Loading...
Insurance Certificate /'--iO� ENVIRON-01 - - MANDERSON Al_O/�0 DATE(MMmor1'YYY) t`..----- CERTIFICATE OF LIABILITY INSURANCE 03/20/2018 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 CONTACT Mary Anderson NAME: Laird 8 Walkingstick Insurance PNONE FAx 1010 Manvel Avenue (Arc,Na,Da):(405) 2584284 I(A/C,N0(405)240-5587 Chandler,OK 74834 AIL ADDRESS:marya@Iw-ins.com INSURER(S)AFFORDING COVERAGE I NAIC a INSURER A:Homeland Insurance Company of New York 134452 INSURED INSURER B:Atlantic Specialty Insurance Company 127154 Environmental Management Inc INSURER C:COmpSource Mutual Insurance Company 36188 P.O.Box 700 INSURER D:Navigators Specialty Insurance Company 36056 Guthrie,OK 73044 1 INSURER E: INSURER F: 1 COVERAGES CERTIFICATE NUMBER: 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. ILTRI TYPE OF INSURANCE INSD1SyjyDI POLICY NUMBER IIMM DDWLICY YYYI IMM!DDFF I VEXP/YYYYII UMITS A I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1$ 1,000,000 X CLAIMS-MADE I I OCCUR 7930044250002 04/01/2018 04/01/2019 oAMAGETORENTEO 50,000 X Owner's&Contractor PREMISESIda ocwrtett i) $ 5,000 MED EXP(Any one person) S _ PERSONAL&ADV INJURY 'S 1'000'000 GENT AGGREGATE LIMIT APPLES PER: - GENERAL AGGREGATE S 2,000,000 POLICY X PR6 LOC PRODUCTS-COMP/OP AGG S 2,000,000 VariousE-see OBENVGL 001011 POLLUTION $ 1,000,000 OTHER: B AUTOMOBILE LABILITY (Ea acc WpOm51NGLE LIMIT S 1,000,000 ANY AUTO 7930044260002 04/01/2018 04/01/2019 BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY _ AUTOSUp BODILY INJURY(Per accident) $ HIREDTOONLY AUTOS ONLY (Per accc.dergj $PROPERTY DAMAGE • -' X I MCS-90 Inched $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS IJAB CLAIMS-MADE 7930044270002 04/01/2018 04/01/2019 AGGREGATE $ 1,000,000 I DED I RETENTION S $ C ION AND EMPLO RKERS COMPENSAERS'UABIUTY Y/N X I STATUTE I I'NI ANY PROPRIETORmARTNER/ESECUTIVE 03111060181 04/01/2018 04/01/2019 1,000,000 OFFICER/MEMBER E%CLUDED, N NIA E.L.EACH ACCIDENT I S (MandatoryriNH) --- _ _ ___ _ __- _ - E.L.DISEASE-EA EMPLOVEg3 1'000'000 _ __ —--III yes.desddbe trwer I 1,000,000 1 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S D Equipment Floater NY17ILMOBA01T04 04/01/2018 04/01/2019 Leased/Rented 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Full Service Environmental Management-certificate supersedes any prior cert CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THEREOF, City of Salina ACCORDANCE EXPIRATION WITH TTHE POLICY PROVISIONSCE WILL BE DELIVERED IN P.O.Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENVIRON-01 MANDERSON AMR Cr - DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/29/2016 . . 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: Mary Anderson • Laird&Walkingstick Insurance P"°NE 258-4284 FAX ) 1010 Manvel Avenue (A/C,No Eat)(405) 4284 (A/C,No) (405)240-5587 Chandler,OK 74834 -- ADDRESS:marya @Iw-ins.com _ . INSURER(S)AFFORDING COVERAGE .NAIC# - INSURER A:Homeland Insurance Company of New York 34452 . INSURED INSURER B:Atlantic Specialty Insurance Company 27154 Environmental Management Inc INSURER C:Com pSource Mutual Insurance Company 36188 P.O.Box 700 INSURER D: Guthrie,OK 73044 INSURER E: - INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 793004425 04/01/2016 04/01/2017 DAMAGE TO-RENTED 50 000 PREMISES(Ea occurrence) $ X Owner's&Contractor MED EXP(Any one person) $ _.5,000 X Pollution Liab PERSONAL 8 ADV INJURY _ $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ - - 2,000,000 POLICY X jE LOC PRODUCTS-COMP/OP AGG $ _ .2,000,000 OTHER:. PROFESSIONAL $ 1,000,000 AUTOMOBILE LIABILITY COMB aBINEDISINGLE LIMIT $ 1,000,000 B X ANY AUTO 793004426 04/01/2016 04/01/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS _ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) _ X Includes CA9948 X Broad Form Poll. MCS-90 Included $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE 793004427 04/01/2016 04/01/2017 AGGREGATE $ 5,000,000 DED RETENTION$ POLL/PROF INCL $ _ . WORKERS COMPENSATION v PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y N C ANY PROPRIETOR/PARTNER/EXECUTIVE IN N/A 03111060161 04/01/2016 04/01/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory-in-NH) '——' - - — --, _-E:L DISEASE-EA EMPLOYEE'-$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Full Service Environmental Management 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 ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE n./j 7 !W ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �...N ENVIR-5 OP ID:AM ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `------- 03/13/2015 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 Brown&Brown of Central OK PHON: Lynn Harris 3409 S Broadway,Ste 800 (NCC.N o.E>tt):866-678-5862 FAX No):405-607-6353 Edmond,OK 73013-4156 E-MAIL Iharris bbokc.com ADDRESS: . Gary H.Jones _ INSURER(S)AFFORDING COVERAGE _ _ -NAIC 0 - . INSURER A:Greenwich Insurance Company 22322. . INSURED Environmental Management,Inc. INSURER B:XL Specialty Insurance Company 37885 P.O. Box 700 INSURER C:Catlin Specialty Ins Co 15989 Guthrie,OK 73044 INSURER D: . INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: 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 INSD WVD POLICY NUMBER I(MM DDY/YYYY)I(MM/DD/YYYY)I LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X GEC003718503 04/01/2015 04/01/2016 DAMAGE TO N PREMISES(Ea RE occurrence)TED 100,000 $ , C CPV2076750415 04/01/2015 04/01/2016 MED EXP(Any one person) $ 5,000 X Prof Liab&Poll PERSONAL 8 ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE -$. 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 • OTHER: $ _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) - - B X ANY AUTO , X . . AEC003718803 04/01/2015 04/01/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS • NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) . $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE UEC003718603 04/01/2015 04/01/2016 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER TUTE I ER 0TH- ' AND EMPLOYERS'LIABILITY Y/N STA ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under __ DESCRIPTION OF_OPERATIONS below_ _ ,— —— _ _ _E.L.DISEASE.P_OLICY_LIMIT__$ __— DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) Additional Insured lists City of Salina,Kansas; Salina Airport Authority (Consisting of the Salina Municipal Airport, SLN Aviation Service Center, ans the Salina Airport Industrial Center) ; USD NO. 305 of Saline County, Kansas; Kansas State University (Including the Kansas Board of Regents) ; and Dragun Corporation. • CERTIFICATE HOLDER CANCELLATION CITYSAL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Salina ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ENVIR-5 OP ID:AM ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDtYYYY) 03/1312015 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 Brown&Brown of Central OK PPHO E. Lynn Harris FAX 3409 S Broadway,Ste 800 (Arc,No.Em:866-678-5862 (A/C,No):405-007-6353 Edmond,OK 730134156 A(ERESS:lharris@bbokc.com Gary H.Jones INSURER(S)AFFORDING COVERAGE .. NAIC INSURER A:COmpSOUrce Oklahoma 36188 INSURED Environmental Management,Inc. INSURER B: P.O.Box 700 Guthrie,OK 73044 INSURER C INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE IN SD SWVD POLICY NUMBER (MMIDDIIYYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREM SES Ea occu r nce) $ MED EXP(Any one person) S PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ •POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS — NON OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ER H AND EMPLOYERS'LIABILITY Y A ANY PROPRIETORIPARTNER/ CUT1VE � !N N 1 A X 01500121141 BN4 04/01/2015 04/01/2016 E.L.EACH ACCIDENT $ 1,000,000' OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E-L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,0001_ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHCLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) OESA TO ISSUE Waiver of Subrogation in Favor of the Public Entities and Consultant. CERTIFICATE HOLDER CANCELLATION CITYSAL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Salina ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 736 Salina,OK 67402-0736 AUTHORIZED REPRESENTATIVE O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD