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Insurance Certificate
nmuntom Y .4 • DATE IMMIODITTI'T) CERTIFICATE OF LIABILITY INSURANCE 08/26/2019 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 r+ REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. — IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. ei If SUBROGATION IS WANED,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 1-800-300-0325 CONTACT NAME: Paula Dixon Holmes Murphy & Assoc - CR PHONE ,FAX WC No Ertl• 800-527-9049 INC.Not E-MAIL > 201 First Street SB, Suite 700 ADDRESS: Z INSURER(S)AFFORDING COVERAGE I NAC B Cedar Rapids, IA 52401 INSURER A:XL SPECIALTY INS CO 37885 INSURED INSURER B: REG Planning 4 Design INSURER C;_ _ I 900 Penman Street, 0100 IMSURERO: INSURER E: I Omaha, NE 68102 INSURERF: I COVERAGES CERTIFICATE NUMBER:57046074 REVISION NUMBER: _ _THIS.IS TO CERTIFY THAT THE POLICIES OF INSURANCE.USTED 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. CY UP LTR TYPE OF INSURANCE Ipyp IwY'flI POLICY NUMBER I(MM/DDDY N1YYI IMF M/DDItWYI LIMITS COMMERCLAL GENERAL LWBIUTY • EACH OCCURRENCE S DAMAGE TO REMEO CLAIMS-MADE n OCCUR PREMISES 1 ooanercel f MED EXP(Any we person) f — PERSONAL AADV INJURY _ f GEN.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f PUDGY I1 JELT I I LOC PRODUCTS-COMP/OP AGG f OTHER S AUTOMOBILE LIABILITY COMBINED UNIT I$ ANY AUTO BODILY INJURY(Per person) If TJED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERLY DAMAGE If AUTOS ONLY AUTOS ONLY (Per accident) IS UMBRELLA LIAR OCCUR EACH OCCURRENCE IS EXCESS LIAR CLAIMSMADE AGGREGATES DED I I RETENTIONS I f WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN I STATGTE I MER AVYPROPRIETORPARTNENEXECUTNE ❑ NIA E.L.EACH ACCIDENT f OFFICERAAEUSER E%CUAED7 (Mandatory In NH) El.DISEASE•EA EMPLOYEE f N yn,*nabs under - DESCRIPTION OF OPERATIONS Sb. E.L.DISEASE-POLICY LIMIT $ A Professional Liability DPR9947891 09/01/19 09/01/20 Per Claim 3,000,000 Claims Made Annual Aggregate 5,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Requite Schedule,may W=wheel IT mon space a required) Re: Project NO. 2014.187.00 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Gary Hobble 300 Nest Ash AUTHORQED REPRESENTATIVE Room 201 Salina, KS 67402 OtY%S/:T-:I''i/'7' I USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD duster 57046074 ^ A CERTIFICATE OF LIABILITY INSURANCE DATE A y2WDDDVs 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: Stacy Ferguson LMC Insurance& Risk Management, Inc. PHONE FAX 4200 University Ave., Suite 200 (ac.No.Erg: 515-558-0744 INK,No):515-2449535 West Des Moines IA 50266-5945 ADDDRRESS: stacy.ferguson@lmcins.com INSURER(S)AFFORDING COVERAGE NNC tl INSURER A:Cincinnati Insurance Company 10677 INSURED RDGPLJN-01 INSURER B:Accident Fund National Ins Company 10166 — 301 Grand Ave RDG Planning & Design INSURER c:AXIS Insurance Company 37273 Des Moines IA 50309 INSURER D: INSURER E: INSURER F: I COVERAGES • CERTIFICATE NUMBER:514371508 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. WSRRI TYPE OF INSURANCE INSD ISWVDI POLICY NUMBER I(MPOM!DDDY/YYYI�EFF I(MMJOD/YYY'n Y EXP I LIMITS A I X COMMERCIAL GENERAL LIABILITY Y Y ENP0118a75 1/12019 1/112020 EACH OCCURRENCE I$1,000,000 -DAMAGE TO RENTED CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) S 500.000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY 5 1,000,000 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE 52.000.000 POLICY X PECP n LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY AUTOMOBILE Y ENP0118475 012019 1/12020 COMBINED SINGLE LIMIT 5 1 OW P44 (Ea accident) I AUTOS X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per ecddent) $ AUTOS NON-OWNED PROPERTY DAMAGE $ MIRED AUTOS AUTOS (Per accident) I5 A X UMBRELLA LIAB X OCCUR ENP0118475 1/12019 1112020 EACH OCCURRENCE 5 5,000.000 EXCESS LIAR CLAIMS-MADE AGGREGATE 55,000,000 I DED I X I RETENTIONS 0 $ g WORKERS COMPENSATION V WCV6096800 1/12019 1112020 X I STATUTE I I ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N1 N/A E.L.EACH ACCIDENT J$500,000 OFFICER/MEMBER EXCLUDES)?