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Certificate of Insurance
P-.. A A s CERTIFICATE OF LIABILITY INSURANCE 07/29/20 v THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS El 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 r•+ 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. rt 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 Gg0H64724 1-913-982-3650 CONTACT Lynne Cox r- IMA, Inc. (HB Kansas Division) PHONE FM r- IAJCJfo.End: INC,No): > 51 Coorete woods AWp SS; lyme.coX@imaCorp.com Z rp 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDINGCOVERAGE NA/Cs Overland Park, RS 66210 INSURER A: CINCINNATI INS CO 10677 INSURED INSURER B: TRAVELERS CAB a SURETY CO OP AMER 31194 Rev Valley Engineering, Inc. INSURER C: 2319 North Jackson Street INSURER D: INSURER E: Junction City, RS 66441 INSURER F: COVERAGES CERTIFICATE NUMBER:56827922 REVISION NUMBER: - - -THIS'ISTO CERTIFY THAT THE POLICIES OFINSURANCE'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICYPERIOD- ' 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. • LTRTRI TYPE OF INSURANCE ?NMtAMR wyYDI POLICY NUMBER I(MMNCYDIYYYY)I(M VUT DCDIYIXYYT)I LIMITS A X COMMERCIAL GENERAL LIABILITY EPP0538086 06/01/19 06/01/20 EACHOCCURRENCE If 1,000,000 CIASMADE n PREOCCUR PREMISES MISES((Ea $ W500,000 RELATE MED EXP(A,y me perm) f 10,000 PERSONAL SADV INJURY 1$ 1,000,000 GENI AGGREGATE NMN APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY n lei n LOC PRODUCTS-COMP,OP AGG $ 2,000,000 'OTHER: If A AUTOMOBS.ELIABem EPP0538086 06/01/19 06/01/20 COMBINEDeSIGLEUMIT If 1,000,000 X MY AUTO BODILY INJURY('er penin) II OWNEDUTOSONLY AUTOS SCHEDULED BODILY INJURY(Per aadenfl5 HIRED NON-OWNED PROPERTY DAMAGE R AUTOS ONLY E AUTOS ONLY (Per ecoden0 i s I s A R UMBRELLAUAB E ocruR BPP0538086 06/01/19 06/01/20 FACHoeouRRENCE Is 7.000,000 EXCESS'JAB CLAIMS-100E AGGREGATE If 7,000,000 I DED 'X I RETENTION s 10,000 1$ A wDRNERe coMPExsATrox BNC0538227 06/01/19 06/01/20 I RI WAITVTE I IER I AND EMPLOYERS'LIABILITY 11 NVYPROPRIETORR XCLUDEEXECUTNE N NIA EL EACH ACCIDENT If 1,000,000 OFFICER/MEMBEREXCLUDED7 (Madatoryto NH) �E.L DISEASE-EA EMPLOYEE'S 1,000,000 ye DESCRIPTION OOF OPERATIONS be'.ov E.L DISFA F-POLICY LLWT 111,000,000 B Professional Liability 105327070 08/08/19 08/08/20 Bach Claim 3,000,000 Aggregate 3,000,000 B Pollution Liability 105327070 08/08/19 08/08/20 See Attached DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddSto,al Remarks Schadule,may Ds scathed II more epees Is neulnd) RB: Srloky Hill River Renewal, City of Salina, Kansas EVE Project 131701693, 31731693 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Martha Tucker 300 N Ash AUTHORIZED REPRESENTATIVE Salina, RS 67401 I USA ®1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Rkloiber 56827922 P5MAU1&p1 Kaw Valley Engineering,Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY ENDORSEMENT—WITH PRIMARY OTHER INSURANCE AND VICARIOUS LIABILITY COVERAGE This endorsement changes the following: a Design Professionals Liability Coverage It is agreed that: 1. The following replaces section IV.DEFINITIONS,J.Insured: Insured means any Insured Person, Named Insured, Predecessor Firm, or Described Client. 2. The following replaces section IV.DEFINITIONS,Y.Wrongful Act: Wrongful Act means any: 1. actual or alleged act, error, omission, or Personal Injury Offense in the rendering of or failure to render Professional Services; 2. Network and Information Security Offense;or 3. Pollution Incident, by any Insured,or by any person or entity, including any joint venture,for whom the Insured is legally liable. 3. The following are added to section IV. DEFINITIONS: Bodily injury means harm to the physical health of other persons, including sickness or disease, mental anguish, injury,illness,emotional distress,loss of services,or death. Described Client means any client of a Named Insured, but only for any Claim that is caused by a Wrongful Act that is a Pollution Incident resulting solely from the operations of the Named Insured or any person or entity for whom the Named Insured is legally liable; provided that there is a written agreement, in effect at the time of the Pollution Incident, requiring that such Described Client be named as an Insured in the Named Insured's insurance policy for Claims based upon or arising out of pollution. Hostile Fire means a fire that becomes uncontrollable or breaks out from where it was intended to be. Mobile Equipment means any of the following types of land vehicles, including attached machinery or equipment: 1. Bulldozers,farm machinery,forklifts, and other vehicles designed for use principally off public roads. 2. Vehicles maintained for use solely on or next to premises the Insured owns or rents. 3. Vehicles that travel on crawler treads. 4. Vehicles,whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: a. Power cranes,shovels, loaders,diggers,or drills;or b. Road construction or resurfacing equipment such as graders,scrapers,or rollers. • 5. Vehicles not described in 1., 2., 3., or 4. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types: a. Air compressors, pumps, and generators, including spraying, welding, building cleaning, geo-physical exploration, lighting, and well-servicing equipment;or b. Cherry pickers and similar devices used to raise or lower workers. 6. Vehicles not described in 1., 2., 3., 4., or 5. above maintained primarily for purposes other than transportation of persons or cargo. Pollution means any actual, alleged, or threatened discharge, dispersal, escape, migration, release, or seepage of any Pollutant. Issuing Company: Travelers Casualty and Surety Company of America Policy Number. 105327070 DPL-2019 Rev.04-18 Page 1 of 2 ©2018 The Travelers Indemnity Company.All rights reserved. %W4 61A: Kaw Valley Engineering,Inc.F. Pollution Incident means any actual, alleged, or threatened discharge, dispersal, escape, migration, release, or seepage of Pollutants into or upon the land or structures thereupon, the atmosphere or any watercourse or body of h water,which results in Bodily Injury or Property Damage. Pollutant means any solid, liquid,gaseous,or thermal irritant or contaminant, including: 1. smoke,vapors,soot,fumes; 2. acids,alkalis,chemicals;and 3. waste,including materials to be recycled, reconditioned,or reclaimed. r- Pollutant does not include smoke,vapors,soot,or fumes from a Hostile Fire. 'z Property Damage means: 1. physical injury to tangible property,including all resulting loss of use of such property;or 2. loss of use of tangible property that is not physically injured. 4. The following is added to section V.EXCLUSIONS: Pollution,or Ownership or Use of Automobiles,Aircraft,or Watercraft at Certain Locations This policy does not apply to any Claim based_upon or arising out any of the following on projects where the Insured is responsible for construction,erection,fabrication,or remediation: 1. Pollution at, on, in,or from any property or facilities that were at any time owned or rented by the Insured or by any entity in joint venture with the Insured. 2. Ownership, maintenance, use, operation, loading, or unloading of any automobile, aircraft, watercraft, or rolling stock, provided that this exclusion will not apply to the ownership, maintenance, use, operation, loading,or unloading of any Mobile Equipment. 