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Insurance Certificate • IMSINFR-01 ARACHEL. ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/23/2016 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 April M. Rachel American Insurance&Investment Corp. PHONE FAX 6765 West Russell Rd (NC,No,Ext):(702)877-1760 (A/C,No): E-MAIL Ste 150 ADDRESS:aprll.rachel @american-Ins.com Las Vegas,NV.89118 . INSURER(S)AFFORDING COVERAGE NAIC II INSURER A:Beazley Insurance Company Inc 37540 INSURED INSURER B: _ IMS Infrastructure Management Services,Ltd. INSURER C: Number Four,The Crescent • Cambridge,ON N1S 2N8 INSURERD: • CANADA 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) COMMERCIAL GENERAL LIABILITY . _ . .EACH OCCURRENCE _ $ DAMAGE CLAIMS-MADE OCCUR - PREMISES O(EaEoccu ence)MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GE '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 AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS - (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ ' EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ _ WORKERS COMPENSATION__ _ _ _ _ - - _ __ PER — - AND EMPLOYERS'LIABILITY ~Y/N • STATUTE _ER 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-POLICY LIMIT $ A Architect/Engineer E VI5S1C161001 03/25/2016 03/25/2017 2,000,000 A Claims Made/Rpt'd V15S1C150901 03/25/2015 03/25/2016 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Professional Liability Retroactive Date:Full Prior Acts RE:Purchase Order No.11-0000020-001 Cancellation:30 Days 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 tY ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD • ��..41 IMSINFR-01 MSEYBERT ACORD° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY,_ ‘...------- 3/26/2015 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 -- ' NAMEACT Melissa M. Seybert, CISR .- - American Insurance&Investment Corp. . PHONE 877-1760 FAX 6765 West Russell Rd. • (NC.No.Ext):(7°2) (NC,No): (702)877-0937-- Ste 150 EMAIL Las Vegas,NV 89118 ADDRESS: • • INSURER(S)AFFORDING COVERAGE NAIC# • • INSURER A:Beazley Insurance Company Inc 37540 INSURED • INSURER B: IMS Infrastructure Management Services,Ltd. INSURER C: Number Four,The Crescent Cambridge,ON N1S 2N8 INSURER D:_ CANADA INSURER E: INSURER F: •- COVERAGES CERTIFICATE NUMBER~ O.. REVISION NUMBER: •. `t' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR-THE POLICY PERIOD I 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/Y LIMITS' t� LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ • DAMAGE TO RENTED • CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $- - PERSONAL&ADV INJURY • $ • GE 'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE • $ --- -• --- -- • • POLICY PRO- LOC "_ PRODUCTS-COMP/OP AGG -5-7-.7 •---, • • -------- JECT $ OTHER: _ - .__ ....._ _. __ _-- •- AUTOMOBILE LIABILITY - . ._ _ . _. ... COMBINED SINGLE LIMIT $ _ (Ea accident) ANY AUTO • - - BODILY INJURY(Per person) $, , ' ALL OWNED — SCHEDULED - BODILY INJURY.(Per accident) $ AUTOS AUTOS • NON-OWNED• _ PROPERTY DAMAGE •- $ -- "- ' • HIRED AUTOS AUTOS . . - - . • ' (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ • DED RETENTION$ $ WORKERS COMPENSATION • PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A I. (Mandatory in NH) r . , ,�, E.L.DISEASE-EA EMPLOYEE $ �,_ — - Ifyes,-describe.under- -. -- -- - _- - -- ----- ---" - ---" -- —- -— ¢ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A .Professional Liab. V15S1C150901 03/25/2015 03/25/2016 Per Claim 2,000,000 A Claims Made/Rpt'd V15S1C150901 03/25/2015 03/25/2016 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Professional Liability Retroactive Date:Full Prior Acts • RE:Purchase Order No.11-0000020-001 Cancellation:30 Days . 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 ty ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD