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Tori Pierson o ID31.10.1213:365a LT00'
<br />---- -1 MUIUI-AM-U'1
<br />'41� CERTIFICATE OF LIABILITY INSURANCE
<br />CRYSTAL
<br />DAT12412021
<br />6/24/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Earl Bacon Agency, Inc.
<br />Post Office Box 12039
<br />Tallahassee, FL 32317
<br />CONTACT
<br />PHONE FAX
<br />AIc, Ne, Earl: (850) 878-2121 MC, NAI:(850) 878-2128
<br />E-MAIL
<br />ESS
<br />INSURERS AFFORDING COVERAGE
<br />NAICAr
<br />INSURER A: American Casualty Company of Reading, PA
<br />20427
<br />INSURED
<br />MGT of America, LLC
<br />MGT of America Consulting, LLC
<br />4320 West Kennedy Blvd.
<br />Tampa, FL 33609-2118
<br />INSURERS: Continental Casualty Companv
<br />20443
<br />INSURER C: Transportation Insurance Company
<br />20494
<br />INSURERD: Houston Casualty Company
<br />INSURER E:
<br />INSURER F
<br />COVFRAC.FS CFRTIFICATP MI IMRFR• REVISION au uanve.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCUILGENERAL L[ABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />X
<br />5095130327
<br />7/112021
<br />711/2022
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TD RENTED
<br />SES Me occurrence)MED
<br />$ 300000
<br />EXP An one arson
<br />$ 15,000
<br />PERSONAL a ADV INJURY
<br />$ 1,000,000
<br />GENT, AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS -COMPIOP AGG
<br />$ 2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEEDEINGLE LIMIT
<br />$ 1000000
<br />BODILY INJURY Per pansmi
<br />S
<br />ANY AUTO
<br />OWNED SCHEDULEO
<br />AUUTOS ONLY ALTNNO.ppSWWNN
<br />AUTOS ONLY X AUTOSONLID
<br />X
<br />X
<br />2093563501
<br />71112021
<br />711/2022
<br />BODILY INJURY Per accident
<br />s
<br />X
<br />PeFac tlent MAGE
<br />$
<br />B
<br />X
<br />UMBRELLA UAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />2093563496
<br />71112021
<br />7/1/2022
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 6,000,000
<br />OEO I X I RETENTION $ 10,000
<br />Cris Mgmt Expen
<br />$ 300,000
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY
<br />ANY PROPRIETORIPARTNEMEXECUTIVE Y�
<br />ooFFICalRe/ YIMgEp EXCLUDED?
<br />(Mantlelery In NH)
<br />Dye$deaGOR antler
<br />DESCRIPTIONur OPERATIONS below
<br />NIA
<br />X
<br />3011086788
<br />711/2021
<br />7/112022
<br />X I PER OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,OOQ000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1.000.000
<br />E.L. DISEASE -POLICY UMIT
<br />1,000,000
<br />$
<br />D
<br />Cyber Liability
<br />H21NGP208777-00
<br />7/1/2021
<br />7/112022
<br />OCC & AGG
<br />5,000,000
<br />B
<br />Professional and
<br />652348448
<br />7/1/2021
<br />711/2022
<br />E & O Liability
<br />6,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached If mom space is requiredl
<br />Blanket Additional Insured per attached forms blanket Waiver of Subrogation per attached forms Notice of Cancellation to Certificate Holders per attached
<br />forms
<br />Stop Gap Liability Coverage for Ohio and Washington 500,0001500,0001500,000
<br />THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO
<br />GENERAL LIABILITY PER ATTACHED CNA74879XX & CNA75079XX BLANKET ADDITIONAL INSURED FORMS.
<br />SEE ATTACHED ACORD 101
<br />City of Santa Ana
<br />Risk Management
<br />20 Civic Center Plaza (M-30)
<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
<br />AUTHORIZED REPRESENTATIVE ` _ REvlefhnLAvvkO.�®� �'1
<br />'I� /�'' 1\\\Mf■II /) Ruk Mana9enn,I Clm�alPotle
<br />ACOKU 25 (2U16IU3) © 1988-2015 ACORD C(V 14
<br />The ACORD name and logo are registered marks of ACORD
<br />
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