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Insurance Certificate
r1 ACORn' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYTY) `.------ 10/1/2019 9/28/2018 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 Lockton Companies CONTACT 444 W.47th Street,Suite 900 PHONE FAX Kansas CityMO64112-1906 (ac,No,Ext): (NC,No): (816)960-9000 ADDRE ADDRESS: INSURFRISI AFFORDING COVERAGE NAIC is INSURER A: Zurich American Insurance Company 16535 INSURED NEW DIRECTIONS BEHAVIORAL HEALTH,LLC INSURER B: American Guarantee and Liab.Ins.Co. 26247 1402813 8140 WARD PARKWAY,SUITE 500 KANSAS CITY MO 64114 INSURER C: American Zurich Insurance Company 40142 INSURER D: —. . -- INSURER E: - — - - - - - — INSURER F: COVERAGES CERTIFICATE NUMBER: 13694580 REVISION NUMBER: XXXXXXX 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 ADDL SUER POUCY EFF POUCY EXP LTR TYPE OF INSURANCE INSO WVp POUCY NUMBER JMM/DDIYYYY)IMM/DDIYYYYI LIMITS C x COMMERCIAL GENERAL LIABILITY Y N CPO 0185567-03 10/1201$ 18/1/2819 EACH OCCURRENCE $ 1.000.000 CLAIMS-MADE OCCUR PREMISES O aEoccurrOence1 $ 1,000.000 _1 MED EXP(Ary one person) $ 10,000 PERSONAL 8 ADV INJURY S 1.000.000 GENT AGGREGATE LIMIT APPLIES PER' ' GENERAL AGGREGATE S 2.000.000 �POLICYn 78: nLOC PRODUCTS-COMP/OP AGG S 2.000.000 OTHER' q A AUTOMOBILE LIABILRY N N CPO 0185567-03 10/1/2018 10/12019 COMBINSINGLE LIMIT § 1.000.000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX _ — AUTOS ONLY AUTOS BODILY INJURY(Per&cadent § XXXXXXX X AUTOS ONLY x AUTO$ONLYY PPeOO amdeenDl DAMAGE —$ XXXXXXX § XXXXXXX B X UMBRELLA UAB X OCCUR N N AUC 0185640-03 10/1/2018 10/1/2019 EACH OCCURRENCE S 15.000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15.000.000 DED RETENTIONS S 15.000.000 A, WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN N WC 0185568-03 10/1/2018 10/1/2019 X STATUTE OER OFFILEop E 9 QLiT1 CU ANY INE N N I A EL EACH ACCIDENT $ 1.000,000 mandatory°1Np E DISEASE-EA EMPLOYEE $ 1.000.000 tlya OcuiEeum OESCWPiION OF OFFAATMIN$Eebw EL DISEASE-PGVLv LOOT < 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CITY OF SAUNA.KS IS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY COVERAGE,AS REQUIRED BY WRITTEN CONTRACT,SUBJECT TO-THE POLICY TERMS AND CONDITIONS. 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. 13694580 AUTHORIZED REPRESENTATIVE CITY OF SALINA,KS 300 WEST ASH ST. - SALINA KS 67402 - ACORD 25(2016/03) ©19$8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD r ---1 • A�°` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/1/2015 9/29/2014 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. 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 p CONTACT Lockton Companies NAME: FAX 444 W.47th Street,Suite 900 (A/C,No,Ext): 1 (A/C,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC ft INSURER A: American Zurich Insurance Company 40142• INSURED NEW DIRECTIONS BEHAVIORAL HEALTH,LLC INSURER B: American Guarantee and Liab.Ins.Co. 26247 1075548 8140 WARD PARKWAY,SUITE 500 INSURER C: Zurich American Insurance Company 16535 KANSAS CITY MO 64114 INSURER D: Federal Insurance Company 20281 INSURER E: INSURER F: COVERAGES BLUCRO3 CERTIFICATE NUMBER: 12426242 REVISION NUMBER: XXXXXOIX 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD NND POLICY NUMBER (MM/DD/YYYY)IMM/DD/YYYYI LIMITS A x COMMERCIAL GENERAL LIABILITY Y N CP0931436203 10/1/2014 10/1/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1111 OCCUR PREMISES(a occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYn TA=PRO- ri LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY N T( CP0931436203 10/1/2014 10/1/2015 COMBINED SINGLE LIMIT CO accident) $ 1,000.000 ANY AUTO BODILY INJURY(Per person) $ XXXXXXX ALL UTOS OWNED SCHEDULED AUTOS BODILY INJURY(Per accident $ XXXLQVI( NON-OWNED PROPERTY DAMAGE $ XXXJCXXX X HIRED AUTOS X AUTOS (Per accident) $ X� {XXXX • B X UMBRELLA LIAB X OCCUR N N AUC931436403 10/1/2014 10/1/2015 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$ - $ XXXXXXX WORKERS COMPENSATION I C AND EMPLOYERS'LIABILITY Y/N N WC931436303 10/1/2014 10/1/2015 X STATUTE OFR ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) • E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTI N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D SEE BELOW FOR TYPE OF N N SEE BELOW 10/1/2014 10/1/2015 *'SEE ATTACHED LIMITS FOR INSURANCE ALL** • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *FIN. INS.BOND FORM C;POLICY NUMBER 81944272,INSURER D;COMPUTER CRIME,POLICY NUMBER 81944271,INSURER D;AND FIDUCIARY LIABILITY, POLICY NUMBER 70429640, INSURER D.*CITY OF SALINA, KS IS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY COVERAGE,AS REQUIRED BY WRITTEN CONTRACT, SUBJECT TO THE POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12426242 AUTHORIZED REPRESENTATIVE CITY OF SALINA,KS 300 WEST ASH ST. SALINA KS 67402 /Yj 4-7" ACORD 25(2014/01) ©1 88-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD Financial Institutions Bond Form C-Life - Policy No. 81944272 Insuring Clause Single Loss Limit Deductible of Liability Amount 1 Dishonesty - A. Employee $ 10,000,000 $ 150,000 B.Trade or Loan $ 10,000,000 $ 150,000 C. General Agent $ 10,000,000 $ 175,000 D. Soliciting Agent $ 10,000,000 $ 175,000 E.Third Party Administrator Not Covered N/A F. Servicing Contractor Not Covered N/A 2 On Premises $ 10,000,000 $ 150,000 3 In Transit $ 10,000,000 $ 150,000 4 Forgery and Alteration $ 10,000,000 $ 150,000 5 Extended Forgery $ 10,000,000 $ 150,000 6 Counterfeit Money $ 10,000,000 $ 150,000 7 Computer System Not Covered N/A 8 Audit Expense $ 25,000 $ 1,000 Financial Institutions Electronic and Computer Crime - Policy No. 81944271 Insuring Clause Single Loss Limit Deductible of Liability Amount 1 Computer System $ 10,000,000 $ 150,000 2 Electronic Data, Media, and Instruction $ 10,000,000 $ 150,000 3 Electronic Communication System $ 10,000,000 $ 150,000 4 Assured's Service Bureau Operation $ 10,000,000 $ 150,000 5 Electronic Transmission $ 10,000,000 $ 150,000 6 Customer Voice Initiated Transfer $ 10,000,000 $ 150,000 7 Extortion $ 10,000,000 $ 150,000 Fiduciary Liability - Policy No. 70429640 Limits of Liability Limits of Liability Deductible • Amount 1 Each Loss $ 10,000,000 $ 50,000 2 Each Policy Period _ $ 10,000,000 $ 50,000 — - Miscellaneous Attachment: M481460 Master ID: 1075548,Certificate ID: 12426242