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Insurance Certificate -------Th DRAGCOR-01 PPODZIKOWSKI ACOKO' CERTIFICATE OF LIABILITY INSURANCE DA /13/DMWY) 4....-----4....----- 088/13/2018 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). PRODUCER CONTACT NAME: 360 Risk Management,Inc. PHONE 27500 Haggerty Rd Suite 740 WC,,No,LEaLFAX (248)3604100 I(Arc,r40):(248)305-5154 Northville,MI 48167 _ADOREss:Certs360rmi.com INSURERS)AFFORDING COVERAGE NAIC a INSURER A:Westchester Surplus Lines INSURED INSURERS:Selective Insurance Company 12572 The Dragun Corporation INSURER C: 30445 Northwestern HWY,Ste 260 INSURER D: Farmington Hills,MI 48334 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. jI TR NSR I TYPE OF INSURANCE INSDI WVDI POLICY NUMBER I POLICY EFF I SVDDYI IEXP I LIMITS A X I COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE I5 2,000,000 X CLAIMS-MADE OCCUR G24310243007 08/1312018 08/13/2019 DAMAGETOREMED IS 50,000 X X pREM15ES(Ea occurrence) MED EXP(Any one persanj I$ 5,000 PERSONAL&ADV INJURY{S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY j a LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: I$ B AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT 15 1,000,000 _(Ea accident) X S 2281156 08/13/2018 08/13/2019 BODILY INJURY(Per person? IS OWNED SCHEDULED AUTOSp�� ONLY �AUTOSSµy BODILY INJURY(Per wooden!) $ AIUi050NLY AUUTOS ONLY Jeer OPERTY modem)DAMAGE $ $ A UMBRELLA IAS X OCCURI EACHOCCURRENCE 5 3,000,000 X EXCESS UAB CLAIMS-MADE G24310280007 08/13/2018 08/13/2019 AGGREGATE $ 3,000,000 I DED I I RETENTIONS I I $ WORKERS COMPENSATION I STATUTE I I W- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5 OFFICER/MEMBER EXCLUDED? NIA I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 __ U yes.descnbeuper _ - DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addxlonal Remarks Schedule,may be attached it more space Is required) City of Salina Kansas is added as additional insured for liability with respect to the insured's operations where required by written contract. General Liability coverage is Primary and Non-Contributory when required by written contract Waiver of Subrogation applies to the General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Salina Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Martha A Tasker Director 300 W.Ash St. P.O.Box 0736 AUTHORIZED REPRESENTATIVE Salina,KS 67402 . 901-Pr ,./ D 1 r farg.p""'L ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ------INN DRAGCOR-01 APINKOWSKI ,acoRo CERTIFICATE OF LIABILITY INSURANCE DATE(Ne"°°"Y"' 1/4.,.—/ 08/17/2017 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(les)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 suchpendorsement(s). PRODUCER NAMTACT 360 Risk Management,Inc. PHONE Ax 2150 Haggerty Rd Suite 140 IIVC,�N�o,Ert)_ F (248)3604100 I(Alt,Nol:(248)305-5154 Northville,MI 48167 _komlll6ss:certs@360rmi.com INSURER(S)AFFORDING COVERAGE NAIC 4 INSURER A:Westchester Fire Ins CO 10030 INSURED INSURER B:Selective Insurance Company 12572 The Dragun Corporation INSURER c: 30445 Northwestern HWY,Ste 260 INSURER D: Farmington Hills,MI 48334 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INTR I TYPE OF INSURANCE INSDI WVOI POLICY NUMBER I�MMIDPODDDY/YYYYY1I IMAWDNYYY1 LIMITS A X I COMMERCIAL GENERAL LIABILITY2,000,000 _EACH OCCURRENCE S I X CLAIMS-MADE I I OCCUR X X G24310243006 08/1312017 08/1312018 DAMAGETORENTED 50,000 PREMISESTEaamnmKe) S MED EXP(Any one person) 1 S 5,000 PERSONAL BADV INJURY S 2,000.000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I S 2.000.000 1 POLICY Ta LOC PRODUCTS-COMP/PAGG S 2,000,000 OTHER: S B AUTOMOBILE LABILITY CEOaccidennit)WOLF LIMIT I S 1,000,000 ANY AUTO 5 2281156 0811312017 0811312018 BODILY I WURY(Per person)IS OWNED SCHEDULED AUTEEOO�S ONLY AUTOS �y�}� D BODILY INJURY(Per xrioent) S AIRTOS ONLY AUTOS ONLY _eeremdeennt)DIMAGE S I T, A X UMBRELLA UAB I X OCCUR I EACH OCCURRENCE S 3,000,000 IJ EXCESS AB I CLAIMS-MADE G24310280006 0811312017 0811312018 AGGREGATE $ 3,000,000 I DED I RETENTIONS I I _ I S _ WORKERS COMPENSATOR I I I STATUTE 10TH __ ANDEMPLOYERS'.LIABILITY — ANYICEfLMEIEIORJPARTNERR!EXCLUDE%ECUTNE IYINI NIA _ _— _ --I E.L.EACH ACCIDENT I S I ('Mandatory In NH) III[EEX.DISEASE-EA EMPLOYEE S It yes,desmbe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT I S DESCRIPTION OF OPERATORS I LOCATIONS I VEHICLES (ACORD 101,AddWonal Remarks Schedule,may be attached U more space Is required) City of Salina Kansas is added as additional insured for liability with respect to the insured's operations where required by written contract. General Liability coverage is Primary and Non-Contributory when required by written contract Waiver of Subrogation applies to the General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina Kansas . THE EXPIRATION DATE ACCORDANCE WITH THE OL HEREOF, PROVISIONSCE WILL BE DELIVERED IN Atm:Martha A Tasker Director 300 W.Ash St. P.0.Box 0736 AUTHORZED REPRESENTATIVE Salina,KS 67402 n I ACORD 25(2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A ® CERTIFICATE OF LIABILITY INSURANCE 8/19/2015 Y)PRO 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Carol Dragich NAME: g Mason McBride, Inc PA/CNNo.Extl: (248)822-7170 (A/c.No): (246)822-7150 3290 West Big Beaver Road #503 E-MAILS:cdragich @mason-mcbride.com P.O. Box 7 02 8 INSURER(S)AFFORDING COVERAGE NAIC# Troy MI 48007-7028 INSURERA:WeStChester Surplus Lines INSURED INSURER B:Frankenmuth Mutual Insurance 13 986 The Dragun Corporation INSURERC:Accident Fund Ins Co 10166 30445 Northwestern Hwy #260 INSURERD: INSURER E: Farmington Hills MI 48334-3129 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1581901961 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 TYPE OF INSURANCE INSR WVD LTR INSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 50,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ A X CLAIMS-MADE OCCUR G24310243 8/13/2015 8/13/2016 MEDEXP(Any one person) $ 5,000 X Pollution PERSONAL&ADV INJURY $ 2,000,000 X Professional GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 1 POLICY X PE� LOC $ AUTOMOBILE COMBINED SINGLE LIMIT UTOMOBILE LIABILITY (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED I SCHEDULED BA 0791156 8/13/2015 8/13/2016 AUTOS AUTOS _BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) Uninsured motorist combined $ 1,000,000 UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ 3,000,000 A x EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 3,000,000 DED X RETENTION$ 0 G24310280 8/13/2015 8/13/2016 $ C WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY T ORY I IMITS FR Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A WCV0189177 1/1/2016 1/1/2017 (Mandatory in NH) E .DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMI I I $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder is an additional insured on a primary and non contributory basis with a waiver of subrogation applying on the general liability but only with respect to the named insureds operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Salina Kansas The Public Entities Att: Martha A Tasker Director AUTHORIZED REPRESENTATIVE 300 W. Ash St. , PO Box 0736 Salina, KS 67402-0736 �— %�/r Scott McBride/CDRAG 7L%,-�'l` �« ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/19/2015 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Carol Dragich Mason McBride, Inc ? �+:�xt). (248)822-7170 FAX No): (248)822-7150 3290 West Big Beaver Road #503 ADDRESS.cdragich @mason-mcbride.com P.O. Box 7028 INSURER(S)AFFORDING COVERAGE NAIC# Troy MI 48007-7028 INSURERA:Westchester Surplus Lines INSURED INSURERB:Frankenmuth Mutual Insurance 13986 The Dragun Corporation INSURER C:Accident Fund Ins Co 10166 30445 Northwestern Hwy #260 INSURER D: INSURER E: Farmington Hills MI 48334-3129 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1581901961 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSR VD POLICY NUMBER IMM/DD/YYYY) IMM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 50,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ A X CLAIMS-MADE OCCUR G24310243 8/13/2015 8/13/2016 MED EXP(Any one person) _ $ 5,000 X Pollution PERSONAL&ADV INJURY $ 2,000,000, X Professional GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY I I PRO- JECT LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED BA 0791156 8/13/2015 8/13/2016 BODILY INJURY(Per accident) $ AUTOS ^ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS ^ AUTOS (Per accident) Uninsured motorist combined $ 1,000,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 3,000,0001 A x EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 3,000,000 DED X RETENTION$ 0 024310280 8/13/2015 8/13/2016 $ C WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A 1/1/2015 1/1/2016 (Mandatory in NH) WCV0189177 E.L.DISEASE.-EA EMPLOYEE $ 1,000,000 -Ifyes-describe-under ----- -- ----------— --- - -- – -- _ - -- - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder is an additional insured on a primary and non contributory basis with a waiver of subrogation applying on the general liability but only with respect to the named insureds operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Salina Kansas ACCORDANCE WITH THE POLICY PROVISIONS. The Public Entities Att: Martha A Tasker Director AUTHORIZED REPRESENTATIVE 300 W. Ash St. , PO Box 0736 Salina, KS 67402-0736 Scott McBride/CDRAG ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD DRAGU-1 OP ID: CD ACORO" DATE(MM/DD/YYYY) c CERTIFICATE OF LIABILITY INSURANCE 08/07/14 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 certificate holder in lieu of such endorsement(s). PRODUCER CT 248-239-6100 NAME: A.0.Underwriters,Ltd. 248-239-6105 PHONE FAX 2285 N.Opdyke (A/C,No,Ext): (A/C,No): Auburn Hills,MI 48326 E-MAIL Tony Oestereicher CPCU LIC ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Accident Fund Company 10166 INSURED The Dragun Corporation INSURER B:Westchester Surplus Lines Ins. 30445 Northwestern Hwy#260 INSURER C:Frankenmuth Insurance Company 013986 Farmington Hills, MI 48334-3129 INSURER D: INSURER E: INSURER F: —COVERAGES--- ----- CERTIFICATE-NUMBER:--- ---- - ---- -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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 B X COMMERCIAL GENERAL LIABILITY G22060405 08/13/14 08/13/15 DAMAGES( RENTED 50,000 PREMISES(Ea occurrence) $ X CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 X Cont Poll/Profess GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO JECT .. LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT- 1,000,000 (Ea accident) C X ANY AUTO BA 0791156 08/13/14 08/13/15 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ • AUTOS AUTOS • NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ 3,000,000 B X EXCESS LIAB X CLAIMS-MADE G22060417 08/13/14 08/13/15 AGGREGATE $ 3,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION X WC STATU- 0TH- AND EMPLOYERS'LIABILITY TORY LIMITS ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE WCV0189177 01/01/14 01/01/15 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A — (Mandatory.in-NH)._-- _ ^_._ __ _ _ _ ___^_ _- -_ E.L.DISEASE-EA EMPLOYEE $ 1,000,000— If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B leased/Rented CPP791156 08/13/14 08/13/15 30,000 Equipment DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder is an additional insured on a primary and non contributory basis with a waiver of subrogation applying on the general liability but only with respect to the named insureds operations. CERTIFICATE HOLDER CANCELLATION CITYOFS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. The Public Entities Att: Martha A Tasker Director AUTHORIZED REPRESENTATIVE 300 W.Ash St., Box 0736 Salina, C a, Salina, KS 67402-0736 736 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD