MGT OF AMERICA, INC. - 2013 - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE I ,DATE (n m'DDrm) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER Earl Bacon Agency, Inc. P.O. Box 12039 Tallahassee FL 32317 INSURED MGT of America, Inc. Public Resource Management Inc. 2123 Centre Point Blvd. Tallahassee FL 32308 MGTOF -1 COVERAGES CERTIFICATE NUMBER: 2063032831 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSU RANCE DLSUBR INSR VIVO POLICY NUMBER POLICY EFF MMIDDM'YY POLICY EXP flMMl LIMITS C GENERAL LIABILITY Y Y P2093390918 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE K OCCUR PREMISES Eaoccurmnoa $300,000 MED EXP(My one person) $5,000 PERSONAL& ADV INJURY $1,000,000 X A -XV Rating GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO $2,000,000 X POLICY F7 PRO- JECT LOG $ B AUTOMOBILE LIABILITY Y Y 2093563501 /1/2013 /112014 _C_0V9=INGI_E LIMIT Ea accident ) $1,000,000 BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ • NON -OWNED HIRED AUTOS X AUTOS $ • A -XV Rating C X UMBRELLA LAS X OCCUR 2093563496 /1/2013 /1/2014 EACH OCCURRENCE $$5,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED X I RETENTION $10,000 $ A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE F-1 OFFOEMEMBER EXCLUDED? W NIA y 3011086712 3011086788 CA /1/2013 /1/2013 /1/2014 /1/2014 X WCRSLATT- 0TH- ER CA EL -below E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $500,000 (Mandatory in NH) If yes, describe under DE SCRIPTION OFOPERATIONS below EL .DISEASE - POLICY LIMIT $500,000 F Professional Liability(E &O) 105638880 /1/2013 /1/2014 Per Claim 2,000,000 Claims -Made Form Aggregate 3,000,000 715/95 Retro Date; A -XIV DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Umbrella: A -XV Rating. All Other Workers' Compp and CA Workers' Comp: A -XV Rating. California Employers Liability Limits: $1,000,000 Each Accident/$ 1,000,000 Disease Policy LimiV$1,000,000 Disease Each Employee. TO k C):i�.n1l � ,pptOVE � ._ lLSAmE• SIORCK e� /�� City of Santa Ana 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana CA 92702 -1988 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD rights