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Flood Control Remote Dialer Monitoring System A R° CERTIFICATE OF LIABILITY INSURANCE •• 8/6/2(015D ") 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 NAME: Kim Beckman G M Peters Insurance_ PHONE FAX 11 N. Water Street (NC,No,Ext):816-781-4922 I (ac,No):816 781-8050 E-MAIL Liberty MO 64068 ADDRESS: kimb @gmpeters.com __- PRODUCER . . • CUSTOMER ID#:FTCEQ-1 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Depositors. Insurance Company 42587 FTC Equipment, LLC 5238 Winner Rd. INSURERB:AMCO Insurance Company 19100 Kansas City MO 64127-1732 INSURERC:Missouri Employers Mutual INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1390524159 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 I - - TYPE OF INSURANCE. - INSR SWVD I - POUCY NUMBER - - -_- I(MM/DDY/YYYY)I IMM DDIIYYYY)L... -- LIMITS-.---..-`--- - - - - A GENERAL LIABILITY ACPGLD07226222070 8/5/2015 8/5/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PR S RENTED PREMISES((Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 - IPOLICY IX I PRO- JECT Ix ILOC . • $ A AUTOMOBILE LIABILITY ACPBAPD7226222070 8/5/2015 8/5/2016 COMBINED SINGLE LIMIT 51,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) S ALL OWNED AUTOS . ., BODILY.INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) . NON-OWNED AUTOS $ $ B UMBRELLA LIAB OCCUR ACPCAA7226222070 ' 8/5/2015 8/5/2016 EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ • -__ DEDUCTIBLE - I RETENTION $ $ c WORKERS COMPENSATION 2009200 8/5/2015 8/5/2016 WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $1,000,000 A Bailee's Coverage ACPCIM7226222070 8/5/2015 8/5/2016 Limit $300,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) The City of Salina, its agents, representatives, officers, officials, and employees are included as additional insured(s) on a primary and non-contributory basis including Completed Operations with regard to General Liability coverage. Waiver of Subrogation is also provided where allowed by law. 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. City of Salina - City-County Building • 300 E Ash PO Box 736 AUTHORIZED REPRESENTATIVE Salina KS 67402 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD