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Insurance Certificate DATE(MM/DDIYYYY) -4,4C1 4.' CERTIFICATE OF LIABILITY INSURANCE o9ro8r2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER I THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE I POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), I AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION'S 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 I CONTACT I MARSH&MCLENNAN AGENCY LLC/PHS I NAME: PHONE (866)467-8730 IFA.No):(888)443-6112 I 46464042 1 i(A/C,No.Ext): I The Hartford Business Service Center 3600 Wiseman Blvd `E-MAIL San Antonio,TX 78265I ADDRESS I INSURER(S)AFFORDING COVERAGE NAIC# II INSURED INSURERA: Hartford Lloyd's Insurance Company i 39608 I PMAM CORPORATION 1 INSURER B: Hartford Fire and Its P&C Affiliates j 00914 5430 LYNDON B JOHNSON FWY STE 370 I INSURER C DALLAS TX 75240-2683 j 4 INSURER D: I I INSURER E: IINSURER F: 0„ 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 c INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS c. 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. (NSREADDL I SUER; POLICY NUMBER POLICY EFF { POLICY EXP LIMITS TYPE OF INSURANCE LTR I INSR VI/VD (MM/DD/YYYY) (MM/DD/Y YYY) I j EACH OCCURRENCE $2,000,000 COMMERCIAL GENERAL LIABILITY I I i IDAMAGE TO RENTED I CLAIMS-AIADEI X jOCCUR $300.000( I PREMISES(Ea occurrence) I I t { I X(General Liability MED EXP(Any one person) 1 $10,000 A X X 46 SBA LX2968 10/06/2019 10/06/2020 PERSONAL a ADV INJURY I $2,000,000 — GEN'L AGGREGATE LIMIT APPLIES PER I I j GENERAL AGGREGATE I $4,000,000 _ j PRO X LOC { PRODUCTS-COMP/OP AGG , $4,000,000 _ POLICY i .(ECT � j _ I 1 BOTHER. I I i It _ COMBINED SINGLE LIMIT I $2 000,000 I i AUTOMOBILE LIABILITY I Ea accidents ANY AUTOI I BODIL Y INJURY(Per person) I A ALL OWNED SCHEDULED I I 46 SBA LX2968 1010612019 ; 14/96/2029 BODILY INJURY(Per axident)I AUTOS AUTOS I PROPERTY DAMAGE i X I HIRED I I NCNvVVNED j i j I IAUTOS I X I AUTOS (Per accident) f I 1 11 j ! EACH OCCURRENCE jI $3.000,000 X I UMBRELLA LIAB I X OCCUR I EXCESS LIAR I CI MADE 46 SBA LX2968 LA 10/06/2019 10/06/2020 AGGREGATE $3,000,000 A ED X RETENTION$10,000 I X 0TH-I WORKERS COMPENSATION i AND EMPLOYERS'LIABILITY I I I PER STATUTE I ER ANY Y/Ni E.L.EACH ACCIDENT I $1,000,000 B PROPRIETOR'PARTNERJEXECUTIVE I I E.L.ClSEASE- .EMPLOYEE $1,000,000 I NrA I 46 WEG DW8595 I 10/06/2019 10/06/2020 OFFICER/MEMBER EXCLUDEDI I I (Mandatory in NH) f j If yes,describe under I E.L DISEASE-POLICY LIMIT I 1' $1,000,000 DESCRIPTION OF OPERATIONS below I i I EMPLOYMENT PRACTICES ? Each Claim Limit $5,000 I I A I 46 SBA LX2968 10/06/2019 , 10?06/2020 I Aggregate Limit 1 $5,000 LIABILITY I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACO RD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations.RE: False Alarm Management Program Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy.Waiver of Subrogation applies in favor of the Certificate holder per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION Clerks SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED City ClerrksksOffice I IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 736 iI SALINA KS 67402-0736 AUTHORIZED REPRESENTATIVE I ' O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ATE "`R CERTIFICATE OF LIABILITY INSURANCE 9/10/2018 THIS CERTIFICATEIS 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 potiry(ies)must have ADDITIONAL INSURED provisions or be endorsed. tf 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 CURACT MARSH&MCLENNAN AGENCY LLC/PAS PHONWWC.No.Eak (866) 467-8730 wc.Na: (888) 493-6112 464042 P: (866) 467-8730 F: (888) 443-6112 m, PO BOX 33015 nSURER(s)AFFORDWG COVERAGE Nan SAN ANTONIO TX 78265 HSURERA: Hartford Lloyd's Ins Co DaIwED mthmi B: M+_ltiple Companies "ISOMER C: PMAM CORPORATION “SURER 0: 5430 LYNDON B JOHNSON FWY STE 370 INSURER E: DALLAS TX 75240 IISURERF: 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. L\SR nye OF Lt lteS(E ADD'SUBR POLICT.Y'UMBEA POLICYEF'F POLICY EXP uuns ITR MR NFD (.1.1VDD/1TYr) (N WDMTYM COMMERCLLL GENERAL LIABILITY EACH OCCURRENCE $2, 000, 000 CIMS-MADE I (OCCUR DAMAGE TO RENTED ,300 000 PREMISES(Ea o¢vrrence) A X General Liab x X 46 SBA LX2966 10/06/2016 10/06/2019 MEDEXP(MY me Person) 510, 000 PERSONAL ADV INJURY 52, 000, 000 GEN_AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 54, 000, 000 POLICY � ^I I LOC PRODUCTS AGG 5Q, 000, 000 JECT OTHER AUTOMOBILE LIABILITY ;OMa I�Nm51NGlE LIMIT $2, 000, 000 ANY AUTO BODILY INJURY(Per person) $ A OWNED ^ SCHEDULED 46 SEA LX2960 10/06/2013 10/06/2019 BDDIIY INJURY(Per aalerd)5 AUTOS ONLY AUTOS x HIRED Y NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per=Wean —5 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE s3, 000, 000 A EXCESS&lAB CLAIMS-MADE 46 SBA LX2966 10/06/2013 10/06/2019 AGGREGATE 33, 000, 000_ sal X RETemcet o,000 - 5 amitxmcoommvsmo.Y X PER 0TH- A oolAwi trauanr STAT TE ER ANY PROPRIETOR/PARTNER/EXECUTIVB'/N EL EACH ACCIDENT $1, 000, 000 OFFICER/MEMBEREXCWDED? Li — B (Maodarory in NH) �A 46 WEC Dii8595 10/06/2017 10/06/2016 ELDISEASE-EA EMPLOYEE 51, 000, 000 If yes.DESCRIPTION OPETtATIONS bolos Et DISEASE-POLICY LIMIT 1, 000, 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEN/C{IiLRD 101,Additional Remarks Sala/dui,may M attached If mon space is required) Those usual to the Insured' s Operations. RE: False Alarm Management Program Certificate Holder is an Additional Insured per the Business Liability Coverage Form 550008 attached to this policy. Waiver of Subrogation applies in favor of the Certificate holder per the Business Liability Coverage Form SS0008 attached to this policy. ESR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Cityof Salina BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Clerks Office AUTHORIZEDREPRESE(TATIVE . PO BOX 736 UruBAn�i, L SALINA, KS 67402 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE Y) THIS CERTIFICATEIS 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 NAME: MARSH & MCLENNAN AGENCY LLC/PHS (AS.No. (866) 467-8730 (MG FAX (888) 443-6112 464042 P: (866) 467-8730 F: (888) 443-6112nD : PO BOX 33015 INSURERS)AFFORDING COVERAGE NA SAN ANTONIO TX 78265 msuNmA: Hartford Lloyd's Ins Co uav'® UlsuReae: Multiple Companies INSURER C: PMAM CORPORATION INSURERD: 5430 LYNDON B JOHNSON FWY STE 370 INSURER E: DALLAS TX 75240 INSURER E: 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. ISSN TYPE OF LYSLRIFCE ADDL SLBR POLICY NUMBER POLICY EFF POLICY EVP LIMAS 177 LYSR DID Ltl.N/DLVTPI) /NN/DLYIITI) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 52, 000, 000 CLAIMS-MADE OCCUR DAMAGETO S(RENTED $300, 000 PREMISES(Ea occurrence) A x General Liab x X 46 SEA LX2968 10/06/2017 10/06/2018 MEDEXP(Arryoneperson) al0, 000 PERSONAL ADV INJURY 52, 000, 000 GENL AGGREGATE PUMITRO-APPLIES PER GENERAL AGGREGATE 54, 000, 000 POLICY PEC0. X LOC PRODUCTS-COMP/OP AGG 54, 000, 000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE OMIT 52, 000, 000 (Ea accident) ANY AUTO BODILY INJURY(Per person) 5 A OWNED SCHEDULED 46 SEA LX2968 10/05/2017 10/06/2018 sODILY INJURY(Per accident)5 AIONLY AVMS x HIRED RED x NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per acddent) 5 $ X UMBRELLA LJAB X OCCUR EACH OCCURRENCE 53, 000, 000 A EXCESS UAB — CLAIMS-MADE 46 SEA Lx2968 10/06/2017 10/06/2018 AGGREGATE 53, 000, 000 DELI X RETENDONilO,000 5 Rona. LOW°sMD, x PER oTN- ASO LVflOTEZS[Lamar SAME ER ANY PROPRIETOR/PARTNER/EXECURVEY/N E.L.EACH ACCIDENT 51, 000, 000 OFFICERMEMBER EXCLUDED? WA - B (Mandatory in NH) - 46 NEC DW8555 10/06/2017 10/06/2018 EA_DISEASE-EA EMPLOYEE51, 000, 000 If yes.describe under E.L.DISEASE-POUCY LIMIT 51, 000, 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEtaS)RD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. RE: False Alarm Management Program Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies in favor of the Certificate holder per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE City of Salina DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Clerks Office AUTHORIZED REPRESENTATIVE PO BOX 736 - /arC.— SALINA, KS 67402 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DATE(M,WDD/YYYY) A ® CERTIFICATE OF LIABILITY INSURANCE 9/26/2015 THIS CERTIFICATE'S 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'S 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: MHBT INC/PHS PHONE (NC.r+o.EU: (855) 467-8730 ( C.No): (888) 443-6112 464042 P: (866) 467-8730 F: (888) 443-6112 alp: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAICA SAN ANTONIO TX 78265 INSURER A: Hartford. Lloyd's Ins Co INSURED INSURERS: Multiple Companies INSURER C: P M A M CORPORATION INSURERD: 5430 LYNDON B JOHNSON FWY STE 370 INSURERE: DALLAS TX 75240 INSURERF: 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. LVSR TYPE OF LVSUR4N'CE ADDL SIBR POLICY,V'UMBER POLICY EFL' POIICYEXP LLtLTS LTR LNSR It'I'D (MM/DD/M1) (MN/DP/M11 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2, 000, 000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $300000 PREMISES(Ea occurrence) r A x General Liab • x x 46 SEA LX2968 10/06/2015 10/06/2016 MEDEXP(Anyoneperson) $10, 000 PERSONAL&ADV INJURY s2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4, 000, 000 JPRO- POLICY X LOC PRODUCTS-COMP/OP AGG $4, 0 0 0, 0 00 OTHER: 5 AUTOMOBILE LBILITY (EOa accldzDrlt)INGLE LIMIT IA $2, 000, 000 ANY AUTO BODILY INJURY Per ( person) g ALL OWNED SCHEDULED '" 46 SEA LX2968 10/06/2015 10/06/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) s X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $3, 000, 000 A EXCESSLIAB CLAIMS-MADE 46 SBA LX2968 10/06/2015 10/06/2016 AGGREGATE $3, 000, 000 DEC X RETENTION 510,000 $ R'ORAEIS Cail.PEV'SATIO.V X PER 0TH- .N'DEMIPLOrERS'LLrBQlTT STATUTE ER ANY PROPRIETOR/PARTNER/EXECUT1VEY/N E.L.EACH ACCIDENT $1, 000, 000 OFFICER/MEMBER EXCLUDED? AV B (Mandatory in N H) 4 6 NEC DW8595 10/06/2015 10/06/2016 E.L.DISEASE-EA EMPLOYEE S1, 000, 000 If yes,describe under E.L.DISEASE-POLICY LIMIT 1, 000, 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICRD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. RE: False Alarm Management Program Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies in favor of the Certificate holder per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Salina BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Clerks Office AUTHOR77FD REPRESENTATIVE SA BOX 736 71-z_SALINA KS, KS 67402 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD