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ECS - Vendor Info COI W9
ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH-STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 have ADDITIONAL INSURED provisions or 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 certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Lockton Insurance Brokers, LLC 777 S. Figueroa Street, 52nd Fl. CA License #0B99399 Los Angeles CA 90017 (213) 689-0065 MCCi, LLC 3717 Apalachee Parkway Tallahassee FL 32311 American Casualty Company of Reading, PA 20427 The Continental Insurance Company 35289 Valley Forge Insurance Company 20508 X X 1,000,000 1,000,000 15,000 1,000,000 2,000,000 2,000,000 X X X Comp. Ded. $100 1,000,000 XXXXXXX XXXXXXX XXXXXXX Coll. Ded.1,000 X X 10,000 5,000,000 5,000,000 XXXXXXX N X 1,000,000 1,000,000 1,000,000 Tech E&O/Cyber Liability Limit: $5,000,000 SIR: $50,000 B 6072067343 12/1/2024 12/1/2025 A 6072067360 12/1/2024 12/1/2025 C 7095180448 12/1/2024 12/1/2025 C 6072067357 12/1/2024 12/1/2025 C 6072067326 (AOS)12/1/2024 12/1/2025C6079501170 (CA)12/1/2024 12/1/2025 12/1/2025 1456427 N N N N N N N 12/3/2024 N N 18072865 18072865 XXXXXXX Evidence of Coverage X See Attachment Named Insured:MCCi, LLC Evidence of Coverage , To whom it may concern: In our continuing effort to provide timely certificate delivery, Lockton Companies is transitioning to paperless delivery of Certificates of Insurance, thus this is your final hard-copy delivery. To ensure electronic delivery for future renewals of this certificate, we need your email address. Please contact us via one of the methods below, referencing Certificate ID 18072865 Email: LACertseDelivery@lockton.com Phone: (213) 334- 4669 If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed. In the event your mailing address has changed, will change in the future, or you no longer require this certificate, please let us know using one of the methods above. The above inbox and phone number is for automating electronic delivery of certificates only. Please do NOT send future certificate requests to this inbox or contact the phone number below with email updates. Thank you for your cooperation and willingness in reducing our environmental footprint. Lockton Companies Lockton Companies 777 South Figueroa Street Los Angeles, CA 90017 Attachment Code: D568466 Master ID: 1456427, Certificate ID: 18072865 Donny Remit Payment to: Physical Address: MCCi, LLC 3717 Apalachee Parkway P.O. Box 790379, Suite 201 St. Louis, MO 63179-0379 Tallahassee, FL 32311 Dear Client: We are excited to announce that MCCi, LLC and ECS Imaging, Inc have joined forces effective as of May 1, 2025. While the use of the ECS Imaging name will continue for the foreseeable future, our combined firm will operate together under one (MCCi, LLC) legal entity. This creates an expanded opportunity to deliver enhanced technology and superior customer service to the combined customer base. Additionally, we are excited to offer your organization many new incentives regarding our combined offerings, including free access to MCCi’s Learning Management System for Laserfiche, until your 2027 Laserfiche renewal. If you have questions or concerns, we’ve provided the phone number of both companies leadership at the bottom of this letter. Please reach out to us at any time with feedback, or additional ways that our combined forces can exceed your expectations. MCCi Vendor Information Please use the following information to update your vendor information and to make payments to MCCi, LLC for any open invoices received from ECS Imaging, Inc. Date of Transition: May 1, 2025 FEIN: 33-1069550 W9 & COI: Attached MCCi Bank Information: If by ACH (preferred): MCCi, LLC Enterprise Bank ABA: 081006162 Account: 1293909 Email: mcci.invoicing@mccinnovations.com Phone: (800) 342-2633 For your security, please verbally verify the ACH information above. The same applies to any MCCi requested changes to our banking information in the future . If by check: MCCi, LLC PO Box 790379 St. Louis, MO 63179-0379 We look forward to helping you automate your processes for many years to come and welcome any feedback you may have. Sincerely, Emery Jones Debbi Bodewin MCCi | Chief Financial Officer ECS Imaging |Chief Consulting Officer Ejones@mcinnovations.com debbi@ecsimaging.com Office (850) 701-0725 ext. 1720 (949) 355-1148 Mobile (831) 295-2741