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Certificate of Insurance
.----1 AcoRo• CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `----- 1/1/2020 12/28/2018 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). PRODUCERCONTACT Lockton Companies NAME: 444 W.47th Street,Suite 900 PaHONi FAX ,Eat): X,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURERIS)AFFORDING COVERAGE NAIC e INSURER A: Liberty Insurance Corporation 42404 INSURED PAVERS,INC. INSURER B: The First Liberty Insurance Corporation 33538 1328276 PO BOX 1967 INSURER C: Navigators Insurance Company 42307 SAUNA KS 67402-1967 -- . _ _ INSURER D: Midwest Builders Casualty Mutual Company 13126 INSURER E: Continental Casualty Company -- 20443 INSURER F: COVERAGES CERTIFICATE NUMBER: 10982432 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 TYPE OF INSURANCE ANW �p POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR (NSD YNR fP IMOLIC/YEXPI A x COMMERCIAL GENERAL LIABILITY N N TB7Z91458280-039 (/12019 (/1/2020 EACH OCCURRENCE 1.000.000 CLAIMSMPDEI (OCCUR NTED DAMAGE Occurrence) $ 500,000 X Cf\TR AC FIIAI ((AIR MED EXP(Any one person) $ 5.000 PERSONAL&ADV INJURY 5 1.000.000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000.000 �POLICYn JEC J LOC PRODUCTS-COMP/OPAGG $ 2.000.000 OTHER: $ B AUTOMOBILE UABILITY N N AS6291458280-019 1/1/2019 1/1/2020 (En aaaccideeIswGLELNIIT $ 1.000.000 X ANY AUTO BODILY INJURY(Per perscn) $ XXXXXXX OAUTOS ONLY SCHEDULED AUTOS BODILY INJURY(Per accident $ XXXXXXX X AUTOS ONLY v S NON-OWNEDNP/PReracciattent))AMAGE $ XXXXXXX Comp/Coll Deds. 5 2.000 C X UMBRELLA LIABX OCCUR N N CH19EXC743S411V 1/1/2019 (/12020 EACH OCCURRENCE $ 5.000.000 EXCESS UAB CLAIMS-MADE AGGREGATE $ 5.000.000 DED RETENTION S S XXXXXXX WORKERS COMPENSATION D AND EMPLOYERS LIABILITY YIN N WC100-000681-2019A 1/1/2019 1/1/2020 X STATUTE ER ANY PROPRIETOR/PMDNEREKCUTIVE 1-1 NIA EL EACH ACCIDENT 5 1.000.000 OfFCERMEMBER EXCLUDED? ) 1 — - — -(EM�ecaa�ato,y la MO— -- - _ • ELDISFasr.EA EMPLOYEE $ 1.000.000 OESCRIP�TIOMOPERATIONS below EL DISEASE-PODGY DANT— s 1:000:000— - --- — E CONTRACTORS N N 6016316845 1/1/2019 1/12020 PER SCHED.ON FILE a'/ EQUIPMENT COMPANY 55.000. DFD. INCLUDES LSD/RTD EQUIP,- S250,000 LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) 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. 10982432 AUTHORIZED REPRESENTATIVE CITY OF SALINA 300 W.ASH STREET,ROOM 206 PO BOX 736 SALINA KS 67402-0736 ACORD 25(2016/03) ©1968-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD ----1 ACORD' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDfYYY) `----- 1/1/2019 12/22/2017 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(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). CONTACT PRODUCER baton Companies NAME: 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 EA AIHo,Ext): IAN,No): (816)960-9I ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A: Liberty Insurance Commotion 42404 INSURED PAVERS,INC. INSURER B: The First Libenv Insurance Corporation 33588 1080678 PO BONAXKS 67402-1967 INSURER C: Navigators Insurance Company 42307 SALIINSURER D. Midwest Builders Casualty Mutual Company 13126 INSURER E' Continental Casualty Company 20443 INSURER F' 1 COVERAGES CERTIFICATE NUMBER: 10982432 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 CONDfUONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTTYPE OF INSURANCE INSt y�AR POLICY NUMBER IMMM/DDO EFF (MM/DDY/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY N N TB7Z91458280-038 1/1/2018 1/12019 EACH OCCURRENCE $ 1.000.000 CLAIMS MADEri OCCUR PREMISES(EaEomONrrence) § 300.000 X CONTRACTIIAI IJAR MED EXP(Any one person) $ 5.000 PERSONAL a ADV INJURY 5 1.000.000 GENL AGGREGATE LIMIT AIP�PLIIES PER: GENERAL AGGREGATE 5 2.000.000 POLICY[]1 i I 'LOC PRODUCTS-COMP/OP AGG 5 2.000.000 OTHER: 5 B AUTOMOBILE LIABILITY N N AS6Z91458280-018 1/1/2018 1/1/2019 (XEOMBINdreDtsINGLEumIT 5 1.000.000 X ANY AUTO BODILY INJURY(Per person) S XXXXXXX _ O OS ONLY SCHEDULED AS ABODILY INJURY(Per accident $ XX X XXXX X AUTOS ONLY X AUTOS ONLY DAMAGE — IPee°P,E..R&TM.nt) 5 XXXXXXX Comp/Coll Deds. 5 2.000 C X UMBRELLALIABX OCCUR N N CHI8EXC7438411V 1/1/2018 1/1/2019 EACH OCCURRENCE $ 2.000.000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 2.000.000 • DED RETENTION$ $ XXXXXXX O AND EMPLOYERS'LIABILITY YIN N WC100-000681-2DISA 1/1/2018 1/1/2019 X SWORKERS COMPENSATION TniurE ER MT PROPRIE rowwPARTNERIEXECUSNE In NIA El.EACH ACCIDENT $ I MOO MOO OFFICERMEMBER EXCLUDED? (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 1.000.000 if yes.describe e e - — DESCR:PTIONCF OPERATIONS m. — ._. _. E L DISEASE.POLICY uurr 5 1:000.000—_ —_— E CONTRACTORS N N 6016316845 1/1/2018 1/1/2019 PER SCHED.ON FILE NW EQUIPMENT COMPANY $5,000. DED. INCLUDES LSDRTD EQUIP.- 5250.000 LLMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space is required) 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. • 10982432 AUTHORIZED REPRESENTATIVE CITY OF SALINA 300 W.ASH STREET,ROOM 206 PO BOX 736 / SALINA KS 67402-0736 / 7 Aon 0J ACORD 25(2016/03) ©19$6-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD ----"1 CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) I`/ I/1/2019 12/272017 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 Fax 444 W.47th Street,Suite 900 (A/C,No,Eat): (A/C,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE HAIL* INSURER A: Liberty Insurance Corporation 42404 INSURED PAVERS,INC. INSURER B: The First Liberty Insurance Corporation 33588 619 PO BOX 1967 INSURER C: Midwest Builders Casualty Mutual Company 13126 SALINA KS 67402-1967 INSURER D: Continental Casualty Company 20443 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 3713743 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 AIM SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD NW POLICY NUMBER I(MMMCWYYY)(MWDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY N N TB7Z91458280-038 1/1/2018 1/1/2019 EACH OCCURRENCE $ 1.000.000 CLAIMS-MADE ElOCCUR PREMISES(EaENTED creme/ $ 300.000 X CONITRACTIIAI IIAR MED EXP(Any one person) $ /000 PERSONAL&ADV INJURY 5 1.000.000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2.000.000 POLICYL1 JE i 0 LOC PRODUCTS-COMP/OP AGG $ 1000.000 OTHER: 5 B AUTOMOBILE LIABILITY N N AS6Z91458280-018 1/1/2018 1/1/2019 Fa MoBwtiD SINGLE LIMIT 5 1.000.000 X ANY AUTO BODILY INJURY(Per person) 5 XXXXXXX OWNED ONLY —SCHEDULED AUTOS BODILY INJURY(Per accident 5 XXXXXXX X AUTOS ONLY X S NON-OWNEDONL /Per etDAMNGE $ XXXXXXX Comp/Coll Deds. 5 2.000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ XXXXXXX — EXCESS UAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED RETENTION 5 $ C WORKERS AND EMPLOYERSECOMPNSATORLIABILITY YIN N WC I00-000681 2018A 1/1/2018 1/1/2019 X STATUTE ER ANF�PRCP IETOR rATT EXEERMEMBER , i CUTNE NIA EL EACH ACCIDENT $ 1.000.000 IMaanndatery In NH) E.L.DISEASE-EA EMPLOYEE $ 1.000.000 IDESCRIP° t�1ON OPE•nATONS below — c 1.000.000 E L DISEASE-POLICY LIMIT D CONTRACTORS N N 6016316845 1/1/2018 1/1/2019 PER SCHED.ON FILE 127 EQUIPMENT COMPANY 55.000. DED. INCLUDES LSDRTD EQUIP.- I 5250.000 LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3713743 AUTHORIZED REPRESENTATIVE CITY OF SALINA,KS COUNTY BUILDING 300 WEST ASH SAUNA KS 67401 // .1/24,47jc7 )41.7"..,../4,$6-2 ACORD 25(2016/03) ©19015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD 02103V Jo s pew paia;sl6ai we 0601 pue aweu ai00V 01-11 peivasai s;y6u 1W'NOI1VNOdN00 ON00V 4602-2 61.© (t.0/41,0Z)SZ ai00V %7 /1 9£2.0-ZOVL9 SA VNllVS 9EL X08 Od 90Z 1A100H'133H1S HSV'M OOE VNITVS 3O A110 3Ah1V1N3S321d38 03ZINOHlnv ZEPZ86OI- 'SNOISIAOad AOIIOd 3H1 HUM 30Nvad000V NI a3213A1130 38 111M 30110N `303213H1 31VO NOI1VINdX3 3H1 380338 a31130NVO 38 S313I10d a381dos3a 3A08V 3111 30 ANV O1nOHs NOI1V1130NV0 213010H 311013[12130 (pannbal sl aoeds aloes 11 payoelle aq Aew'alnpayos s$lewell leuo!)lppv'LOl aaoOV yoelIV)S310IH3A/SNOIIV001/SNOI1V213dO 30 NOIld1213S30 lII\I11000`oSZ$ - dif1O3 GIII/QS1 S3a0I1JNI 030 005`2$ ANVdNIOJ 1Ni IL11O3 ;M1'n3NO'("3IIJSII3d LIOZ/U1 9102/1/l c 891£9109 N N SNO1JVILLNOJ 'd 000VO'I $ LWn AOn0d-3SY3SI0 13 Molaq SNOI1va3dO AO gosaly 030 Japun 000'000'I $ 33AO1dIN3 V3-3SY3S10 13 (HN w IdolepueW) tl I N N c03an1OX3 Y38W3W/L13OIdd0 000'000'I $ 1N301OOV HOb'3 1.3 3AILfO3X3R13N11-1Vd/Y013IYdOdd ANY N I A A1n18V11.Sa3AO1dIN3 ONV -H10I I 31(11aV3dS I X LIOZ/C/I 910Z/I/1 I890JM891 N NOIlVSN3dWOOSa3)INOM a XXXXXXX $ $NOI1N31321 I 1 030 000`000`Z $ 31V032109V 3GVW-SWIV10 8V11 SS3OX3 000'000'Z $ 33N1HH0000H0V3 LIOZ/I/1 9102/1/I AIlbB£bLJXiSIHD N N an000 X aVntl113aaWn X D 000'Z $ "spa4 11oD/dwoD _ XXXXXXX $ (luepaIO aOY lad) 03NMS NON X solnV 03a1H x 3`JVWVO AlIdOd XXXXXXX $ lu91)100e lad)AanrNI A11009 SO1nS- SO1nV 031na3HOS 03NMOl1V ~ XXXXXXX $ (uoslad lad)AanfN1 A11009 OlnV ANV X 000'000'1 $ 1IW1131°JNISl W„',= LI0Z/I/1 9102/I/l 910-08Z85b1679SV ICI N A1nIevnohIaoI o1nv fl $ a31-110 000`000`2 $ 00V dO/dWOO-S1On00ad OM Dad X A3110d H 000`000tZ $ 31V03a90V 1VHAN3O aid S31lddV 11W11 31VJ3a0OV 1,N30 000`000`I $ AanfNI ACV'81VNOSa3d 0005 $ (uoslad auo Auv)dX3 a31/4 'gill'IVI1.LJV21.LN0J X 000`00£ $ (OOUOLn000 e31 SISIW3ad an000 X 3avw-swlvlo I 031N3a Ol IGVWVO 000'000' $ 33N3),1a11300H0V3 LI0Z/I/I 9102/1/I 9£0-08Z8S17 I67Zg1 NI N A111113VI11Va3N301VIOa3WW00 X V siiwn IAAI"VOO/WW)(AAAA/Ou/WNI) 2138Wf1N AOIIOd mans lQ4V 3ONVdfSNI 30 3dA1 dX3 AOIIOd 333 AOIIOd NSNI SWIV10 01Vd A8 03011038 N338 3AVH AVW NMOHS S11INI1 'S310110d HO0S 3O SNOIl10NOO ONV SNOIS1113X3 'SW831 3H1 11V 01 io3rans SI NI3I3H 038[80530 S310110d 3E11 A9 030d033V 30NVHf1SNI 3H1'NIVIH3d AVW 80 03f1SSI 39 AVW 31VOIII1830 SIHI HOIHM 01103dS38 H11M 1N3Wf1000 83H10 8O 13VH1N00 ANY 3O NOI110N00 8O Wd31'IN3W3dif103d ANY ONIONV1SHIIMION 031V3IONI 001H3d AOnOd 3HI dO3 3A08V 031111VN 03df1SNI 3H1 01 03fSSl N338 3AVH MO138 031511 3ONVHf1SNI 3O S310110d 3H11YH1 AJI1H30 01 SI SIHI XXXXXXX :N39141f1N NOISIA32I Z£iZ86OI :N39Wf1N 31V31d112133 S3OVN3AO0 :3 21321fOSNl £bt OZ Auedwo0 A onsSJ reluauiluoD :3 a3ansNl 9Z1£1 Auedwo01En;nw,11Ense.s.laplmg;saMp!iN :a 21321nSNl LO£Zt' AuEawo3 aauIinsu)slolS3!AS :o a3ansNl L961 ZOtiL9 Ski O Od 8L90801 L961 X08 Od 885££ uollElod.loD aouemsul,tilagrl lsnd aq1 :a a3ansNl 'ONI'a13AVd aaansN1 S£0£Z ,CuedwoJ aauElnsul and 1en;nw,tllagll :V a3ansNI #OIVN 30V213AOO ONIO21033V(S1a3anSNI :ss3aaav 0006-096(918) 11V1/11-3 9061-Z11179 ON APO sesueA :(oN'Oro) I :(3x3 ON'Oros 006 a)InS')881[5 ylLti'M tititi Xtl3 :3WVN saluedwo0 U01)13O1 asonaoad IOVINOO (s)luawesiopua yaps;o nall ul laploy awoII;Jao ay;o;s;46u Ja}uoo;ou saop ale3wpao sly;uo luewale;s y iuewasjopua ue annbai Raw salollod ulepao`Aollod ay;}o suoplpuoa pue sum;ay; o;;aafgns`03AIVM SI NOILVOOdSfS 41 'pasiopue eq;snw(sa!)Io!lod ay;'o3al5NI 1VNOIII0OV ue sl Japloy aleaylpao ay1}1 :1NVIdOdWI "8301OH 31VOIHI1a30 3H1 aNV`a30f10O21d NO 3AIIVIN3S3ad321 03ZIHOH111V`(S)a3HnSNI 9NIOSSI 3H1 N33M138 IOVHINOO V 3If1111SNOO ION 5300 3ONV2If1SNI 30 31.11013112130 SIHI "M0138 S31OIlOd 3H1 AS O30a033V 39V213A00 3141 21311V NO ON31X3 'ON3WV A13AIIVO3N 210 A13AIIVWH133V_ON 53oa 31V01311H33 511-41'2301OH 31VO13112333 3111 NOdfl SIH9IH ON S2133NO0 ONV A1NO NOIIVWHO3N1 3O 213IIVW V SV 03fSSI SI 31VO1311a30 SIHI slozi izl Lloz/I/ (AAAA/aamiW)31VO 30N\MMSNI A1111EIVI1 AO 31VOIA112330 acI j v ACORn CERTIFICATE OF LIABILITY INSURANCE DATE IMMNDIYYYY) kts..----- I/12016 12/19/2014 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 pollcypes)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 LDckton Companies CONTACT 444 W.47th Street,Suite 900 risk ,Eat1: I IJAC,NO? Kansas City MO 64112-1906 EMAIL (816)960-9000 ADDRESS' INSURFRISI AFFORDING COVERAGE HAW INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED PAVERS,INC. INSURER B: Employers Insurance Company of Wausau 21458 1080678 PO BOX 1967 INSURER C: Navigators Insurance Comoany 42307 SALINA KS 674021967 INSURER D' Midwest Builders Casualty Mutual Company 13126 rNSURFR E' Continental Casualty Company 20443 INSURER F' COVERAGES CERTIFICATE NUMBER: 10982432 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, LTR TYPE OF INSURANCE ADM INN SUM POLICY NUMBER IMMIDIOIYYYYIIMWDDD'YYVYI LIMITS A x COMMERCIAL GENERAL LIABILITY N N TB2Z91458280-035 1/12015 1/1/2016 EACH OCCURRENCE $ 1,000,000 I CLAIMS MADE® OCCUR po"nEmists Ns S 300,000 X CONTRACTUAL I IAR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIIES PER. GENERAL AGGREGATE $ 2,000,000 _POLICY© JELT P IL 06 PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER .. B AUTOMOBILE LIABILITY N N ASCZ91458280-015 (/1/2015 1/1/2016 OOMBTM�mBINOLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per parson) $ XXXXXXX — ALL AUTOS OWNED SCHEDULED UT BODILY INJURY{Per MOOING $ XXXXXXX NON-OWNED WNED PROPERTY DAMAGE $ XXXXXXX X HIRED AUTOS X AUTOS Mu accidaccident)lO Comp/Coll Deds. $ 2,000 O X UMBRELLALIAB X OCCUR N N C1115EXC7438411V I/12015 1/1/2016 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION STAME OFa D AND EMPLOYERS'LIABILITY X/N N 15R WCD681 1/I/2015 1/1/2(116 X ELUDED+ m © N E.L.EPEE!AeemENT $ 1,000,000 IwFmmoin NH)ExN EL DISEASE,EA EMPLOYEE $ 1,000,000 soy orrice uors DESCRIPTION OF OPERATIONS n.w $ 1,000,000 F. CONTRACTORS N N 6016316845 (/1/2015 1/1/2016 PER SCHYD.ON Fag W/ EQUIPMRNT COMPANY $2,500. DED INCLUDES LSD/RI0 EQUIP.- $250000 LIMIT DESCRIPTOR OF OPERATIONS I LOCATIONS/VEHICLES taMach ACORD 101,Additional Remarks Schedule may be attached It more space is required) 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, 10982432 AUTHORIZED REPRESENTATNE CITY OF SALINA 300 W.ASH STREET,ROOM 206 PO BOX 736 SAUNA KS 67402-0736 A S M ACORD 25(2014/01) ©1 8-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD