MGT OF AMERCIA, INC. 1 - 2010 - Laserfiche WebLink

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,aco CERTIFICATE F LIABILITY INSURANCE DATE (MM/DD/YYYY) 6 1a 2010 PRODUCER Phone: 850-878-2121 Fax: 850-87a-2328 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Earl Bacon Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.0- Box T2039 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tallahassee FL 32317 14-2010-117 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Valle ForClfe In rance Co 08 MGT of America, Inc. & Public Resource Mgmt. Group, a wholly owned subsidiary of MGT INSURERB:American Cas of Readin P 427 2123 Centre Point B1Vd. INSURER C: Continental Casualt Com an 0443 Tallahassee FL 32306 INSURER D:Travelers Casual & Suret C 33-1-94 INSURER E -1 1 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSU CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBE POLICY EFFECTIVE POLICY E%PIRATON LIMITS DA AT D I A X GENERAL LIABILITY 20933909T8 7/1-/2010 7/l/2011 EACH OCCURRENCE $ 1 o O p 0 0 0 X COMMERCIAL GENERAL LIABILITY DA A E T R NTED ~ PREMISES Ee occurrence $ 3 0 0 0 0 0 CLAIMS MADE L 1 OCCUR MED EXP An one arson $5,000 X A-XV Ratino PERSONAL B ADV INJURY S-1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 RO LOG X POLICY P JFQT F-1 B AUTOMOBILE LIABILITY 2 0 9 3 5 6 3 S O 1 7/1/2 O 1 O 7/1/2011 COMBINED SINGLE LIMIT X ANY AUTO As TO (Ee accident) $1,000,000 ALL OWNED AUTOS ~r i RO V L l SCHEDULEDAUTOS BODILY INJURY $ (Per person) X HIRED AUTOS BODILY NON-OWNED AUTOS INJURY $ t, tl Lg SLIL( (Par eccitlenq X A-XV Ratincr Assist nt Cit Attorney PROPERTY DAMAGE $ (Per accltlenl) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS/ UMBRELLA LIABILITY 2093563496 7/1/2010 7/1/2011 EACH OCCURRENCE $$4,000,000 X OCCUR CLAIMS MADE AGGREGATE $4,000,000 DEDUCTIBLE $ X RETENTION $1.0,000 $ I. T, I I A WORKERS COMPENSATION 3011086712 7/1/2010 7/1/2011 X W'C STA TU- X 0TH- A EL-below AND EMPLOYERS' LIABILITY TOR C ANV PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 3011086788 CA 7/1/2010 7/1/2011 EL EACH ACCIDENT $500 000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ S O O 0 0 0 If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500.000 OTHER Limit 2,000,000 D Pro=elnnal Liab_ (E&O) 104968324 7/1/2010 7/1/2011 ggragata 3,000,000 Claime-Made form 7/5/95 Retro Date DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED B ENDORSEMENT / SPECIAL PROVISIONS lanket Additional Insured endorsement under Gener 1 Liability. Blamket Waiver of Subrogation applies to General iabil ity, California and All Other workers' Compe cation policies. Umbrella: A-XV Rating. All Other Wor)cars' Comp nd CA Workers' Comp: A-XV Rating. California Em loyera Liability Limits: $1,000,000 Each Accident/$1,000,000 Disease olicy Limit/$1,000,000 Disease Each Employee X45 Days Written Notice of Canc-Nonrenewal. TM10 Da a Written Notice of Camc-Nonpayment. Included as an additional ea Attached.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE City Of S ant a Ana , At to . Wi 1 1 Hay S CERTI FI CATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 20 Civic Center Plaza (M-30) SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON P_ O. BOX 1988 THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana CA 92702-1988 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD nam and logo are registered marks of ACORD