Well Field Evaluation
\ ,
04-03-' 07 11: 22 FROM-LAYNE WESTERN
3162641274
T-547 P002/011 F-585
,-
Loyne-lfestern
620 Sooth 3811I StRet . Kanw City, Kanaas 66106 .
"divlMDn DI Ltzwr. CArlmnMn CdnmDIIV
Phone: (913) 321-5000 Fax: (913) 321-S012
tilq IZCD7
April 2, 2007
Ms. Martha Tasker
Director of Utilities
City of Saltna
300 W Ash
P.O. Box 736
Salina, KS 67402-0736
RE: Proposal for Servlce8
City of Sallnll WeU Field EvaluatioD Slady
Dear Ms. Tasker:
This proposal presents the scope and fee for Layne Christensen Company (Layne) to evaluate the current
condition of the City of Salina;s (City) water supply well field. The City operates a well field that
consists of 1 5 wells screened within the Smoky Hill alluvial aquifer. Static water levels within the well
field have declined by 10 to 15 feet since the welts were originally installed. Several of the exisling wells
were installed in the 1940's when the statio water level was approximately 18 feet below ground. level.
The original well design was based on geology and water levol conditions in the area at that time.
Original pump design was also based off of well development and testing results. For many years the
City has been able to operate the wells with no effect in operations due to statio water levels and pumping
water levels well above the top of well screens. Today, the static water level has declined. Some wells
report levels at or near the tOp of well screeos and pumping water levels well into the screen intervals. It
is unknown if the decline in the potentlometrlo surface of the aquifer has ocoWTed on a regional scale or if
it Is locali~ed at the scale of the well field. Based on the last two (2) to three (3) years of operational
hlstory, the City is concerned with its ability to meet this year's summer peak flow conditions. Given
these concerns, Layne proposes to conduct a well field evaluation (Study) to address the City's short tenn
and long term goals for the projeot. as summarized below:
. Shon term goais - Evaluate the cumnt operating condition of all wells located within the City's
downtown well field. Specific tasks to be performed include: .
o Provide recommendatlons to maximize the yield from the well field while also proteotinll
the well pumps.
o Develop a recommended pumping schedule designed to meet estimated summer demand.
. Long term goals - Provide recommendations to Increase the yield of the City well field while also
proteoting the well pumps. Speciflo tasl<s to be perfonned include:.
o Evaluate the hiatorlcal water level in the well field observation wells to estimate aquifer
decline due to droughtlwell field pumping.
o Evaluate the City's existing Water Conservation Plan and provide recommendations for
improvement of the Plan.
o Evaiuate the need for well rchabllltatlon or well replacement.
Cl1wn~
ClyorSalinlll...JltGPOsal_4.2.o1
04-03-' 07 11: 22 FROM-LAYNE WESTERN
3162641274
T-547 P003/011 F-585
Ms. Martha Tasker
Page 2
April 2, 2007
SHORT TERM OBJECTIVES ,
The short term objectives of the Study will evaluate the current status ofall wells and provide
recommendations to maximize the flow from each well, while also providing recommendations that will
be designed to protect 1I1e pumps installed in the wells. To <<implele the short term project objectivll5, the
following tasks are proposed:
l. Compile and evaluate historical pumping data from each well. ,
2. Compile and evaluate historical W&rer level data from each observation well.
3. Evaluatll historical static water level conditions in the aquifer, outside the well field, to estimate
the regional water table decline in the Smoky Hill alluvial aquifer. '
4. Conduct a well perfonnance field tests on each well to detennirte the current specific capacity of
each well. A step rate test will'be oonductcd at each well consisting of four (4) steps lasting one
(I) to two (2) hours per step at progressively Increasing discharge rates. The pumping water level
in the well will be recorded by Layne field personnelll8ing a preSsure transducer or electronic
water level meter,
S. Estimatll well efficiency of each well based on the results of the fleld testing activities.
6. Rank tbe supply wells. based on field test resllllS, to provide recommendations for well
rehabilitation or well replacement.
7. Use all data collected to recommend a pumping schedule designed to best meet peak flow
conditions. '
8. Provide instrUmentation recommendations designed to protect the pumps installed in the supply
wells. ,It is anticipatCd that the use of Variable Frequency Drives (VFDs) and pumping level
control systems will be reviewed.
SHORT TeRM -DeUVE!RABLES
Once all ohbe above activities have been completed, all data and analysis will be summarized in a report.
The primary oQiective of tile report will be to develop a pumping schedule that can be used by the City to
bm meet summer water demllllds, To develop the pumping schedule, Layne will review tho following
data for each well:
. Available drawdown in the well;
. Depth to the top of screen;
. Depth to the pump intake; and
DWell perfonnance test results.
The pumping schedule will be developed with the following understanding of the City's water system:
D Average daily flow in the Slimmer months IBJIges from seven (7) to ten (10) million gallons per
day (mgd);
D Peak day flow in the summer is approximataly 12 mgd; aiul
D A distribution of 60% river water to 40% groundwater is maintained most of the year.
In most settings It Is undesirable to dtaw the pumping water level Into the screen Interval of the well as
tllis can result In increased chemical and biological well fouling. However, static water levels within the
well field have declined by 10to 15 feet (since their original installation date) in many of the City supply
wells, and the static water level is at or near the top of the screen interval in several orthe City wells.
C!Jw~
Page 100
04-03-' 07 11: 22 FROM-LAYNE WESTERN
3162641274
T-547 P004/011 F-585
Ms. Martha Tasker
Page 3
April 2, 2007
Therefore, well yields and the well field pumping schedule will be estimated using two methods, as
described below: . .
I. Well yields will be estimated aasumlng the design pumping level in the well is equal to the top of
the screen interval. This method is conservative and wlli produce lower estimated pumping rates
than method 2. .
2. Well yields will be estimated assuming the design pumping level in the well is equal five (5) to
ten (10) feet above the pump intake. This method is less conserVative and will produce higher
estimated pumping rates than metholl \.
Flow rates for each well and a proposed pumping schedule will be calculated for each method describell
above. The City anll Layne can then review and lliscuss both proposell pumping schedules tQ determine
which pumping schedule best fits the City's needs.
LONG TERM OBJECTIVES
Phase" of the Study wlll evaluate available options and provide recommendations on how tQ improve Ibe
overall performance of the well field and perhaps Increase the wateravalIable to the City. The City's
downtQwn weil field is fully appropriated based on Ibe Kansas Division of Wider Resources "safe yield"
provision. This means tbld no new points of diversion can be authorized near the weil flelll.
As part of the short term project activities, Layne wlll rank each supply well based 011 the results of the
well performance tests. This ranking system will be used to provide a reCommenllatlon for future well
field maintenance activities, which could include:
.. PerlOrming well rehabilitation work to improve the efficiency of the wells; or
. Installing a replacement well near an existing well.
A second objective oflbe long term project activities is to review and evaluate the City's existing Wider
Coliservation Plan and provide recommendations lOr improvement. Based on Layne's CUJTeIlt
understanding, the City bas not been able to use the Water Conscrvatlon Plan to issue water alerts and
desires a plan that could trigger water alerts under appropriate conditions. As part of this proposal, Layue
will provide recommendations for improvement of the Water Conservation Plan and will provide idess on
what could be appropriate action triggers for the Plan. Costs to llevelop a reVised plan are not
Incorporated In this proposal. .
A thlrcl objective of the long term project activities is to provide a conceptual evaluldlon of the potential
for artificial recharge at Or near the City well flelll. For Ibis analysis, a ",view of stream flow records for
the Smoky Hill River will be conduc.ted to estimate the volume of water that could be pumped from the
River under the existing surface waterrigbt and returned to the aquifer. MditionaIly, an estimate of the
groundwater vcloolty at the well field and the potential for water recirculation from the river to the aquifer
will be evaluated on a conceptual basis. .
1.0NG Tf:RM. DEUIII:RABLES
A letter report summarizing the findings of the Phase II activities will be submitted tQ the City upon
completion of all Phase II activities. It is anticipated that, at a minimum, the letter report will provide a
discussion on:
. Available options to improve well field operations;
. Conceptual evaluation of feasibility of artificial recharge near the well field; anll .
. Recommendations for improvements to the Water Conservation Plan.
<l1wn~
PagcJof7
04-03-'07 11:22 FROM-LAYNE WESTERN
3162641274
T-547 P005/011 F-585
Ms. Martha Tasker .
Page 4
April 2, 2007
PROPQlSAL A~NS;
Oenemlassumptions used to develop the proposal include:
o One (I) on-site meeting is included in the costs: The purpose of the meeting will be to l'Ilvicw the
recommended pumping schedule developed by Layne.
o Proposal costs good for 30 days.
COSTS:
. Estimated costs for tho proposed services are provided in the tables bolow. For proposal organizational
pllfpOscs, the estimated costs associated with the tssks identified as "$hort Term. Olllectlves" are
presented in the Phase r Table and the costs associated with the tasks identified as "Long Tenn
Objectives" are presented in the Phase II Table.
PEASE 1- Sbort Term Objectives - Cost BreakdowD
Task Estlmated Level of Effort Estimated Cost
MobilizationIDemobilization $1,078 $1,078
(lump sum)
Per Diem $IOO/day x 2 men it 10 days $2000
Pump test alii 5 wells $ I 75lhr @ 5 hra x 15 .wells $13,125
12 hrs@$IOOlhr . $1,200
Compile,review, and evaluate
historical water level data
Review 15 well perfonnance rest 15 bra@$IOOlhr $1,500
.
Estimate well effioiency (IS 15 hra@$IOOlhr $1.500
wells)
Rank wells 4hn@$100Ihr $400
Develop a pumping schedule .24 hra@$IOO/hr $2,400
Summsry report 28 bra@$IOOlhr $2,800
PHASElTOTAL .. $26,003.00
<1Iw1i?)
Peso 4 on
04-03-' 07 11: 22 FROM-LAYNE WESTERN
3162641274
T-547 P006/011 F-585
Ms. Martha Tasker
Pagei
April 2, 2007
Phase Ii . Long Term Objeetlves - Cost Breakdown
Task Estimated Level ciCEffort Estimllted Coat
Evaluate well field options 8 hra @ $100/hr $800
Review Waler Conservation Plan 6 hrs@$100Ihr $600 .
Evaluate trigger options for 12 hrs@ $1001hr $1.200
Water Conservation Plan
Conceptual Evaluation of 16 hra@ $1001hr $1.600
Artificial Recharge
. Provide Water Conservation 8 hrs @$1001hr $800
Plan recommendations
Phase II SummaI)' Report 8 hrs@$IOOlhr $800
PHASE D TOTAL $5.800.00
Eatimlllted Project Total $31.803.00
The estimated IOtal amount of compensation for the services described herein shall not exceed $31.803.00
without prior approval from the Owner. .
SCHEDULE
An estimated project schedule is presented below:
. The well evaluation and testing will take approximately two (2) weeks.
. A DRAFT summai)' report for the Phase I activities will be prepared approximately two (2)
weeks after the Phase I field testing has been oompleted. .
. A DRAFT summary report for the Phase II activities will be prepared approximately three (3) 10
five (5) weeks after oompletion of the Phase I testing activitlos;
. A FINAL summaI)' report will be completed approximately two (2) weeks after City review and
comment on DRAFT summary reports.
The Consultant agrees to bellin services ils described herein, promptly following receipt of written Notice
to Proceed; a fully exeouted Agreement constitutes the Notice to Proceed.
C~n~
Pogo S or7
04-03-'0711:23 FROM-LAYNE WESfERN
3i62641274
T-547 P007/011 F-585
lIIIa. Martha Tas!(er
Page 8
April 2, 2007
. Layne appreciates the opportunity to work with you on this Important project. If you have any questions
or comments on this proposed scope of services, please call Jim Seley at (316) 264-5365 or Lues
DeAngelis at (913) 321-5000 ext. 611. Should the City wish txJ authorize the work proposed, a signature
page has been included with this proposal.
Layne Christensen approves the city's rems and conditions and are attached as part of this proposal. This
proposal will be honored for 30 days.
James W. Seley
Sales Engineer
Sincerely,
Lues DeAngelis, P.E., R.O.
Project Englneer/Hydrogeologist
<1,..A<1 ~
Layne Western
a division 01 Layne Chrlrtensen Company
Enc.
Cf4yn~
Paso 6 on
04-03-' 07 11: 23 FROM-LAYNE \llESTERN
lIIIa. Martha Tasker
3162641274
Page 7
T-547 P008/011 F-585
April 2, 2007
~IGNATURE
This Agreement constitutes the entire Agreement between OWNER and ENGINEER and supcnedes all
prior written or oral understandings. . This Agreement may only be amended, supplemented, modified, or
canceled by a duly exccuted written Iflstrument.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as of the day and
year ftrst above written. .
OWNER:
City of Salina, Kansas
Recommended by:
#/ u~.d:.. C. ./<<>- t.
Martha Tasker
Director of Utilities
DbyQ ~
Donnie D. Marrs
. Mayor
Bh
D.p,city Clerk . 'I
Cliw~
ENGINEER
Layne Christensen Company
'. . rFV\
~~
Kent M. Warlick
General Manager
Poge 7 on
04-03-' 07 11: 23 FROM-LAYNE WESTERN 3162641274 T-547P009/011 F-585
.."'-
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The following requirements shall not be construed to tlmlt the liability of the Contractor
or it's insurer(s). The City does not represent that the spec/fled coverages or limits of
insuranae are sufficient to protect the Contractor's Interests or I/abHltlfls. RequIred coverages are 10
be maintained without interruption from the date of the commenaement of the wofk until date offlnal
payment and termination of any coverage raqulred to be maintained af!erflneJ payment. Questions
regarding thesa requirements shoutd be diracted 10 Nancy Schuessler, Risk Management SpflcleJl8t
at (7M) 309-5705. .
Profe8&lonal Liability. Errors and Omissions
The Contractor shall provide Architects or Engineers Professional liability Insurance with limits
not less than $500,000, covering the liability of the Contractor IInd IInyand all consultants,
agents, independent contractors, etc. which are employed or remlned by tha Contractor. The
Insurer must be acceptable to the City of Salina. In the event coverage provided Is e claims
made coverage, the insurance shall be maintained for a period of not less than thrae (3) years
after completion of the contract or in lieu thereof purchase of tall coverage (extended reporting
period) under which the City of Salina shall be afforded protection. Upon review of each
project, the Risk Management Department may require higher or lower coverege limits.
In lieu of the above coverage, the Contractor may provide the described coverage tor his own
firm In the above amount and submit proof all his consultants, agents and Independent
contractors have insurance deemed adequate by the City of Salina.
Commercial General Liability Insurance
The Contractor shall provide public liability insurance coverage In an amount no less than
$500,000 covering the liability of the Contractor and any and all consultants, agents,
independent contractors, etc. which are employed or retained by the Contractor, on an
occurrence basis. The Insurer must be acceptable to the City of Salina. Upon review of each
project, the Risk Management Deparbnent may require higher or lower coverage limits.
In lieu of the above coverage, the Contractor may provide coverage lor his own firm in the
above amount or an addillonal amount and submit proof all his consultants, agents and
independent contractors have Insurance deemed adequate by the City of Salina.
AutomobDe L1abDitY
The Contractor shall provide coverege protecting the contractor against claims for bodily InJuIY
andlor property damage arising out of the ownership or use of any owned, hired and/or non- .
owned vehicle. Required minimum limits; $500,000 eech aCCident, combined single limits,
bodily Injury and property damage.
WomersComaemntion
Before beginning work, \he Contraclor shall fumish to the Clly satlsfactoIY proof that he has
taken out, for the period covered by the work under Ihis contract, full workers' compensation
coverage as required by stele law for all persons who he may employ directly, or through
subcontractors, In carrying out the work contemplated under this contract, \Ind shall hold the
City free and harmleSS for all personal injuries of all persons who the contractor may em ploy
directly or through subcontractors.
Certlficate!.l at Insllrance
Certlflcate(s) of Insurance acceptable 10 the City shall be filed with the cny at the time the
contract between the City and the Contractor is executed. These certificates shall conmln a
provision that coverage afforded under the policies will not be cancelled or substantially
changed until at least thirty (30) days prior written notice has been given to the City and
acknowledged. Note: if the Contractor is subject to worker's compensation law a certificate
shall be provided.
04-03-'07 11:23 FROM-LAYNE WESTERN
3162641274
T-547 P010/011 F-S85
Olllof
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AtldltiQDal C'mtalJJ~
Notice of Claim
The Contraclor, upon receipt of notice of any claim in excess of $1,000 In connection with
this contract shall promptly notify the Risk Management i:lepartment, (186) 309-5705,
providing full details thereof, Including an estimate oflhe amount of loss or liability.
Indemnification Clause
The Contractor agrees to Indemnify and save harmless the CIty, its officials, agents,
servants, officers, directors and employees from and against all claims, expenses,
demands, judgements and causes of action for pelBonallnjury or death or damage to
property where, and to the extent that, such claims, expenses, demands judgement or
causes or action artse from the Contractors negligent acts.
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ACORD.. CERTIFICATE OF LIABILITY INSURANCE 0510112007 D~;~:;:~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
~P}fJ'R. THIS CERTIFICATE DOES NOT ~E,t',~\.~~TEND OR
PRODUCER LOCKTON COMPANIES, LLC.l KANSAS CITY
444 W. 471h Street, Sulle 900
Kansas CUy Mo 64112.1906
(816) 960-9000
INSURED INSURER A: 7T.
426 LAYNE-WESTERN,adlvlslono' "'m...
Layne Christensen Company ,""u"".
1011 WEST HARRY STREET. '.0"'" c,
WICHITA, KS 87213 '.O"AA. n.
I '.'"A''' . !l89DiNll
COVERAGES LAYINOI FK . ISCERTlFCN~QFINSURA 0 T T A TRACT lWE NlliE~
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WlTHSiANDING
ANY REOUIREMENT, TERM OR CONDmoN OF ANY CONTRACT OR OTHER DOCUMENT WIlli RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTA!N, _THE INSURANCE AFFORDED BY lliE P01l21ES DESCBIBED HEREIN IS SUBJECT TO ALL TlHE TERMS, EXCLUStoNS AND CONDmONS OF SUCH
POLlCIES.Ar:;~REGATELtMITS SHOWN MAY HAVE BEEN HEDUCEDliY PAIOCLAlMS. ~
'~M TYpeOFINSURANC~ POLlCVNUMBER PJ1M CTN& ~ UMr
~NERAL LIABILITY EACH OCCURRENCE .
A X COMMERC~L GENERAL LIABIUTY OLO 9137"8-00 OSlO 112006 OSlO 112007 Fl" DAMAG",,^, on. ..., .
I ClAIM' _E [!] OCCUR MED EXP IAn .
X CONTRACTUAL P2RAnNAl &AOV INJURY .
GEN~RALAGGREGATE .
PRonu"" . "nMl'IOA ACO .
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~OMOBlllillABlLlTY
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_ ALL OWNED AUTOS
_ SCHEQUlED AVTOS
X HIRED AUTOS
1L NON..oWNeO AUTOS
~~E LIABILITY
I ANY AUTO
EXCI!88 UABlJTV
::rOCCUR . 0 CLAIMS MAOE
ioaDUCTIBlE O":"^
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A WORKERSCOMPI!NSATlONAND
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INSURERS AFFORDING COVERAGE
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COMBINED SINGLE l!MIT
(E.lKCfdent)
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OS/0112006
OSlO 1/2007
80DILV INJURY
(Pvpllnon)
. XXXXXXX
BOOILYINJURY
(Per acddonl)
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PROPERTY DAMAGE
(P8tacc;ldenl)
NOT APPLICABLE
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AUTO ONLY -EAACCDENT
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AGGREGATt:
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WC 9137S60-00
WC 9137S61-00 (WISCONSIN)
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OS/01/2007
05l01!2007
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OESCRIPTlON OF OPERAnONSlLOCATlONSNEHICLE8IE!XCLUSlONS ADOI.D BY ENDOMEMEHTISPfCIAL PROVISIONS
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281U842
THE CITY OF SALINA, KS
300 W ASH, ROOM 202
PO BOX 736
SAUNA, KS 67402-0738
,
ACORD 2SOS (7/97)
1.TN1lllDt:rtoINSU
..,^o,
8HOUlD AMY 0' THE ABOVE DESCRlDED POLICIES sa CANCElLED DEFORe THE EXPlMnoN
DAlE! THEREOF, THI! 18SUING INSUReR WILL ENDeAVOR TO MAIL --3D- DAV8 WRITTEN
N01'ICE TO THE CERmCATI! HOLDER NAMED TO THE lEFT,BUT PAlLUIU! TO DO SO SHALL
IUPOIS NO CBUOAnON OR UABn.nY OF ANt laND UPON lHe INSURIR. ITS AGens OR
RlPRE8EJrtrATIYES.
AUTHORIZED REPRESENTATIVE
~
_A~
"A~::O CORPORAnON 1988
'-C1fquntlDlIt ....rllllngW.cto'lltlcalO; CMUlIlh.numllff IIIUd 1n~"l'Ollqc.t' Nftlon eonalM! tptellYtha dIMrl:e94' 'U.~.
PRODUCER LOCKTON COMPANIES, LLC-l KANSAS CITY
444 W. 47th Slreet, Suite 900
Kansas Cily M064112-1906
(616) 960-9000
ACORD" CERTIFICATE OF LIABILITY INSURANCE 06/01/2007 o~;~;;~;;i
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P L
INSURERS AFFORDING COVERAGE
INSURED
2052
LAYNE-WESTERN, adivision of
Layne Christensen Company
1011 WEST HARRY STREET
WiCHITA, KS 67213
INSURER A:
IN ERB:
COVERAGES 01 vr: ng -"on,"" ....eo .a.~D D..
THE POLlCleS'OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOlCATED. NOTWITHSTANDING
ANY ReQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 1:0 WHICH THIS CERTIFICATE. MAY BE 'S~UED OR
. MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLlCIES. AGGREGATE liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . .' ..... .'- ':"
l'~~:- -- m POLICY NUMBE'R,' . "'b~'1'5YJ~rDWJ1.Xe- -PrH.4S~M~r~'rJJ~N, -- .". --..", OMITs _.-
TYPE OF INSURANCE
~Ne~L L,IABILlTY EACH OCCURRENCE . XXXXXXX
COMMERCIAL. GENERAL LIABILITY NOT APPLICABLE FIRE DAMAGE fAn" ona f1n)\ , XXXXXXX
I CLAIMS MADE 0 OCCUR MEDEXPIAnuOne~\ , XXXXXXX
I-- PERSONAL & ADV INJURY , XXXXXXX
GENERAL AGGREGATE . XXXXXXX
I--
rl'L AGGREFi ~IMI~ APn ;ER: PRODUCTS. COMP/OP AGG . XXXXXXX
POLICY JC8r LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT , XXXXXXX
I-- AN.Y AUTO NOT APPLICABLE (Eaaccldentl
I-- ALL OWNED AUTOS BOOlL Y INJURY . XXXXXXX
SCHEDULED AUTOS (Per person)
~
~ HIRED AUTOS BOOIL Y INJURY . XXXXXXX
NON-OWNED AUTOS (Pereccident)
-
i- PROPERTY DAMAGE . XXXXXXX
(Per aCCident)
RRAGE LIABILITY AUTO ONLY. EA ACCIDENT . XXXXXXX
.ANY AUTO NOT APPLICABLE OTHER THAN. EAACC . XXXXXXX
AUTO ONLY: AGG . XXXXXXX
EXCESS LIABILITY EACH OCCURRENCE , XXXXXXX
=:] OCCU.\ . q CLAIMS MADE NOT APPLICABLE AGGREGATE . XXXXXXX
. XXXXXXX
9~ . .' DU.BRaLA , .. . -.-'-XX-XXXXX-
- --- 'OEDUCTISti;:- - -FORM-- -----. - ._,. ---.- - - .----- ._~._.._~.-
RETENTION $ . XXXXXXX
WORKERS COMPENSATION AND NOT APPLICABLE WC STATU- I~JH-
EMPLOYERS'LIABIUTY E.L. EACH ACCIDENT . . XXXXXXX
E.L. DISEASE. E;A EMPLOYEE , XXXXXXX
E.L. OlSEASE - POlley LlMIT . XXXXXXX
A OTHER PEe 79686510.8 0.6/0.1120.0.6 0.6/0.1120.0.7 SI,ooO,ooo EACH acc.; SI,OOO,ooO
PROFESSIONAL LlABlLITY AGGREGATE.
DESCRIPTION OFOPERAT10NSlLOCATIONSNEHICLESlEXCLUSIONS ADDEO BY ENOORSEMENTISPECIAL PROVISIONS
I I AOOITlONAlIN-URED' INSURER I ETTER' CA""C" ATI"" .
2810849 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THE CrfYOF S~L1NA, KS DATE T~EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL...JL DAYS WRITIEN
300 W ASH, ROOM 202 NOTICE TO.THE CERTIFICATE HOLDER NAMED TO. THE LEFT, BUT. FAILURE TO DO SO SHALL
PO BOX 736
SALINA, Ks 67402-0736 IMPOSE NO OBLIGATION OR L1ASILITY OF ANY KiND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE .& _..~ -
. II. .
ACORD 25-5 (7197) For quntlonl ra(I.vdlng tllll c-.1Ift~, contad IIHI numbet lilted In tIM 'Producer' ACtIon 'bon tncIlpKl1y 11M client code 'lAY1N~t., .. Ae"oFirl CORPORA liON 1988
LA YIN
FK
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