Loading...
Insurance Certificate ACORo• CERTIFICATE OF LIABILITY INSURANCE DATE .- L10/3/20199/2812 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 NApMAT`' SAX 1185 Avenue of the Americas,Suite 2010 INC,No,Ertl: I-AX No): New York NY 10036 E-MAIL 646-572-7300 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC a INSURER A: Zurich American Insurance Company 16535 INSURED ROADSAFE TRAFFIC SYSTEMS,INC. INSURER e: Lexington Insurance Company 1943 7 1300604 2504 W ENTERPRISE AVE INSURER C: American Zurich Insurance Company 40142 EL DORADO KS 67042 INSURER D: AXIS Surplus Insurance Company 26620 _. _ - INSURER E: Evanston Insurance Company 35378 INSURER F: COVERAGES ROAHO01 CERTIFICATE NUMBER: 10819872 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN$D WVD POLICY NUMBER IMM/DD/YYYYl(MM/DDIYYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY N N CLO 5095745 10 10/3/2018 10/3/2019 EACH OCCURRENCE $ 2.000.000 CLAIMS-MADE[1OCCUR PREMISES(ERENTED ec e) $ 500.000 _ ` ' MED EXP(Any one person) $ 10.000 PERSONAL 8 ADV INJURY $ 2.000.000 _ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10.000.000 jEa _ X POLICYn n LOC H PRODUCTS-COMP/OP AGG $ 4.000,000 OTHER: $ A AUTOMOBILE LABILITY N N BAP_9262298-I I 10/3/2018 1022019 IEO occi SINGLE LIMIT $ 3.000.000 X ANY AUTO • BODILY INJURY(Per person) $ XXXXXXX _ AUTOS ONLY AUTOSULED BODILY INJURY(Pet accident S XXXXXXX X AUTOS 0NLY X AUTO ONLOY PROPERTY DAMAGE $ XXXXXXX_ JPer accident) $ XXXXXXX B UMBRELLA LAB X OCCUR N N 023627546 10/3/2018 10/3/2019 EACH OCCURRENCE $ 5,000.000 X EXCESS LAB CLAIMS-MADE AGGREGATE $ 5.000.000 DED X RETENTION$0 $ XXXXXXX WORKERS COMPENSATION PER OTH- A AND EMPLOYERS'LIABILITY N WC-5095777-10((WI) 10/3/2018 10/3/2019 X STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE NN N/A N'C-9262297-I1(AOS) 10/3/2018 10/32019 El.EACH ACCIDENT $ 1.000.000 OFFICER/MEMBER EXCLUDED? (Mandatory M NH) E.L.DISEASE-EA EMPLOYEE $ 1.000.000 DESCRB yynez�Eesulbe IPTION OF OPERATIONS below - EL.DISEASE-POLICY LIMIT c 1.000.000. D EXCESS GENERAL N N P00100004400401 10/312018 10/3/2019 53,000,000 Ocu56,000,000 Agg LIABILITY E EXCESS MKLV6XL30000146 10/3/2018 10/3/2019 $5,000,000Oc'$5,000,000Agg DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) THE GENERAL LIABILITY POLICY'S GENERAL AGGREGATE LIMIT APPLIES PER PROJECT IS SUBJECT TO A 55,000,000 AGGREGATE POLICY LIMIT. RE: PROJECT#10-2788 SPRING AND FALL STREET MARKINGS -CITY OF SALINA,KS IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO LIABILITY AS THEIR INTERESTS MAY APPEAR. 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. 10819872 AUTHORIZED REPRESENTATIVE CITY OF SALINA,KS 300 WEST ASH SALINA KS 67402 ACORD 25(2016/03) ©Yethill 15ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD /'1 ACORV° CERTIFICATE OF LIABILITY INSURANCE DATE/1/20/YYYY) `� 10/3/2015 10/1/2014 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 Lockton Companies CONTACT 1185 Avenue of the Americas,Suite 2010 PHONE FAX New York 10036 (NC,No,Ext(: I (NC,No): E-MAIL 646-572-7300 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535 INSURED ROADSAFE TRAFFIC SYSTEMS,INC. INSURER B: Starr Indemnity&Liability Company 38318 1300604 805 N.HAVERHILL ROAD INSURER C: American Zurich Insurance Company 40142 EL DORADO KS 67042 __ . - ----- INSURER D: INSURER E: INSURER F: COVERAGES ROAHO01 CERTIFICATE NUMBER: 10819872 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 ISUBR I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,INSD WVD POLICY NUMBER (MM/DD/YYYYI IMM/DD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY N N 'GLO-5095745-06 10/3/2014 10/3/2015 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE OCCUR PREMISES a occuence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X n OTHER JEC I LOC PRODUCTS-COMP/OP AGG $ 4.000,000 OTHER $ A AUTOMOBILE LIABILITY N N BAP-9262298-07 10/3/2014 10/3/2015 COMBINED SINGLE LIMIT (Ea accident) $ 2.000,000 X ANY AUTO - BODILY INJURY(Per person) $ XXXXXXX _ AUTOS OWNED �_SCHEDULED BODILY INJURY(Per accident $ XXXXXXX X HIRED AUTOS X AUTO-SWNED (Per acEciden DAMAGE $ XXXXXXX $ XXXXXXX B UMBRELLA LIAB X OCCUR N N 1000010736 10/3/2014 10/3/2015 EACH OCCURRENCE $ 5,000.000 X EXCESS LIAB ^—CLAIMS-MADE AGGREGATE $ 5.000.000 DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY N WC-9262297-07(AOS) 10/3/2014 10/3/2015 X I STATUTE I I FR A Y/N WC-5095777-06(1D,WI) 10/3/2014 10/3/201 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? © N/A $ 1,000,000 (Mandatory in NH) E.L.DISEASE-.EA EMPLOYEE—•$-1,000,000 - - _.— .. - . If.yes.describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1.000,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THE GENERAL LIABILITY POLICY'S GENERAL AGGREGATE LIMIT APPLIES PER PROJECT IS SUBJECT TO A 5,000,000 AGGREGATE POLICY LIMIT. RE: PROJECT#10-2788 SPRING AND FALL STREET MARKINGS-CITY OF SALINA, KS IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO LIABILITY AS THEIR INTERESTS MAY APPEAR. CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10819872 AUTHORIZED REPRESENTATIVE CITY OF SALINA,KS 300 WEST ASH SALINA KS 67402 f� �'/ 414A6I-e- ACORD 25(2014/01) ©1 8-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD