25H - AGMT - CONSULT SVC FOR CIP

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CERTIFICATE OF LIABILITY INSURANCE 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(ins) 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. 3.0. Box 12039 Tallahassee FL 32317 INSURED MGT of America, LLC MGT of America Consulting, LLC 3800 Esplanade Way, Ste 210 Tallahassee FL 32311 MGTOF-1 COVERAGES CERTIFICATE NUMBER: 1424826367 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. /NSR LTR TYPE OF INSURANCE b O POLICY NUMBER POLICY EFF IMMDDIYYYY) POL!CYEXP (MMMDNYYYI LIMITS A GENERAL LIABILrrY Y Y 5095130327 7/1/2016 7/112017 EACH OCCURRENCE $1,000,000 X COMMERCWL GENERAL LIABILITYE SE O U e $300,1100 MED EXP A one mauni $5,000 CLAIMS -MADE F1 OCCUR PERSONAL B ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG 52.000,000 X POLICY PRO. LOC $ A AUTOMOBILELIABILITY Y Y 2093563501 7/112016 7/1/2017 'Fe acdtle r S1,D00,000 BODILY INJURY (Par person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Pecdd erorn $ ( X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Pe aiders/ $ IS A -XV Rafing I B UMBRELLA LIABOCCUR 2093563496 7/1/2016 7/1/2017 EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DEO I I RETENTION $ 0 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN y 3011086712-AII Other 3011085788 CA 7/1/2016 7/112016 7/9/2017 71112017 X I TWO 5TATU- OTN- CRY LIM E.L. EACH ACCI DEM $500,000 ANY PROPRIETORIPARTNERJEXECUTIVE❑ CFFICERMIEMBER EXCLUDED? NfA E.L. DISEASE - EA EMPLOYEE $500,000 (Ma,Watory in NHl Iryea, tleecdbe under DE SCRIPTION OF OPERATIONS Cab. E.L. DISEASE -POLICY LIMIT $500,000 E Professional Liability(E80) Clalms-Made Form 7/5/95 Retro Oate/A-XIV N N 105638880 7/1/2016 7/1/2017 Each Claim 2,500,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AUaeh ACORD 101, AddlUonel Remarks Schedule, If more space to required) Umbrella: A -XV Rating. All Other Workers' Comp & CA Workers' Comp: A -XV Rating. CA - Workers' Camp Employers Liability Limits: $1,000,000 Each Accident $1,000,000 Disease Policy Limit $1,000,000 Disease Each Employee e tie -vein �`1�r pLE Eula p ► 8 City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. reserved, ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 25H-16