5. The following replaces section VI.CONDITIONS, B. OTHER INSURANCE: This policy will apply only as excess insurance over, and will not contribute with, any other valid and collectible insurance available to the Insured, including any insurance under which there is a duty to defend, unless such insurance is: 1. written specifically excess of this policy by reference in such other insurance to this policy;or 2. issued to a Described Client. This policy will not be subject to the terms of any other insurance. When such other insurance available to the Insured has been issued for a specific project or projects, this policy will not respond until the limit of liability of such other insurance, whether such other insurance is stated to be primary, contributory,excess, contingent,self-insured or otherwise, has been exhausted. When such other insurance available to the Insured is issued to a Described Client, this policy will apply as primary insurance for any Claim covered by both this policy and such other insurance. For such Claims,the insurance issued to the Described Client will apply as excess over, and will not contribute with, the insurance available under the policy. Nothing herein contained shall be held to vary, alter, waive, or extend any of the terms, conditions, exclusions, or limitations of the above-mentioned policy, except as expressly stated herein. This endorsement is part of such policy and incorporated therein. DPL-2019 Rev.04-18 Page 2 of 2 0 2018 The Travelers Indemnity Company.All rights reserved. . IIIIIIIIIIIIIIIIII, i. AU CERTIFICATE OF LIABILITY INSURANCE 07/29/2019" 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 -4- REPRESENTATIVE 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. CI H 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 CA10564724 1-913-982-3650 CONTACT Lynne Cox x IMA, Inc. (NE Kansas Divi Bion) PHONE FAX r- (NC No Eau INC,No): > 51 Corporate Woods CRESS: lynne.cox@imacorp.com n. 9393 W. 110th Street, Suite 600 INSURER(S)AFFORUINGCOVERAGE MACS Overland Park, 158 66210 INSURER A:CINCINNATI INS CO 10677 INSURED INSURERS: TRAVELERS CAS & SURETY CO OF ABER 131196 Raw Valley Engineering, Inc. INSURER C: 2319 North Jackson Street INSURERD: INSURERE: Junction City, R8 66441 INSURERF: I COVERAGES CERTIFICATE NUMBER:56828322 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. INSLTRRI TYPE OF INSURANCE IINTO I,WVBOR POLICY NUMBER IIMWDD,O,Yrrn IMMNDIYY MITI LIMITS A E COMMERCIALGENERALLIABa3TY EPP0538086 06/01/19 06/01/20 EACHOCWRRENCE IS 1,000,000 (� eaDAMAGE TO RENThD _CLAIM&LMDE I I OCCUR PREMISEstEaurena) S 500,000 (Any ryooa person) $ 10,000 PERSONALBADVINJURY f 1,000,000 GEN[AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2.000,000 POLICY r1 J�ECT r1 LOC PRODUCTS•COMP,OP AGG f 2,000,000 OTHER: S A AUTOMOBILE I MAR ny EPP0538086 06/01/19 06/01/20 C�OaueINEDm,WGLE LIMR S 1,000,000 % ANY AUTO BODILY INJURY O'er pmaai) If OWNED SCHEDULED HIREDNLY I AUTOS BODILY UJJURY(Pm aaidad) f HIRED AUTNOWOWNED PROPERTYDAMAGE S AUTOS ONLY AUTQ9OMY (Pmmndm0 S A X uMBRELLALIA6 X OCCUR EPP0538086 06/01/19 06/01/20 EACHOCCURRENCE I$ 7.000,000 EXCESSLIAB CLAIMSMADE AGGREGATE f 7,000,000 IDED IX I RETENTIONS 10,000 I IS A woRNERS COMPENaAtroN EWC0538227 06/01/19 06/01/20 RI STATUTE I ER I R ANDENMOYERTUABILY ANYPROPPIETORIPARTNER:EXECUTIVE YIN NIA E.L.EACHACCIDENT S 1,000,000 OFFICERmENBEREXf1UDEDi ` Bbaast OnN10 EL.IVCFACF-EAEMPLOYE S 1,000,000 Byp,dmolbemMm 1,000,000 DESCRIPTION OF OPERATIONS bekw E.L DISEASE-POLICY LIMITI S B Professional Liability 105327070 08/08/19 08/08/20 Bach Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD tel,AGmBmIM Remarks Schedule,may be eexMd Been Spate IS rewind) RE: Project: Greeley Avenue Bridge Replacement; EVE Project 8A16D7119 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 300 W. Ash Street AUTHORREDREPRESENTATME Salina, AS 67402-0736 _ I USA 611988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Rkloiber 56828322 P526M2/032 T. AC`�RID° CERTIFICATE OF LIABILITY INSURANCE of 9/20 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 60.4 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 'Si BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. F. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. v H 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 CA$0H64724 1-913-982-3650 CONTACT Tr NAME: Lynne Cox r IIA, Inc. (NE Kansas Division) PHONE FAX r- INC No Eat INC.Nol: > 51 Corporate woods ADDIS SS: Lynne.cox@imacorp.cam Z 9393 W. 110th Street, Suite 600 INSURERIS)AFFOROINOCOVERAGE I NAM/ Overland Park, KS 66210 INSURER A:CINCINNATI INS CO 10677 INSURED INSURER B:TRAVELERS CAS & SURETY CO OF ANHR 31194 Kew Valley Engineering, Inc. INSURER C: I 2319 North Jackson Street INSURERD: INSURER E: Junction City, ES 66441 INSURER F: I COVERAGES CERTIFICATE NUMBER:56828557 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING-ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS .' — _. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ORTYPE OFI SURANCE INSO p PO CY NVYBER I MMsVDIYTFY IIIWDDIIT Y I UNITS A E I COMMERCIALGENERALLIABDNY EPP0538086 06/01/19 06/01/20 EACH OCCURRENCE If 1,000,000 CLAIMS-MADE iii OCCUR DAMAGE TO RENTED PREMISES(Ea NTED ) IS 500,000 --- MED EXP(Any one dor) I$ 10,000 — PERSONAL S ADV INJURY If 1,000,000 GEN.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 2,000,000 — POLICY I E I hG [1 LOC PRODUCTS-COMP,OPAGG $ 2,000,000 OTHER S A AIROYOBREOABSJIY EPP0538086 06/01/19 06/01/209.BNEDISINGLE LIMIT If 1,000,000 I ANY AUTO B000.Y INJURY O'n pew) $ OWNED SCHEDULED BODI.YSOURY(Praoded) f AUTOSONLY AUTOS HIRED NONOWNED PROPERTYDAMAGE �S AUTOS ONLY AUTOS ONLY (Per accident) I I $ A J UMBRELLA LIAR I Z OCCUR I EPP0538086 06/01/19 06/01/20 EAC110CCURRENCE Is 7,000,000 I EXCESS LIAR I—CLAWS-MADE AGGREGATE I f 7,000,000 I DED I X I RETENTN)Nf 10,000 I IS WORNERSCOYPENSATNJNPERUT0TH A ENC0538227 '06/01/19 06/01/20 I X C STATE I (ER I ANDEMPLOYERTUA90JTY Y IN ANYPROPRIETOWPARTNERIEXECUTNE Q NIA EL.EACH ACCIDENT I$ 1,000,000 OFFICERNEMBERE CLUOEDT (Sanatory In NH) E1 DISEASE-EA EILQLOYEEI$ 1,000,000 dye, DESCRIPTION OF OPERATIONS Naha E1.DISEASE-POLICY LIMIT I$ 1,000,000 B Professional Liability 105327070 08/08/19 08/08/20 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,AddlUmul Rnvts Schedule,may be s thed N mon space M r.Rubsd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POUCY PROVISIONS. 300 W. Ash Street AUTHOR®REPRESENTATIVE Salina, ES 67402-0736_ I USA 651988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Rkloiber 56828557 msmnt el ACORD® CERTIFICATE OF LIABILITY INSURANCE 07/29/2019 0 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. e 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). PaoWCER G40E66736 1-913-982-3650 CONTACT ACT Lynne Cox oc DLL, Inc. (NE Kansas Division) PHONE - FAX o- WC No Est- INC.Not: > E-MAILlynne.COXQizaCorp.COm Z 51 Corporate Woods ADDRESS: 9393 N. 110th Street, Suite 600 INSURER(s)AFFORDING COVERAGE I NNCI Overland Park, RB 66210 INSURER A:CINCINNATI INS CO 10677 INSURED INSURER B:TRAVELERS CAS & SURETY CO OP AMER 31194 Ear Valley Engineering, Inc. INSURER t: 2319 North Jackson Street INSURER D: INSURER E: Junction City, KS 66441 INSURERF: COVERAGES CERTIFICATE NUMBER:56828577 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,TERMOR 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. Dail I TYPE OF INSURANCE WEIR NSD INVD POLICY NUMBER I IMWuOYIDDYI/EFF YI I IMWVDIYYE�YY)I UNITS A E COMMERCIAL GENERRALLMBKM EPP0538086 06/01/19 06/01/20 !EACH OCCURRENCE I$ 1,000,000 CLAIMS-MADE I ALI PRE MET OCCUR PRISES(Eao ARENTmenmJ I S 500,000 MED EXP(Arty ono cease) Is 10.000 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F11221 E LOC PRODUCTS•COMPA]PAGG I$ 2,000,000 OTHER IS A AUTOMOBAE LJABRITY EPP0538086 06/01/19 06/01/20 COMBINaccklenED SINGLE 11MR I$ 1,000,000 E ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Pr ecddmt) $ fEs AUTOS ONLY AUTOS HIRED O NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY I(PW amde,ltl IS Is A X UMBRELLA UAB X OCCUR EPP0538086 06/01/19 06/01/20 EACHOCCURRENCE If 7.000,000 EXCESS LMB CLAIMS-MADE AGGREGATES 7,000,000 DED I S I RETENTON S 10,000 I S WORKERS COMPENSAnON j PER 10TH- 1 YIN ENC0538227 06/01/19 06/01/20 I RUDEI IER AND EMPLOYERS'UA9IRY ANPROPRIETORNARTNERIFXECUTIVE Cl NIA El.EACH ACCIDENT If 1,000,000 OFFICER/AEMBEROCCLLDED/ (Malkatoryln NH) El rocFScF-EA EMPLOYEEIf 1.000,000 II yea,dewdly OFunder OPERATIONS OF OPERATIONS Eebo. DISEASE DISSE•POUCY LIMIT I$ 1,000,000 B Professional Liability 105327070 08/08/19 08/08/20 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATORS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached U man space la required) RR: Salina Loire Station Bl, EVE Project 51000205 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POUCY PROVISIONS. Attn: Dion Louthan • PO Box 736 AUTHORIZDREPRESENTATIVE • Salim, Re 67402-0736 I USA ®1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Rkloiber 56828577 FPSIHNHAD ACORD7 CERTIFICATE OF LIABILITY INSURANCE DATE "roe°730/ 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 t- REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. p IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. N 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 CA40B64724 1-913-982-3650 CONTACT NAME: DIA, Inc. (MM Kansas Division) PHONE FAX `C INC.Ne Exit UMC.Not 51 Corporate woods ADp mS: lyase.coxeimacorp.cam Z 9393 M. 110th Street, Suite 600 INSURER(s)AFFORDS,*COVERAGE MAKe Overland Park, K8 66210 NEWER*: TRAVELERS CAB 4 SDRBTY CO OP Affil 31194 YWmW INSURER B: Kar Valley Engineering, Inc. INSURER C: 2319 North Jackson Street INSURER 0: INSURER E: Junction City, XS 66441 MMSURERF: COVERAGES CERTIFICATE NUMBER:53534765 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 CONDIT)ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADM SUS& POLICY EFF POLICY EITP LAIR TYPE OF INSURANCE NSD VNI) POLICY NUMBER (YYADIyyyyl INIMN in'n) 11Y(f8 COMMERCIAL GENERAL LIABLNN EACH OCCURRENCE S WAKETOTtEr OCCUR PRFNccS lEs omnaNsl S MED EXP(Arty ms Paean+ S PERSONAL A ADV WARTY S GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S RP PPOLICY ,(ECT n LOC PRODUCTS-COMP/OP AGG S OTHER S AmOYDBDE IIeBILIN COMBINED SINGLE WAIT 1 Me strident) ANY AUTO BODILY INJURY(Pa Pasco) S ALL OWNED SCHEDULED BODILY INJURY(Pd attidad S AUTOS —AUTOS NU HIRED AUTOS _ AUTOS Per )en DAMAGE UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAS CIAIMSMADE AGGREGATE S DED RETENTIONS M WORKERS CONPENSATgN PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPILETC&PPRINEWEXECUTNE I�MIA El EACH ACCIDENT S OFFN:EWMEImER EXCLUDED? f (MyamWWY N NH) El DRFISF-EA EMPLOYEE S bOESSCRIToNI.OF OPERATIONS below El DISEASE-POLICY Lam S A Professional Liability 105327070 08/08/18 08/08/19 Each Claim 3,000,000 Policy Aggregate 3,000,000 DESCRIPTI0N OF 0PERAD0143 I LOCADONS I VEHICLES(ACORD let Additional Ramat SsaM,4.may b aaNad If ewe yen Is regntlsd) BE: City of Salina, Kansas, Police Firing Range, KVE Project C1508251 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: Shands Wicks P0 Box 736 AUTHORIZED REPRESENTATIVE Salina, XS 67402-0736 OSA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD lynnecox 53534765 TE NYTY A`ORO® CERTIFICATE OF LIABILITY INSURANCE DA6 (MWDD e ) 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 Jessica White NAME:NTA Coryell Insurors, Inc. PHONE Eat). (785)238-5117 I tQ No):(785)238-1647 120 West 7th Street E-MAIL essica@co ellc.con ADDRESS:3 3 PO Box 580 INSURERS)AFFORDING COVERAGE HMG Junction City KS 66441 INSURER A:Hartford - Commercial INSURED INSURER 8: Kaw Valley Engineering Inc. INSURER C: P. 0. Box 1304 INSURER D: INSURER E: I Junction City KS 66441 ' INSURER F: —1 — COVERAGES CERTIFICATE NUMBER:CL186102991 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 8Y 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. ILTRRI TYPE OF INSURANCE I N p 151yyp I POLICY NUMBER I IMMIDDYIYYYYI I(MMIDDYEXP IYYYYI I OMITS X I COMMERCIAL GENERAL LIABILITY L EACH OCCURRENCE S 1,000,000 A I I CLAIMS-MADE X OCCUR I DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) S I X 37UUN AQ2513 6/1/2018 6/1/2019 MED EXP(Any one person) S 10,000 PERSONAL SADV INJURY 5 1,000,000 GENE AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S 2,000,000 