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Insurance /-.... SPORE-1 OP ID: BC ACOKO CERTIFICATE OF LIABILITY INSURANCE DATE 04/07/2014Y) 04/07/2014 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.I 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 lied of such endorsement(s). • ,--- -- -- -_ - -- - -- - ... , .. .. PRODUCER..• _ _ __ _--- - —_ ._ . Campbell-Insurance enc l NAME:. I .T:'.,:�:'__>; rs'—"' .�,, ,_,• P 9 y I r PHONE Oakley,KS•67748 - - H 1 ' I E-MAIL _____ __ - _._.._ -- _ ADDRESS: INSURER(S)AFFORDING COVERAGE . . ,. 'NAIL 0 - ' - - • -- • INSURER A:Employers Mutual Companies - -- -T-- - 21415- INSURED Sporer Land Development, Inc. INSURER B: PO Box 246 Oakley, KS 67748 INSURER C: INSURER D: INSURER E INSURERF: - 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. 1LTRI TYPE OF INSURANCE I IASRI WV() POLICY NUMBER '(MMJDD/YYYYI I(MM//DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE I $ 1,000,000 A I X I COMMERCIAL GENERAL LIABILITY X X 3X40815 06/25/2013 06/25/2014 DAMAGETO RENTED PREMISES_LEe occurrence) I E 250,000 I I CLAIMS-MADE X OCCUR MED EXP(Any one person) I S 5,000 X 'Contractual Liab INCLUDED - PERSONAL 8ADV INJURY- I$ 1,000,000 GENERAL AGGREGATE - -IS 2,000,000 I GENT AGGREGATE MIT APPLIES PER: —' - I-PRODUCTS-COMP/OPAGG I-s '2,000,000 POLIOY i jRa:::T7-.11 1-1 LOC _ 1C, . .. . AUTOMOBILE LIABILITY.0;17, '-=T- -_.___ -_ __ COMBINED SINGLE LIMIT. •_ - L{Ea accident) _I$' 1,000,000 A ('X.1.-ANY AUTO _._.._ _ X. X 3E40815_.--- , --06/25/2013 06125120141-BODILYINJURY(Per person)--S ---'^ ALL OWNED rii SCHEDULED - .Affi05. 1t,;•.• AUTOS t 1 - l 1 •(;BODILY INJURY(Per accia--. - - NON-OWNED PftOPE ACCIDENT) E• HIRED AUTOS AUTOS - - - - PER ACCIDENT) . '•s - •- 5 IX I UMBRELLA UAB X I OCCUR I EACH OCCURRENCE I$ 10,000,000 A-'1 I EXCESS UAe I I CLAIMS-MADE X X 3X40815 06125/2013 06/25/2014 I AGGREGATE I S . I I DED I X I RETENTIONS 100001 I I s WORKERS COMPENSATION I X I WC STATU- OTH- AND EMPLOYERS'UABIUTY TORYLIMQS I I ER I A ANY PROPRIETORPARTNERIEXECUTNE V N 3X40815 06/25/2013 06/25/2014 I E.L.EACH ACCIDENT I S 500,00C OFFICERRAEMSER EXCLUDED? N I A _ (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE S 500,000 B yes.describe under _ __ - - _ _ - - - -DESCRIPTION OF OPEPAI IONS below - -- I - I - I E.L.DISEASE-POLIC/LIMIT i? 500,000( A (Equipment Float 3X40815 06/25/2013 06/25/2014 see desc DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additlonal Remarks Schedule,if more space Is required) Salina Landfill Cell 19 Construction Project No. 14-3022 Comprehensive general liability includes operations, broad form property drag, completed operations, . independent contractors & contractual liaiblity. CERTIFICATE HOLDER CANCELLATION CITYSA1 I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SCS Aquaterra Dan Stack AUTHORIZED REPRESENTATIVE 300 W Ash Street, P.O. Box 736 Salina, KS 67401 - C �a -' (�,7_ e/_�"_/ 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD