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Insurance Certificate �.....N TWINTRA-04 KBOOTH ACORO° DATE(MM/DD/YYYY) `,� CERTIFICATE OF LIABILITY INSURANCE 3/23/2015 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 NAME: The Robert E Miller Group PHONE 816 333-3000 FAX 816 822-1641 6363 College Blvd.,Suite 400 (ac,No,E:t):( ) (NC,No): ( ) Overland Park,KS 66211 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire 19445 INSURED INSURER B:CNA Insurance Companies(AC) 20443 Twin Traffic Marking Corp.Traffic Zone Services,Inc INSURER c:New Hampshire Insurance Traffic Zone Services,Inc 626 N.47th Street INSURER D: Kansas City,KS 66102 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6506287 04/01/2015 04/01/2016 PREMISES(a occcu ence) $ 500,000 X XCU MED EXP(Any one person) $ 25,000 X Independent Contr PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO 6506147 04/01/2015 04/01/2016 BODILY INJURY(Per person) $ ALL OWNED ^ SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X PROPERTY DAMAGE $ ON (Per accident) AUTNOS-0WNED $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 8,000,000 B EXCESS LIAB CLAIMS-MADE 4012448690 04/01/2015 04/01/2016 AGGREGATE $ 8,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER YIN C ANY PROPRIETOR/PARTNER/EXECUTIVE 039901560 04/01/2015 04/01/2016 E.L.EACH ACCIDENT $ 1,000,000 —--OFFICER/MEMBER EXCLUDED? —-N N./.A. __ _ _ _ _ _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 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) TTMC#4924 City of Salina Project#14-3031,2014 Street Markings City of Salina is included as an additional insured as respects general liability,including products completed operations, on a primary and noncontributory basisas required by written contract. Waiver of subrogation applies as 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 City of Salina ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD