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Insurance Certificate 4/16/2018 15:13 Remote ID Remote ID D 2/2If1II I I4 CORE)® CERTIFICATE OF LIABILITY INSURANCE DATE 4ia 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 CA901164729 1-913-982-3650 CONTACT - - - MANE: IMA, Inc. (NE Kansas Division) PHONE FAX IA/C.No.EMI: (AIC,HoI: 913-982-3495 E-NAL 51 Corporate Woods ADDRESS: 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDING COVERAGE 'LAICI Overland Park, KS 66210 INSURER A: TRAVELERS IND CO OF AMER 25666 ENSURED INSURER8: TRAVELERS IND CO OF CT 25682 Mid Kansas Underground, Inc. INsuRER C: TRAVELERS PROP CAS CO OF AMER 25674 2616 Eureka Terrace INSURER D: CHARTER OAK FIRE INS CO 25615 PO Box 1411 INSURERS: _ Manhattan, KS 66505-1411 INSURERF: COVERAGES CERTIFICATE NUMBER:525/39627 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. LTRR I TYPE OF INSURANCE I �O SW!)I POuCY NUMBER I( ZMDDIYYYY)I(!AINSIYYVY)I LIMITS A X COMMERCIAL GENERAL LIABILRY DTCO3919C633TIA18 04/30/18 04/30/19 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Eaoccnnc$ $ 300,000 X PD Ded: 5,000 MEDEXP(Any onepsson) $ 5.000 PERSONAL LADV IWURY $ 1,000,000 GENE AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000,000 IPOLICY X T& n LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: S B AUTOMOBILE LIABILITY DT8103919C633TCT18 04/30/18 04/30/19 MNESINGLE LIMIT $ 1,000,000 (EaCOBIacdEeDa) X ANY AUTO GODLY INJURY(Per person) $ ALL OWNED SCHEDULED SOOLY INJURY(Ps accident) $ AUTOS AUTOS NX HIRED AUTOS AUTOSU {(PierPROPERTYM „DAMAGE S C X UMBRELLALUIS X OCCUR CUP1J9575111826 04/30/18 04/30/19 EACHOCCURRENCE IS 5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE I$ 5.000,000 DED I X I RETENTIONS 10,000 F D WORKERS COMPENSATION ND 01331(45280018260 04/30/18 04/30/19 xI5TATUTE I IERH AEMPLOYERS'LIABLITY ANY 2ERJNEETOR/PART.OEIEXEOJTIVE NN NIA E.L EACH ACCIDENT 11.000,000 OFFICERaAEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EAEMPLOyEE S 1,000,000 If yes,detembe eros 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHECLES (ACORD 101,Additional Remarks Schedule,may be=ached If more space is reluiredl 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 Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 736 AUTHORIZED REPRESENTATWE 300 W. Ash Street Salina, KS 67902-0736 USA ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014)01) The ACORD name and logo are registered marks of ACORD schappel 52589627 4/19/2016 16:12 Remote ID Remote ID ❑ 2/2J ACCPREP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 04/19/2016 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 CA 1401164724 1-913-922-3650 CONTACT NAME: IMA, Inc. (NE Kansas Division) PHONE FAX (A/C.No.Eaa): (A/C,No): 913-982-3495 E-MAIL 51 Corporate Woods ,ADDRESS: 9393 W. 110th Street, Suite 600 INSURER(5)AFFORDING COVERAGE NAIC9 Overland Park, KS 66210 INSURER A: TRAVELERS 11W CO OF AMER 25666 INSURED INSURERS: TRAVELERS IND CO OF CT 25692 Mid Kansas Underground, Inc. INSURER C TRAVELERS IND CO 25659 919 S Manhattan Ave INSURER D: CHARTER OAK FIRE INS CO 25615 PO Box 1411 INSURERE: Manhattan, KS 66505-1411 _INSURER F: COVERAGES CERTIFICATE NUMBER: 46629463 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 INDILA I ED. NO I WI I Hsi ANDING ANY REOUIREMEN I, !ERN OR CONDI I ION OF ANY CON I RAC I OR O I HER DOCUMEN I WI I H RESPEC I I U WHICH I HIS CFRTIFICATF MAY RF ISSIIFD OR MAY PFRTAIN. THF INStIRANCF AFFORDFII RY THF P(71 ICIFS IIFSCRIRFIT HFRFIN IS stIRIFCT To AI I THF TFRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR 1 INSD WVD, POLICY NUMBER IMMIDDIYYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY DTC03919C633TIA16 04/30/16 04/30/17 =AnHO.:I:IIRRFNCF s 1,000,000 TED RE CLAIMS-MADE X OCCUR :REMISES(aocaJrrnce) $ 300,000 X PD Ded: 5,000 VED EX:;A-ye-eperm) $ 5,000 ERSONALi ADM INJ_RY $ 1,000,000 GEN L AGGREGA-E LIMIT AP=LIES PER: 2ENEZAL A2GREGATE $ 2,000,000 =OLICY X PELT LOC =ROD_CTS-COMP/OP AGG $ 2,000,000 =THEE: B AUTOMOBILE LIABILITY DT8103919C633TCT16 04/30/16 04/30/17 :oMBINED.iI\GLtLIVII $ 1,000,000 :Lc ecJdenl) X ANY AU-0 EODILY INJURY(Per person) $ ALL OW\CU SCI ICUUL:0 EODILY INJURY(Per accident) $ .AUTOS AUTZS NON-OWNED =ROPERT"'AMAGE X -kW AUI OS X AUT.S :Per acci?enll $ C X UMBRELLALIAB X OCCUR DTSMCUP3919C633IND16 04/30/16 04/30/17 =_ACHOCCURRENCE $ 5,000.000 EXCESSLIAB CLAIMS-MADE AGGREGATE $ 5,000,000 -:Fn X RFTFN-ION$ 10,000 5 D WORKERS COMPENSATION DTOUB3919C63316 04/30/16 04/30/17 X A S AT_TE ER AND EMPLOYERS'UABILRY Y IN AN"PROPRIETOR/PART\ER/=XECUTIVT _._,tAL:H ALL:IDENI '$ 1,000,000 U--It:ER/MEMBER EXCLUDED', N N I A (Mandatory in NH) _._.DISEASE-EA EMPLOYEE $ 1,000,000 If yrs,dr=rihr undrr DESCRIPTION OF ZPER.ATIONS below =._.UISCAS:-POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES (ACORD 1(11,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 736 AUTHORIZED REPRESENTATIVE 300 W. Ash Street Salina, KS 67402-0736 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD schappel 46629463 4/2 3/2015 20:12 Remote ID Remote ID 2/2 r A 'b • DATE;MMIDDIYYY'Y) C C CERTIFICATE OF LIABILITY INSURANCE , 04/23/20151 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. 9 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subjectjto 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). 1 PRODUCER CA#0E64724 1-913-982-3650 CONTACT NAME: IMA, Inc. (NE Kansas Division) PHONE --- AX -i.AAiC-Na._Wi;_---- — — -- !LILic N _Q1_?E2-34?5 E-MALL 51 Corporate Woods ADDRESS_------- --------_.--_-- —_- 5353 W. 110th Street, Suite 600 — _IHSUP.EF_i',S)AFFORDING COVERAGE L_—_NAIL- Overland Park, KS 56210 INSURER A: TRAVELERS IND CC OF AMER 25566 1 INSURED INSURER e_TRAVELERS IND CO OF CT ;25682 1 1 Mid Kansas Underground, Inc. TRAVELERS IND CC 125E5E 1 INSURER C: • 916 9 Manhattan Ave — - 2S6i I 1 INSURER C: CHAR^_SP. OAK PIRE INS CO 125615 PO Box 1411 INSURER E: I I Manhattan, KS 66 50 3-1411 INSURER F: COVERAGES CERTIFICATE NUMBER:43639633 REVISION NUMBER: ,• I 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 CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'AHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1 EXCLUSIONS AND CONDITIONS OP SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IHSft -----rADDtI60B F---- ---- I POLICY EFF I POLICY EXP -- ------ LTR I TYPE OF INSURANCE 1INSD I MD • POLICY NUMBER I(MM;DO.YYYY),!NMIDDIYYYYi LIMITS P. 1 X 1 COMMERCIAL GENERAL,IABILRY I DTC03919C633TIA15 ;104/30/16 104/30/16 'EACH OCCuRRENCE _ Si 1,000,000 DAMAGE TS RENTEG 1 C LM X OCI rAIe-MADE I ; CUR I PREMISES(Ea occurrence1_I S 300,000 1 I XI PD Dad: 5,000 I i d ( 5,000 I __ _ MEDEXF(Any one son' I j I I PERSONAL B ADV INJURY I S 1,000,000 1 GENT.AGGREGATE LESIT APPLIES PEP.: I GENERAL AGGFEGATE $ 2,900,000 rX PRO- --- 'POLICY JECT I Lo PROWL-TS_CCMPIOF^•G S-}I- 2,000,000 B I AUTOMOBILELIAETI. Y i DT6103919C633TCT15 04/30/15 (04/30/15 I.CORIEINEDSiNGLELh,I17 I S I,000,OOD {Ea accliVI I X I 1 BODILY INJURY IF oe demon) S --- - I ANY AUTO {— S ALL OWNED I SCHEDULED I I BOCILY INJURY(Ps'ao=iCSndl S AUTOS (_-- AVTGS I _ ---_----E I X NON-3NNED I X_ H HED Au TO,; PROPERTY DAMAGE 1 ___ AUTOS ;Per acci:nnti 1 C I X I UMBRELIALIAB 1 X 1 OCCUR I DTSMCL•P3919C633IND15 104/30/15 1 04/30/16 I EACH OCCURRENCE I S 5,000,000 +_— I 'EXCESSLIAB I I I I ' 5,000,000 I , ,CLAIMS-MADE I LAGGFEGATE --�5 ID-ED I X T RETENTIONS 13,000 I 1 I I IS D I'WORKERS COMPENSATION I FFR OTI-:- v/N I DTOUB3919C63315 104/30/15 04/30/16 LX I SraTUTE I ER T__ AND EMPLOYERS'LIABILITY ANY PFOPRIEYOR'P6RTNEF/EXEOUTIVE I I I I E.L.EACH ACCIDENT I c 1,000,000 OFFICER/MEMBER EXCLUDED? IN iiNI Al — iMendetcryInNH} I E.L.DISEASE-EAEMPLO''E s 1,000,0001-- dves.descrLeute, _------ .. I DESCRIPTION OF OPERATION trslow I I E.L.DISEASE-POLICY L MIT S 1,000,000 I i I I I I I I UESCRIPI ION OY OPERA I IONS/LOCAI IONS/VEHICLES(ACCRO 151,Additional Remarks Schecule,may be attacmea it more space is required) CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED I IN Public Works Department ICI T E'ER ET ACCORDANCE WITH THE POLICY PROVISIONS. P.C. Box 736 i AUTHORIZED REPRESENTATIVE 300 W. Ash Street r-•.. Salina, KS 57402-0736 ( _ 1 USA 1—, r- 1 1988-2014 ACORD CORPORATION..All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD echappel 43639633 •