(MandatoryIn NX) E.L.DISEASE-EA EMPLOYE=$500,000 If yes desalt,.under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I 5500.000 C Cyber Lie/ally P-001-000061201-01 1/1/2019 1/12020 Agg.Lh it$1,000,000 Deductible:510,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached It more space Is required) RE:Project:R3002.246.00 City of Salina,Kansas,its agents,representatives,officers,officials,and employees are Additional Insured-primary and non-contributory-including products and completed operations-automatic status when required in Contract with respects to the General Liability policy per form GA472(10/01) Waiver of subrogation applies to the General Liability Policy per form GA210(02/07)In favor of The City of Salina,Kansas,its agents,representatives,officers, officials,and employees See Attached... 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 Kansas ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk Attn: Engineering&Planning PO Box 736 AUTHORIZED REPRESENTATIVE Salina KS 67402-0736 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: RDGPLAN-01 LOC#: A ® ADDITIONAL REMARKS SCHEDULE Page i of AGENCY NAMED INSURED LMC Insurance&Risk Management,Inc. RDG Planning&Design 301 Grand Ave POLICY NUMBER Des Moines IA 50309 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDRIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE City of Salina,Kansas,its agents,representatives,officers,officials,and employees are Additional Insured where required by written contract with respects to the Auto Liability policy per form M4171 (11/05) Waiver of subrogation applies to the Auto Liability policy per form AA4172(09/09)In favor of The City of Salina,Kansas,its agents,representatives,officers, officials,and employees Waiver of subrogation applies to the Workers Compensation policy per form WC000313(04/84)In favor of The City of Salina,Kansas,its agents, representatives,officers,officials,and employees Cancellation Notification-30 Days per form IA4087(08/11)with respects to the General,Auto and Umbrella policies Cancellation and Material Change Notification-30 Days with respects to General Liability,Auto Liability and Umbrella policies per form IA4370(08/09) ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Psmu2sux ACORO• CERTIFICATE OF LIABILITY INSURANCE 08/3/2"20°e 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. LL. O IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. r' If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require en endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-800-300-0325 CONTACTNA Paula Dixon a Holmes Murphy 4 Assoc - CR PHONE FAX r-- mg `AIL No Ent. 800-527-9049 INC.Nok: EJUIL 201 First Street SE, Suite 700 ADDRESS: INSURER(S)AFFORDING COVERAGE NA/CS Cedar Rapids, IA 52401 INSURER A: XL SPECIALTY INS CO 37885 _ INSURED INSURER B: RIG Planning 4 Design INSVRERG: 900 ram= Street, #100 INSURERD: INSURER E: Omaha, NE 68102 INSURERF: COVERAGES _ CERTIFICATE NUMBER:53806755 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. p5R ADO UEIR POLICY EFF POLICY UP TR TYPE OF INSURANCE gmry yrlg POLICY NUMBER IMMIDD/YYYYI,IMMIDD/YYY1l URNS CONNERCAL GENERAL LIABILITY EACH OCCURRENCE s _ AAGETYREar CAWSYADE n OCCUR PREMISES PREMISES I� $ MED UP(My ore Praon) PERSONAL B ADV INJURY $ GEM.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S POLICY n PPERCOT n LOC PRODUCTS-COMPKIP AUG $ OTHER: AUTOMOBILE LUBNIY COMBINED SINGLE UNIT f amaNJll ANY AUTO BODILY INJURY IPr lween) $ OWNED SCHEDULED BODILY INJURY(Per aorNrn) I AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY {Per uvden0 UMBRELLA LIAB OCCUR EACH OCCURRENCE f EACESS LIAR CLAIMS-MADE AGGREGATE f_ _ DED RETENTIONS $ WORKERS COMPENSATOR PER TH- AND EMPLOYERS UABLIIY YIN (STATUTE OR ANYPROPRIETORIPARTNERPEXECUTNE n NIA EL.EACH AMC/ENTf OF fICEP/MEYBERIXCtOED] (Myyaennd.atory M NIG El.DICraeF.EA EMPLOYEE f :Mato under DESSCFUPTgN OF OPERATIONS nab. EL(YSFASF.POLICY LIMIT $ A Professional Liability DPR9931324 09/01/18 09/01/19 Par Clain 3,000,000 Claims Made Annual Aggregate 5,000,000 DESCR FTI0N OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddebW Ramal Schedule,may be anarlyd If mon bTNee M rp*M4 Re: Project No. 2014.187.00 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Gary Bobbie 300 Meat Ash AUTHOR®REPRESENTATIVE Roos 201 Salina, K3 67402 Atilt Lt-5/ 'i USA ®1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD duster 53806755 A ® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDITYYY) L.------ 12/22/20 A E(MWDD 17 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 LMC Insurance& Risk Management, Inc. PHONE Stacy Ferguson FAX 4200 University Ave., Suite 200 (pica 515-558-0744 (A/C.No):515-244-9535 West Des Moines IA 50266-5945 ADDDRESS: stacy.ferguson@lmcins.com INSURER(S)AFFORDING COVERAGE I NAIC 0 INSURER A:Cincinnati Insurance Company I 10677 INSURED RDGPLAN-01 INSURER B:Accident Fund National Ins Company I 10166 RDG Planning&Design 301 Grand Ave INSURER C: Des Moines IA 50309 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1317715379 REVISION NUMBER: --- THIS'ISTD-CERTIFYTHATTHE'POLICIES'OF'INSURANCE'LISTED'BELOW'HAVE BEEN ISSUED TO'THE-INSURED'NA-nIED-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. LTRINSRI TYPE OF INSURANCE I IINDL SVQ UBR I NSO WPOLICY NUMBER (MWDYD/YYYY)I POLICY EFF (MMMJOODNYYY)EXP I LIMITS A X I COMMERCIAL GENERAL LIABILITY Y Y ENP0118475 1/12018 1/12019 EACH OCCURRENCE 51,000000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) 5500000 MED EXP(Any one person) $10,000 I PERSONAL 8 ADV INJURY 15 1.000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52.000.000 POLICY X 78-. X LOC PRODUCTS-COMP/OP AGG $2,000.000 If OTHER: I$ A AUTOMOBILE LIABILITY Y Y ENP0118475 1/12018 1/12019 COMBINED SINGLE LIMIT $ (Ea accident) 1 000 000 X ANY AUTO BODILY INJURY(Per person) 5 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) 5 X HIRED AUTOS X AUTOS EDPR(Per accident) DAMAGE 5 I I5 A X UMBRELLA/IAB X OCCUR ENP0118475 1/12018 1112019 EACH OCCURRENCE I$5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5.000,000 I DEO I X I RETENTION5 0 I S B I WORKERS COMPENSATION Y WCV6096800 1/12018 1/1/2019 X I STATUTE I I ER I AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YnN/A E.L.EACH ACCIDENT 15500,000 OFFICER/MEMBER EXCLUDED? I I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5500.000 . —If yes,describe under_ __ I DESCRIPTION OF OPERATIONS below _ _ — - —'—'-- -'E.L:DISEASE-POLICY LIMIT-t 1500800-- - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE:Project:R3002.246.00 City of Salina,Kansas,its agents,representatives,officers,officials,and employees are Additional Insured-primary and non-contributory-including products and completed operations-automatic status when required in Contract with respects to the General Liability policy per form GA472(10/01) Waiver of subrogation applies to the General Liability Policy per form GA210(02/07)In favor of The City of Salina,Kansas,its agents,representatives,officers, officials,and employees See Attached... 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 Kansas ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk Attn: Engineering& Planning PO Box 736 AUTHORIZED REPRESENTATIVE Salina KS 67402-0736 I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: RDGPLAN-01 _ LOC#: A ® ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMED INSURED LMC Insurance&Risk Management,Inc. RDG Planning&Design 301 Grand Ave POLICY NUMBER Des Moines IA 50309 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE City of Salina,Kansas,its agents,representatives,officers,officials,and employees are Additional Insured where required by written contract with respects to the Auto Liability policy per form AA4171 (11/05) Waiver of subrogation applies to the Auto Liability policy per form AA4172(09/09)In favor of The City of Salina,Kansas,its agents,representatives,officers, officials,and employees Waiver of subrogation applies to the Workers Compensation policy per form WC000313(04/84)In favor of The City of Salina,Kansas,its agents, representatives,officers,officials,and employees• ' • Cancellation Notification-30 Days per form IA4087(08/11)with respects to the General,Auto and Umbrella policies Cancellation and Material Change Notification-30 Days with respects to General Liability,Auto Liability and Umbrella policies per form IA4370(08/09) ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P5A,M2a02 ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(Y0/1YYY) 08/30/2017 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 endorsementls). PRODUCER 1-800-300-0325 CONTACT Audrey McNeill ^_ PLANE: 1101m69 Murphy & A990c - CR PHONE FAX INC NR.Erik 800-527-9049 pyM_Noy EMAIL Z 201 First Street 88, Suite 700 ADDRESS: — INSURER(s)AFFORDING COVERAGE NAICS Cedar Rapids, IA 52401 _ INSURER A: EL Specialty Insurance Company 37885 INSURED INSURER B: RDO Planning & Design INSURER C: 900 Parnan Street, #100 INSURERD: INSURER E: Omaha, NE 68102 INSURERF: COVERAGES CERTIFICATE NUMBER:50687945 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 AU.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE �SIJBR POLICY EFF POLICY EXP UNITS !OW,,PND POLICY NUMBER IMMND/1YYY) IMNIDOIVYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S n uc.uaLLF n OCCUR DAMAGE TO R NTE0 u PREMISES(Ea;conical $ MED EXP(My and parson PERSONAL A ADV INJURY S GENT,AGGREGATE UNIT APPLIES PER GENERAL AGGREGATE $ POLICY EECT I I LOC PRODUCTS-COMP/OP AGG 5 OTHER: S AUTOMOBILE LIABILITY • COMBINED SINGLE UNIT T IFI azalea) ANY AUTO BODILY INJURY(Pa paam) S ALL OWNED SCHEMED BODILY INJURY(Par aoiteq $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS — AUTOS (Per aorienll UMBRELLA LIAO OCCUR EACH OCCURRENCE EXCESS LIAO CLAIMS-MADE AGGREGATE S DEO I RETENTIONS WORKERS COMPENSATION PER 0TH- ANDEMPLOYERS'UABaY YIN STATUTE ER D ANY PROPRIETORSARTNEWEXECUTIVE I�i MIA EL.EACH ACCIDENT s OFFCIM ERELABER EMXUOED? I I (Myyaaraeatory In NH) EL DISEASE-EA EMPLOYEE S DESSCRPi1N OF OPERATIONS beb, EL DISEASE.POLICY LIMIT $ A Professional Liability DPR9917372 109/01/17 09/01/18 Per Claim 3,000,000 (Claims-Made Policy) Annual Aggregate 5,000,000 DESCRIPTOR OF OPERATION!I LOCATIONS I VEHICLES(ACORD COL,ABabbnal Rwaba Schedule,may be aasdM II mon apace M capable) Ra: Project No. 2014.187.00 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Gary Bobbie 300 West Ash AUTHORIZED REPRESENTATIVE R0® 201 Salina, KS 67402 }f:/i Lf ''C:;;, USA ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ancneillcr 50687945 Aco® CERTIFICATE OF LIABILITY DATE(MM/DD/YYYY) O BILITY INSURANCE 12/9/2015 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: Stacy Ferguson LMC Insurance&Risk Management, Inc. PHONE N( A C No.EXt):515-558-0744 A/ 11A (A/C,No):515-244-9535 4200 University Ave.,Suite 200 E-MAIL West Des Moines IA 50266-5945 ADDRESS: - - • I I • Iu i of INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Insurance Company 10677 INSURED RDGPLAN-01 INSURERB:Accident Fund National Ins Company 10166 RDG Planning&Design INSURER C: 301 Grand Ave Des Moines IA 50309 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:202231168 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 LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY); LIMITS A GENERAL LIABILITY Y Y ENP0118475 1/1/2016 1/1/2017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $500,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X jt7 X LOC $ A AUTOMOBILE LIABILITY Y Y ENP0118475 1/1/2016 1/1/2017 COMBINED SINGLELIMII (Ea accident) _$1,000,000 X ANY AUTO BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS $ X AUTOS (Per accident) A X UMBRELLA LIAB X OCCUR ENP0118475 1/1/2016 1/1/2017 EACH OCCURRENCE i$2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE _ ,$2,000,000 DED X RETENTION$0 $ B WORKERS COMPENSATION y WCV6096800 1/1/2016 1/1/2017 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N/A - — (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS beiow E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re:Salina Housing and Neighborhood Study The City, its agents, representatives,officers,officials, and employees are Certificate holder are Additional Insured-primary and non-contributory-including products and completed operations-automatic status when required in Contract with respects to the General Liability policy per form GA472(10/01) See Attached... 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 Kansas,Attn:Gary Hobbie, Dir.Community ACCORDANCE WITH THE POLICY PROVISIONS. &Development Services 300 West Ash, Room 201 AUTHORIZED REPRESENTATIVE Salina KS 67402 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: RDGPLAN-01 LOC#: AORO� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED LMC Insurance&Risk Management, Inc. RDG Planning&Design 301 Grand Ave POLICY NUMBER Des Moines IA 50309 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of subrogation applies to the General Liability Policy per form GA2404(10/93) The City, its agents, representatives,officers,officials,and employees are Additional Insured where required by written contract with respects to the Auto Liability policy per form AA4171 (11/05) Waiver of subrogation applies to the Auto Liability policy per form AA4172(09/09) Waiver of subrogation applies to the Workers Compensation policy per form WC000313(04/84) ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD