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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. CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDMiYY) 7/16/2013 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, aub(ect to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confor rights to the certificate holder in lieu of such endorsement(s). PRODUCER Earl Bacon Agency, Inc. P.O. Box 12039 Tallahassee FL 32317 CONTACT NAME- l_ r _ rAx AIC No ; 60-878-2128 E -MAIL ass: ar INSURERS)APPOROING COVERAGE NAICe 11/2014 INSURERA:Valley Fore Insurance 0509 INSURED MGTOF -1 INSU ENO: PA MGT of America, Inc. Public Resource Management Inc. 2123 Centre Point Blvd. INSURER C:Cor In n al CaI Com Q wauaENO: Company $300000 INSURERS: Tallahassee FL 32308 INSUR6RF: Casualty Surety C 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. TR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE POLICY NUTABER POLI MIp MMIDOMlYV LICYEXP 0 LIMITS C GENERAL LIABILITY Y Y P2093390918 71IJ2013 11/2014 EACH OCCURRENCE _bXWACE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR TO PRE IUS(Es cmum $300000 MED EXP Any one arson $5,000 X A -XV Rating PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE GEN'LAGGREGATELIMITAPPLIES PER: PRODUCTS- COMPIOPAGG _$2000000 $2,000,000 X POLICY PRO- LOC $ B AUTOMOBILE LIABILITY V Y 2093563501 71112013 71112014 Eaaccidenl 1000000 BODILY I HJURV(Per Iterate) $ ANY AUTO ALLOWNED SCHEDULEn AUTOS AUTOS BODILY INJURY Per amiden0 $ X HIRED AUT08 X AUT09WNED PR PEROTYDAMAGE $ X A -X\ Raling $ C X UMBRELLA LIAR X OCCUR 2093563496 /1/2013 1112014 EACH OCCURRENCE 3$5,000000 EXCESS LIAR CLAIMS -MADE AGGREGATE $ OED IX I RETENTIONS 10,000 $ OWORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICENIMkNTBEBEXCLUDE0 4 ECUTIVE❑ NIA y 3011086712 3011088788 CA /112013 /1/2013 /1/2014 /1/2014 X WC 3TATU- O7H- E CA EL -below E. L. EACH ACCIDENT $500,000 El DISEASE-EAEMPLOYFF $600,000 (Mandatmyln NH) If yes, tleecdbe antler DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $500,000 F Professional Liabilfty(E &O) ClaimsWade Form 715195 Refro Date; A-XIV 105638880 '1112013 /1/2014 Per Claim 2,O0g000 Aggregate 31000,000 OESCRIPTION OF OPERATIONS I LDCAnONS l VEHICLES (Ramon ACORD 101, Atltlitienal Remarks Ethedme, if merespece Is required) Umbrella: A -XV Rating. All Other Workers' Campp and CA Workers' Comp: A -XV Rating. California Employers Liability Limits! $1,000,000 Each Accident/$1,000,000 Disease Policy Limit/V000,000 Disease Each Employee. U'PROVED AS TO FORM CERTIFICATE HOLDER k,t'uLuPLKT 6neo0y rnnlcFl 1 ATInN 'L n. Tty Attorney SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 CiviC Center Plaza (M -30) P.O, Box 1988 AUTHORIZED REPRESENTATIVE �/(.,,.�� �eYf- Santa Ana CA 92702 -1988 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD