America, LLC
<br />MGT of America Consulting, LLC
<br />3800 Esplanade Way Ste 210
<br />Tallahassee FL 32311
<br />r-rtlmr THAI IME POLICIES OF INSURANCE LISTEL
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN
<br />EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. I.I NUTR eNnm,
<br />IN6R
<br />I,Tft
<br />1YPE OF INSURANCE
<br />COMMERCIAL GENERAL LIABILITY
<br />E
<br />X
<br />OLAIMS�MAOE X❑ OCCUR
<br />X--
<br />E -X lir
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER',
<br />X _
<br />POLICY rJ jEOT [ LOC
<br />OTHER'.
<br />E
<br />AU'
<br />rOMOSILELIABILITY
<br />ANY AU 10
<br />OVVNGD SCHEDULED
<br />AUTOS gNLV AUTOS
<br />X
<br />NON OWNED
<br />AM US ONLY UTOSONLY
<br />X
<br />�X.
<br />A -XV Rating
<br />A
<br />X
<br />UMERELLALIAR X OCCUR
<br />X
<br />EXCESS LIAB CLAIMS -MADE
<br />DED X RETENTION 10,000
<br />B
<br />WORXERSCOMPENSATION
<br />C
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PRUPRIFTDRIPAR I NER/EXECUTIVE
<br />OFFICI RIMEMBER E%CUMEw ❑ N
<br />(MandEWry In NRI
<br />If y.e, d..rh. under
<br />DESCRIPTION OF OPERATIONS b,eo
<br />D
<br />Pmfesslanal Llahlllly(E&OI
<br />Claima-Mede Form
<br />715/95 Retro Date/A++XV
<br />Y
<br />Y
<br />IA
<br />V I N 1105638880
<br />UNUITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
<br />E AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB
<br />MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />7/112017 1 7/112018
<br />BODILY INJURY (Per
<br />EODILY INJURY ran,
<br />EACH
<br />ECT TO WHICH THIS
<br />TO ALL THE; TERMS,
<br />2,600,000
<br />5,000,U00
<br />UeeGNu91UN OF OPERATIONS I LOCATIONS I VEHICLES (ACORD'101, AddidInnl Remarks Rchedule, may he attached if more apaee is required)
<br />Umbrella: A XV Rating, All Other Workers' Comp & CA Workers' Comp: A -XV Rating. ,y
<br />CA- Workers' comp Employers Liability Limits: tQEVIEWEU,..- rr�,�
<br />$1,000,000 Each Accident Y 9 y r I )11'() y,
<br />$1000,000 Disease Policy Limit a Mararet'IIIfrrat51:44pat, ct,71,2017
<br />$1,000,000 Disease Each Employee
<br />Cyber Liability, Continental Casualty Company -Limits of Liability $1,000,000/$1,0OQ000 Retention $10,000 Reto Date 3/30/2017-Clalms
<br />Made Effective 3/30/17 - 3/30/2018
<br />City of Santa Ane
<br />20 Civic Center Plaza (M-30)
<br />P.O. Box 1068
<br />Santa Ana CA 92702-1088
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ACORD 26 2016/08 The ACORD name <�., � r OUlau UUNYURATION. All
<br />( ) and logo are registered marks of ACORD
<br />
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