X IPOLICY IJEC LOC PRODUCTS-COMP/OPAGG 5 2,000,000 OTHER' I 5 AUTOMOBILE LIABILITY I COMBcdaINI ED SINGLE LIMIT $ 2,000,000 (Ee aern) A X ANY AUTO [BODILY INJURY(Per person) IS ALL OOWNED ni SCHEDULED AUTOS I AUTOS X 37 UEN ZT3058 6/1/2018 6/1/2019 BODILY INJURY(Per accident)I 5 X HIRED AUTOS I X AUTOS ED PROPERTY accident) AGE _(PS I Uninsured motorist 81-single I S 1,000,000 UMBRELLA UAB I OCCUR EACH OCCURRENCE IS 4,000,000 A I EXCESS UAB I CLAIMS-MADE AGGREGATE IS 4,000 000 I DED I I RETENTIONS I 37 WE CD4746 6/1/2018 6/1/2019 I IS WORKERS COMPENSATION I STATUTE I 10TH I AND EMPLOYERS'LIABIUTY YIN I+ ANY PROPRIETOR/PARTNER/EXECUTIVE I EL EACH ACCIDENT I5 1,000,000 A OFFICER/MEMBER EXCLUDED? ( ( NIA (Mandatory In NH) 37 WE CDd746 6/1/2018 6/1/2019 E.L.DISEASE-EA EMPLOYEE S 1,000,000 I DESCRIPTION OF OPERATIONSN OF below I I I ESI I E.L.DISEASE-POLICY LIMIT 15 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) City of Salina, Kansas, Police Firing Range KVE Project C15G8251 It is agreed The City of Salina, Kansas, its agents, representatives, officers, officials, and employees are hereby named as Additional Insured with respect to General Liability and Automobile Liability or any other as required by contract on a primary and non-contributory basis. Waiver of Subrogation as enforceable by Kansas State Law. 30 day cancellation clause applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, KS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I At:t:n: Shandi Wicks ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina, KS 67402-0736 AUTHORIZEDREPRESENTATNE 1A. .) ! ©1988-2014 A . RD CORP RATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACOR INS025(201401) A CERTIFICATE OF LIABILITY INSURANCE DATE6/1/2018WD ) 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 Jessica White NAME: COryell Insurors, Inc. PHONE No EIt), (785)238-5117 I( No):(785)238-1647 120 West 7th Street EMAIL •ADDRESS:3 essica@co ell3c.com PO Box 580 INSURER(S)AFFORDING COVERAGE NAIL e Junction City KS 66441 INSURERA:Hartford - Commercial INSURED INSURER B: Kaw Valley Engineering Inc. INSURER C: i P. 0. Box 1304 INSURER D: INSURER E: Junction City KS 66441 INSURERF: — __ COVERAGES CERTIFICATE NUMBER:CL186102991 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 EXP LTRI TYPE OF INSURANCE IANSO ISWVDI POLICY NUMBER I(MMIDDY/YYYY)EFF7I(MWDDDYIYYYY)I LIMITS I X I COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 5 1,000,000 A I I I CLAIMS-MADE I X I OCCUR I PRA MSES(EaENTEoccuence ) 5 300,000 37UUN A02513 6/1/2018 6/1/2019 MEDEXP(Anyoneperson) $ 10,000 IPERSONAL 8ADV INJURY 5 1,000,000 I GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY PRO- W X JECT F LOC PRODUCTS-COMP/OP AGG 5 2,000,000 I I OTHER: I 5 AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 2,000,000 (Ee_eccbemk A X I ANY AUTO I BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 37 UEN ZT3058 6/1/2018 6/1/2019 I BODILY INJURY(Per accident) 5 I I AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X I HIRED AUTOS AUTOS (Per accident) 5 ElUninsured motorist BI-sidle $ 1,000,000 A IUMBRELLA UAB I I OCCUR I EACH OCCURRENCE S 4,000,000 EXCESS UAB I I CLAIMS-MADEI I AGGREGATE $ 4,000 000 I I DED I I RETENTIONS I 37 WE 04746 6/1/2018 6/1/2019 I $ _ ON AND EMPLOYERS'LIABRKERS ILITY I =rum I I EERH YIN ANY PROPRIETOR/PARTNER/EXECUTIVE El.EACH ACCIDENT 5 1,000,000 A OFFICER/MEMBER EXCLUDED? I� N/A , (Mantlatory in NH)_ 37 WE 04746 6/1/2018 6/1/2019 IEL.DISEASE-EA EMPLOYEE 5 1,000 000 _ — --It yesrde to under DESCRIPTION OF OPERATIONS below I I I I I E L DISEASE-POLICY LIMIT I S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may Be attached It more space is required) Oakdale Park Survey Agreement CERTIFICATE HOLDER CANCELLATION jarolyn.gels t@salina.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Office ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina, KS 67402-1736 AUTHORIZED REPRESENTATNEj, jp fI, ©1988-201 ACORD CPORA All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of AC RD INS025(201401) A�® CERTIFICATE OF LIABILITY INSURANCE DAT/MWDD e ) 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 Jessica White NAME: Coryell Insurors, Inc. -(q/�,HONE (785)238-5117 ox,No):FAX (765)238-1647 120 West 7th Street AD RE55:Je5Sica@coryelljc.com PO Box 580 INSURER(S)AFFORDINGCOVERAGE NAIL. Junction City KS 66441 INSURER A:Hartford - Commercial INSURED INSURER B: Kaw Valley Engineering Inc. INSURER C: P. 0. Box 1304 INSURER D: INSURER E: _r Junction City KS 66441 INSURERF: . - - -- - - - - ---- —)-- --- - COVERAGES CERTIFICATE NUMBER:cL186102991 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. ILTR I TYPE OF INSURANCE IINSD ISYND I POLICY NUMBER I IMM/DDY!YYYY)EFF I IMMIDOY/YYYYI EXP I LIMITS I X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A I I _ CLAIMS-MADE I X I OCCUR I DAMAGE SO RENTED 300,000 PREMISES(Ea occurrence) $ I37UUN AQ2513 6/1/2018 6/1/2019 MED EXP(Any one person) $ 10,000 PERSONAL 8.ADV INJURY $ 1,000,000 I GEM_AGGREGATE LIMIT APPLIES PER • • GENERAL AGGREGATE $ 2,000,000 IGEr POLICY JET I I LOC PRODUCTS-COMP/OPAGG 5 2,000,000 I I OTHER' 5 I AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT I5 2,000,000 _tEaI X I ANY AUTO BODILY INJURY(Per person) I$ A IALL OWNED SCHEDULED 37 UEN ZT3058 6/1/2018 6/1/2019 BODILY INJURY(Per accident!5 I AUTOS AUTOS I X I HIRED AUTOS X AUTOS ED PPer acRMera)TY AGE IS I I Uninsured motorist BI-sino!e I $ 1,000,000 II UMBRELLA DAB OCCUR EACH OCCURRENCE I$ 4,000,000 A I I EXCESS UAB I I CLAIMS-MADE AGGREGATE Is 4,000,000 I I DED I IRETENTIONS 37 WE CD4746 6/1/2018 6/1/2019 I$ WORKERS COMPENSATION I STATUTE I IFR"- I AND EMPLOYERS'LIABILITY y/N ANY PROPRIETOR/PARTNERIEXECUTIVE EL EACH ACCIDENT IS 1,000,000 A OFFICER/MEMBER EXCLUDED? I I N/A _ (MandatoryInNH) _ _37 WE 04746 _ _6/1/2018 6/1/2019_I_E.L.DISFASE-EA EMPLOYEES 1,000,000. — IDESCRIPTION uOF OPERATIONS below I I I I 1 E.L.DISEASE-POLICY LIMIT 15 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Iron Avenue Project CERTIFICATE HOLDER CANCELLATION jarolyn.geist@salina.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina, KS 67402-0736 AUTHORIZED REPRESENTATNE / / / ©1988-2014 AC e-D COR'ORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACOR• INS025(201401) A CERTIFICATE OF LIABILITY INSURANCE DAT/MM2OYB 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 Jessica White NAME: Cot-yell Insurors, Inc. -(nC.NE„Enp (785)238-5117 I(re No:(785)238-1647 120 West 7th Street E-MAIL •ADDRESS:O e39iCd@CO ellJC.Com PO Box 580 INSURER(S)AFFORDING COVERAGE NAIC II Junction City KS 66441 INSURERA:Hartford - Commercial INSURED INSURER B Kaw Valley Engineering Inc. INSURER C: P. 0. Box 1304 INSURERD: INSURER E: Junction City KS 66441 INSURER F: COVERAGES CERTIFICATE NUMBER:C1186102991 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. • ILTR I TYPE OF INSURANCE I Nqp Isyyyp I POLICY NUMBER I(MMIDDTYYYYY EFF I I IMMIDDfl'YYYy )I LIMITS X I COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 15 1,000,000 cE To RENTED A l I CLAIMS-MADE X OCCUR I PREMISES(Es occurrence) I$ 300,000 I�FI X 37UUN A02513 6/1/2018 6/1/2019 MED EXP(Any one person) I5 10,000 PERSONAL BADV INJURY IS 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 15 2,000,000 I�POLICY PRO- I I LOC PRODUCTS-COMP/OPAGG I$ 2,000,000 I I OTHER I 5 I AUTOMOBILE LIABILITY I Ea BIKED INGLE LIMB S 2,000,000 A I�X Ij ANY AUTO BODILY INJURY(Pa person) 5 IAVTOrED I S EEDULED X 37 UEN ZT30513 6/1/2018 6/1/2019 BODILY INJURY(Per accident) 5 X I HIRED AUTOS I X NON-OWNED PROPERTY DAMAGE 5 AUTOS (Per accident)I ri Unnsured mo:aisI BI-senile $ 1,000,000 I I UMBRELLA MB I I OCCUR I EACH OCCURRENCE S 4,000,.2Q A El EXCESS UAB CLAIMS-MADE I AGGREGATE 5 4,000,000 I I DED I I RETENTION5 I 37 WE CD4746 6/1/2018 6/1/2019 I S WORKERS COMPENSATION I I STATUTE I IP - AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT 5 1,000,000 OFFICERIMEMBER EXCLUDED? NIA A Mandato in NH 37 WE CD4746 6/1/2018 6/1/2019 (Mandatory 1 _ _ _ E.L DISEASE-EA EMPLOYEES 1,000,000 '- 'Ify- under ._ — _- _ _ _ IDESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT 15 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES (ACORD WI,Additional Remarks Schedule,may be attached if more space Is required) Vapor Intrustion Investigation Agreement KVE Project: E1450936 It is agreed The Public Entities, City of Salina, KS and The Dragun Corporation (Consultant) are named as Additional Insured with respect to General Liability and Automobile Liability or any other as required by contract. Waiver of Subrogation as enforceable by Kansas State Law. 30 day cancellation clause applies. CERTIFICATE HOLDER CANCELLATION nancy.schuessler@salina.or SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, KS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 736 ACCORDANCE WITH THE POLICY PROVISIONS. Salina, KS 67402-0736 _ AUTHORIZED REPRESENTATIVE /I\ _ ©1988-2014 4 RD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACO D INS025(201401) GATE(MAUODNYYY) ACOR®A CERTIFICATE OF LIABILITY INSURANCE 5/22/2025 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). CONTACT Luise Richards PRODUCER NAME; -- - Coryell Insurors, Inc. ?)ICOr o,.EaIR. (785)238-5117 No):085)23B-1647 120 West 7th Street aoo ess:luise @flinthills.com _ _ _ NAIC d _ PO Box 580 ___ ___INSURER(S)AFFORDING COVERAGE I _ Junction City KS 66441 _ INSURER A:Hartford --Commercial _ INSURED INSURER B AGAI_ MGA __ -- .- Kaw Valley Engineering Inc• INSURER c: _ __P. 0. Box 1304 INSURER D: _ - ---- _ -- -- INSURER E: _- _ • _ .- -Junction City KS 66441 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1552201819 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. NOPAITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'MTH 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 3EEN REDUCED BY PAID CLAIMS. -__ INSR ADDI.-SUER POLICY EFF I POLICY EXP I UA11TS LTR TYPE OF INSURANCE 'NCO 1 YND' POLICY NUMBER It.IMIDDIYYYY) It:!IODIYYYY)+ }: +COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE .S 1,000,000 -_ —.-I DAMAGE TO-RENTED A CLAIMS-:.!ADC X ,OCCUR I PREMISES(Ea occurrence), S 300,000 • 37LN11 AQ2513 6/1/2015 t 6/1/2016 161ED EXP(Any one person) 10,000 - I ,000,000 "- - "-- - 'PERSONAL&ADV INJURY -S 1- GENERAL AGGREGATE : S 2,000,000 • GEN•L AGGREGATE LIMIT APPLIES PER: i: PRODUCTS-COMP/OP AGG . - 2,000,000 X POLICY j_ JECT LOC ■1 – - OTHER- COMBINED SINGLE LIMIT S ,000,000 AUTOMOBILE LIABILITY I_(OMrnicer:)_ 1 --_ X ANY AUTO I BODILY INJURY(Per:ersan) S A l ALL OY.:ED i SCHEDULED 0 6/1/2015 6/'_/2016 BODILY INJURY(Per a::.r_en:)I S (AUTOS _ I AUTOS 370E11 A02601 -- — !:ON-OWNED PROPERTY DAMAGE • S X i HIRED AUTOS X •AUTOS I (Pr e=icent) - I 'Unnsuree motorist BI-sinote ' S 1,000,000 i UMBRELLA LIAB 'OCCUR I, EACH OCCURRENCE I S A _I EXCESS LIAB ' CLA1:.IS:MADE . AGGREGATE S DED RETENTIONS 37UUN AQ2513 6/1/2015 , 6/1/2016 $ ,WORKERS COMPENSATION : OMPENSATION STAPJTE_ E<PER 0111- _ AND EMPLOYERS'LI ABILITY Y I II' ANY PRO=RIETORIPART:!ERJ=XECUTIVE I E,L.EACH ACCIDENT I S 1 000,000 OFFnd tor:EMEEREXC!UDED? ItlIA AvwCKS2301162015 6/1/2015 6/1/2016 ELOISEASE•EAELtPLOYEE S 1,000,000 B (Mandatory in NH) i -- - --- -" -- II yes,cesbnu)user El.DISEASE-POLICY LIMIT ' _ 1,000,000 De SCRIPTION OF OPERATIONS_elo•.v DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached it more space Is required) Iron Avenue Project CERTIFICATE HOLDER CANCELLATION jarolyn.geist@salina.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina ✓/ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department De ACCORDANCE WITH THE POLICY PROVISIONS. SO Box 736 Lw ,/ Salina, KS 67402-0736 � AUTHORIZED REPRESENTATIVE L (---- 2&Sar ' .,Q_Q,-,h ©1988-2014 ACORD CORPORATIO . II right.'' r�served. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD - INS025(201 01)