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Insurance Certificate ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MK DDNYYY) 12/21/2020 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 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: IMA Wichita Team IMA, Inc. -Wichita PHONE 316-267-9221 FAX PO Box 2992 IA1C.No.Ext/: (A/C,No): Wichita KS 67201 ADDRESS: certs@imacorp.com INSURER(S)AFFORDING COVERAGE NAIC# .cense#:PC-1210733 INSURER A: Employers Mutual Casualty Company 21415 INSURED PBHOIDA-02 INSURER B: EMCASCO Insurance Company 21407 P.B Hoidale Co., Inc. - Hoidale Co., Inc. INSURER C 3801 W Harry St INSURER D: Wichita KS 67213 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1703344244 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'— -Abut_SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE !NW wvD POLICY NUMBER (MM/DD/YYYY)•(MM.DDYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED - CLAIMS-MADE [ OCCUR PREMISES(Ea occurrence) $ _ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ .._. -, PRCTO• '_. ------- I POLICY JELi LOC PRODUCTS-COMP/OP AGG $ OTHER $ 2E5971622 1/1/2021 1/1/2022 COMBINED SINGLE LIMIT $1.000,000 A AUTOMOBILE UASILITY _(_e accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED AUTOS ONLY x AUTOS ONLY NON-OWNED —,Per Pa cnRTY t)DAMAGE�� $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CWMS.MADE AGGREGATE $ DED RETENTIONS $ IS WORKERSCOMPENSATION2H5971622 ! 1/1/2021 1/1/2022 X 'STATUTE i FP - AND EMPLOYERS'LIABILITY YN ANYPROPRIETORiPARTNERiEXECUTIVE NE.L.EACH ACCIDENT $1,000,000 OFFICER'MEMBEREXCLUDED? NIA --— —(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ! $1,000,000 DESCRIPTION OF OPERATIONS t LOCATIONS VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space le required) MCS 90&Broadened Pollution Liability applies to the Automobile Liability policy.subject to the policy terms and conditions. Certificate Holder is included as Additional Insured on the Automobile Liability policy if required by written contract or agreement subject to the policy terms and conditions.A Waiver of Subrogation is provided in favor of Certificate Holder on the Automobile Liability and Workers Compensation policies if required by written contract or agreement.subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Salina 300 W Ash Street AUTHORIZED REPRESENTATIVE Salina KS 67401-0000 /, i9' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 2'of 2 20992 i�..41 PBHOI-1 OP ID: CC '4�RLY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/17/2020 1 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 have ADDITIONAL INSURED provisions or be endorsed. 1 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 817-640-5035 CONTACT NAME: Chris Monroe,CIC Monroe&Monroe Insurance PHONE 817-640-5035 I FAX 1817-640-0131 Agency, Ltd. (ac,No,Ext): (A/C,No): 2921 Galleria Dr., Suite 102 ADDRESS:cmonroe@monroe-monroe.com Arlington,TX 76011 Chris Monroe,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Mid-Continent Casualty Co. 23418 INSURED INSURER 8: P.B.Hoidale Co, Inc. Hoidale Co., Inc INSURERC: 3801 W.Harry Wichita,KS 67213 INSURER D: 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS 1 LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 04GL1052557 01/01/2021 01/01/2022 DAMAGE TO Eaoccccurrence) $ 100,000 A X Professional Liab 04GL1052557 01/01/2021 01/01/2022 MED EXP(Any one person) $ 0 A X Pollution Liab 04GL1052557 01/01/2021 01/01/2022 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY X '9f LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) _$ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOSpBODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONL� - -"-------" (Per PROPERTY tDAMAGE $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE 04XS217783 01/01/2021 01/01/2022 AGGREGATE $ 5,000,000 ' DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY' YIN 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 -- DESCRIP?ION OF OPERATIONS below — E.L.DISEASE-POLICY LIMIT .$ A ''Bailee/Cargo 04CIM17542 '01/01/2021 01/01/2022 Limit 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CTYSAL2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THEREOF, City of Salina ACCORDANCEION W THDATE THE POLICY PROVISIONS.E WILL BE DELIVERED IN Offices of City Clerk Po Box 736 Salina, KS 67402 AUTHORIZED REPRESENTATIVE OS-A/1X-C— ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD --------Th PBHOI-1 OP ID: Cl ALCORO • DATE(MWDOmrY) CERTIFICATE OF LIABILITY INSURANCE 12n7/2018 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 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 ' ... _817-640-5035 CONTACT NAME: Chris Monroe, Monroe 8 Monroe Insurance PHONE 817.640-5035 � -- - IFAx 817-640-0131 Agency,;Ctd;_.-- ..__- —. __—_ _.._._._._._._____-_._____..-__.__.__.__ .lac. - .. 2921 Galleria Dr., Suite 102 nooalEss-cmonroe@monroe-monroe.com Arlington,TX.76011 - - - `'- ChrisMonroe,CIQ INSURERIS)AFFORDING COVERAGE NAIL a'.-' - _ INSURER A:Mid-Continent Casualty Co. • 23418. INSURED P.B.Hoidale Company,Inc. - INSURER B: ' Hoidale Company Inc 3801 W. Harry INSURER C: Wichita,KS 67213 INSURER D: 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 I 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. 1NSR 1 TRI TYPE OF INSURANCE I NSD ISLAND POLICY NUMBER I(MMIDD/YPOLICY EFF YYYI( PUCY IMM/DD/YEXP YYYI I LIMITS ITS X I COMMERCIAL GENERAL LIABILITYI S 1,000,000 EACH OCCURRENCE CLAIMS-MADE X OCCUR 04GL1010797 01/01/2019 01/01/2020 DAMAGE TORENTED I S 100,000 A © Professional Liab 04GL1010797 01/01/2019 01/01/2020 MED EXP(Any one person) I $ 0 A X Pollution Liab 04GL1010797 01/01/2019 01/01/2020 PERSONAL BADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S , '3,000,000 RO 2,000,000 POLICY - JECT LOC - - _ PRODUCTS-COMP/OP AGG I S '. ;Iv 'OTHER- .. . ._L..'?:I ._....r Emp.Ben. -. . Is - 1,000,000 AUTOMOBILE I— LIABIDTY- .. e ,f;- COMBINED SINGLE L_MIT-' 3 - ( _ •ANY AUTO____ -_ .-.-_ ____ f __ `I� : C •,.L ODILY NJtURY IPer cersonl 3 __ - - ( - - - -.._ AUTOS ONLY .:AUTOS c - BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ONLY , l.- • . ' (Per acadenenp DAMAGE $ , ' I I5 . • A I I UMBRELLA LIAB X I OCCUR EACH OCCURRENCE 15 4,000,000 I X I EXCESS LIAB I CLAIMS-MADE 04XS208218 01/01/2019 01/01/2020 AGGREGATE I S 4,000,000 I I DED I X I RETENTIONS 10,000 - I s WORKERS COMPENSATION I SPERUTE I I 0TH- I .AND EMPLOYERS'LIABILITY YIN --.- TATER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) _E,L.DISEASE-EA EMPLOYEE S If yes,describe under _-_ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S _ A Bailee/Cargo . 04CIM05890 01/01/2019 01/01/2020 Limit 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CTYSAL2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE t THEREOF, City of Salina ACCORDANCEION WITH DATETHE POLICY PROVISIONS.NOTICE WILL BE DELIVERED IN Offices of City Clerk Po Box 736 AUTHORIZED REPRESENTATIVE Salina, KS 67402 ($14A2/2._,TA2/2._ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • Client#: 3450 HOIDPBC ACORD,.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/20/2018 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER I CONTACT NAME: IMA, Inc. -Wichita Division PHONE Ertl:316 267-9221 FAY NP): 316 266-6254 PO Box 2992 EMAIL Wichita, KS 67201 ADDRESS: I INSURERIS)AFFORDING COVERAGE NAICit 316 267-9221 I INSURER A:EMCASCO Insurance Company 21407 INSUREDI INSURER a:Employers Mutual Casualty Company 21415 P. B. Hoidale Company, Inc. INSURER c: 3801 W Harry St INSURER 0: Wichita, KS 67213-1415 INSURER E: I 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 'ADDL SUBR POLICY EFF I(POLICY EXP LTR TYPE OF INSURANCE INSR'VND POLICY NUMBER IMMIODIYYYY) CIYYYY)I OMITS --1 COMMERCIAL GENERAL'LIABILITY I ppPREMISEEACH� S(OEECCCiURRENCE $ I I CLAIMS-MADE I I OCCUR aENTErDenCe) 5 MED EXP(My one person) S PERSONAL 5 ADV INJURY 5 GENII.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 POLICY I I JECTT (_i LOC PRODUCTS-COMP/OP AGG 5 OTHER: 5 B I AUTOMOBILE LIABILITY 2E5971620 01/01/201901/01/2020 LCAMBiNED1sINGLE LIMIT 51,000,000 X ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(Per accident) 5 HIRED ONLY AUTOS X AUTOS ONLY I X NON-0WNED PROPERTY DAMAGE 5 AUTOS ONLY (Per accident) I I I I 5 I UMBRELLA UAB I I OCCUR I I EACH OCCURRENCE 5 1 EXCESS LIAB I I CLAIMS-MADE I AGGREGATE 5 I DED I RETENTIONS I h 5 A WORKERSCOMPENSATION 2H5971620 01/01/201901/01/2026 X 'PER IER I OTH- I ANDEMPLOYER$'LL1BILffY YIN STATUTE B ANYPROPRIETORRARTNERJEXECUTIVE 2N5971620 01/01/2019 01/01/2020 E.L.EACH ACCIDENT Is1,o00,000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE'51,000,000 II yes,desmceO O —,DESCRIPTION OF OPERATIONS beton— - i i - _ . ' (E.LTDISEASE-POLICY LIMIT-'51;000;000-- --- DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached II more space is required) CERTIFICATE HOLDER CANCELLATION City of Salina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Office of City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina,KS 67402-0000 AUTH�ORIZED REPRESENTATIVE UT� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #51474765/M1474508 LAE /7...1 PBHOI-1 OP ID: BT ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD YYV) k.....---- 12/27/2017 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 have ADDITIONAL INSURED provisions or be endorsed. It 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 ' 817-640-5035 CONTACT Chris Monroe,CIC _ Monroe& Monroe Insurance NAhiNE Agency, Ltd: PHONE No,Ext):817-640-5035 - I iac,No):817-840-0131 2921 Galleria Dr., Suite 102 EMAIL cmonroe@monroe-monrce.com Arlington, TX 76011 ADDRESS' Chris Monroe.CIC _ INSURERLSI AFFORDING COVERAGE - NAICd//''- I INSURER A.Mid-Continent Casualty Co. 23418 INSURED P.B. Hoidale Company, Inc. Hoidale Company Inc INSURER B: 3801 W Harry INSURER C: Wichita.KS 67213 INSURER D' 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. (TPI TYPE OF INSURANCE I tl POLICY NUMBER Ir POLICY EFF nPoTn1yYYY)XP I LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S 1,000,000 I CLAIMS-MADE X OCCUR 04GL988600 01/01/2018 01/01/2019 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ A © Pollution Liab 04GL988600 01/01/2018 01/01/2019 MED EXP(Any one person) 5 0 A X I Professional Liab 04G L988600 0110112018 01/01/2019 PERSONAL s ADV INJURY 15 1,000,000 GEN_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 15 3,000,000 . I POLICY I PRa [I LOC • PRODUCTS.COMP/OP AGG 5 2,000,000 • JECT • I OTHER-. Emp Ben. 15 1,000,000 I AUTOMOBILE LIABILITY - - - _ - COMBINED SINGLE LIMIT (Ea accident' $ ANV AUTO BODILY INJURY(Pel person) S OWNED SCHEDULED ' AUTOS ONLY AUTOS . BODILY INJURY(Per accitlen:l 5 - -. -_ MRED NON-OWNED PROPERTY DAMAGEI AUTOS ONLY AUTOS ONLY (Per accident) S I I f I I5 A _ UMBRELLA LIAR X OCCUR - - EACH OCCURRENCE k S 4`000`000 X EXCESSLIAB CLAIMS-MADE 04X5203390 01/01/2018 01/01/2019 AGGREGATE S '•4`000,000 DED I X I RETENTIONS 10,000 , c WORKERS COMPENSATION I STATUTE I I EORH AND EMPLOYERS'LIABILITY YIN 41Y FROPRIETORIP:Fiit!cWEJC-CUTIVE - E.L.EACH ACCIDENT 5 OFFICERICNBER EXQfIDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 5 If ves.describe under __ —— -- _. - - -_. —-- iDESCRIPIIONOFOPERATIONSeelow I E.L.DISEASE-POLICY LIMIT 5 A Bailee&Cargo 041M67621 01/01/2018 01/01/2019 Limit 100,000 A (Installation 041M67621 01/01/2018 01/01/2019 Limit 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION i CTYSAL2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CityTHE THEREOF, of Salina ACCORDANCEION WITHTATE THEPOLICYPROVISIONSE WILL BE DELIVERED IN Offices of City Clerk Po Box 736 AUTHORIZED REPRESENTATIVE Salina, KS 67402 //'��///n I I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#: 3450 _ - HOIDPBC ACORD,. • S CERTIFICATE OF LIABILITY-.INURANCE DATE(MM/DDl1'YYl') 12/28/2017 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 endorsement(s). PRODUCER 1CONTACT NAME: IMA, Inc.-Wichita Division PHONE (AIC,No,60: I lFA/C,No): 316 267-9221 A 316 2664254 PO Box 2992 I WA Wichita, KS 67201 ADDRESS: I INSURER(S)AFFORDING COVERAGE I NMCSt 316 267-9221 I INSURER A:EMCASCO Insurance Company 121407 INSURED INSURERB:Employers Mutual Casualty Co. 21415 P. B. Hoidale Co., Inc. 3801 W Harry St INSURER[: Wichita, KS 67213-1415 INSURERD: 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. INSRLTTYPE OF INSURANCE l NSR IWVD I POLICY NUMBER DISUBR POLICY EFF POLICY EXP UMITS (MOUCY/EF'F') (POUCY I COMMERCIAL GENERAL LIABILITY pEACH H�OECCCURRENCE S I CLAIMS-MADE OCCUR PREMISES°a rr0ence) $ I MED EXP(Any one person) $ I PERSONALS ADV INJURY S GEN_AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ —1 POLICY I1 JET I I LOC PRODUCTS-COMP/OP AGG S OTHERS B IAUTOMOBILELIABILITY 2E5971619 0110112018 0110112019cornelNEosINCLEUMIT 1,000,000 lea acddent) $ XI ANY AUTO BODILY INJURY(Per person) $ IIALLOWNED I (SCHETOSDULED BODILY INJURY(Per aaddent) $ O XIHIRED AUTOS IX NON0SWNED PROPERTY DAMAGE (Per accident) $ AUi I I I I $ I I UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ ~—I EXCESS UAB CLAIMS-MADE AGGREGATE S I DEC RETENTIONS S A WORKERS COMPENSATION 2H5971619(KS) 01/01/2018 01/01/2019 X /PER I low. EMPLOYERS'LIABILITY STATIIIE EB_ B ANY PROPRIETORPARTNERIEXECUTIVE YIN 2N5971619(OK) 01/01/2018_ 01/01/2019 E.L.EACH ACCIDENT $1,000,000 — --OFFICER/MEMBER EXCLUDED?----f.1 N I A — (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is included as Additional Insured on the Automobile Liability policy if required by written contract or agreement subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Certificate Holder on the Automobile Liability and Workers Compensation policies if required by written contract or agreement, subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION ANY City of Salina THEULD EXP RATTIIONHE DATE ABOVE THEREOF,DESCRIBED NOTICE/ES WILLL E CELLED BE CDELIVEREDO NE 300 W Ash Street ACCORDANCE WITH THE POLICY PROVISIONS. Salina,KS 67401 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1392728/M1392495 TRT �—.4, PBHOI-1 OP ID: BT A 1 RL CERTIFICATE OF LIABILITY INSURANCE DATE 12/231YYYY) � 12/23/15 I 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 817-640-5035 CONTACT Monroe&Monroe Insurance PHONE FAX Agency, Ltd. 817-640-0131 LA/C,_No EXq (A/C,No): 2921 Galleria Dr., Suite 102 E-MIL Arlington,TX 76011 ADDRESS: _- -_ Chris Monroe,CIC INSURER(S)AFFORDING COVERAGE _ i NAIC# INSURER A:Mid-Continent Casualty Co. 23418 INSURED P.B. Hoidale Company, Inc. INSURER B: Hoidale Company Inc 3801 W Harry INSURER C Wichita, KS 67213 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 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. -------- ---.-_-----__..._.— _. -- - - — ---- --.._.. --..POLICY EFF I POLICY EXP --._ INSR TYPE OF INSURANCE ADDL SUBR1 POLICY NUMBER LTR INSR WVD'l (MM/DD/YYYY):(MM/DD/YYYY) LIMITS GENERAL LIABILITY ' : EACH OCCURRENCE , $ 1,000,005' A X COMMERCIAL GENERAL LIABILITY 04GL944164 01/01/16 01/01/17 DAMAGE TO RENTED I 100 005 PREMISES(Ea occurrence) $ I CLAIMS-MADE X I OCCUR MED EXP(Any one person) 4 $ -0 X Pollution , I PERSONAL&ADV INJURY $ 1,000,005 X Professional ! GENERAL AGGREGATE $ 3,000,005 L AGGREGATE GATE LIMIT APPLIEIS PER PRODUCTS COMP/OP AGG ��� $ 2,000,00 5 GEN'L AGGRE -_- X I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) $ ANY AUTO 1 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident)' $ '', NON-OWNED I PROPERTY DAMAGE $ -I HIRED AUTOS AUTOS (Per accident) , $ UMBRELLA LIAB ' EACH X OCCUR OCCURRENCE $ 4,000,005 A X I EXCESS LIAB I CLAIMS-MADE', I04XS194109 I 01/01/16 ' 01/01/17 AGGREGATE $ 4,000,005 rDED ' X RETENTION$ 10,0001 1 $ WORKERS COMPENSATION I WC STATU- OTH- 1 AND EMPLOYERS'LIABILITY I L. I TORY LIMITS L . ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N11 I ' E L EACH ACCIDENT $ i OFFICER/MEMBER EXCLUDED? 1N/A --- ----— - -- (Mandatory in NH) !I E L DISEASE EA EMPLOYEE $ i If yes,describe under � - 1 DESCRIPTION OF OPERATIONS below i E L.DISEASE-POLICY LIMIT I $ A Bailee&Cargo 041M63256 01/01/16 '' 01/01/17 'Limit 100,001 A Installation 041M63256 01/01/16 01/01/17 Limit 100,001 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER - CANCELLATION CTYSALI 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. 300 W.Ash St. Salina, KS 67401 AUTHORIZED REPRESENTATIVE 0 ,--,,,a__ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ___.--, PBHOI-1 OP ID: BT ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 14....■-" 12/23/15 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 817-640-5035 CONTACT Monroe&Monroe Insurance PHONE I FAX Agency, Ltd. 817-640-0131 �A/C,No,Exg: I (A/C,No): 2921 Galleria Dr., Suite 102 E-MAIL - -- Arlington,TX 76011 ADDRESS: Chris Monroe,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Mid-Continent Casualty Co. 23418 INSURED P.B. Hoidale Company, Inc. INSURER B: Hoidale Company Inc 3801 W Harry INSURER C Wichita, KS 67213 INSURER D: 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 i INSR VD --- , W TYPE OF INSURANCE ADDL'SUBR� POLICY NUMBER � POLICY POLICY (MMDD YYYY)'(MMDD/YYYY)' LIMITS LTRI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00, ` - - r DAMAGE TO RENTED - -- -- - A X COMMERCIAL GENERAL LIABILITY Ili 04GL944164 01/01/16 01/01/17 PREMISES(Ea occurrence) $ 100,001 CLAIMS-MADE X OCCUR I I MED EXP(Any one person) $ -0 X Pollution �I PERSONAL&ADV INJURY ' $ 1,000,001 X Professional III I GENERAL AGGREGATE $ 3,000,000 _ PRODUCTS COMP/OP AGG $ 2,000,00• PRO- _._.. --- - GEN'L AGGREGATE LIMIT APPLIES PER I POLICY X JECT LOCI $ AUTOMOBILE LIABILITY ''1 COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _{ AUTOS AUTOS PROPERTY DAMAGE $ HIRED AUTOS 1 AUTO AUTOS (Per acciderA) $ UMBRELLA LIAB 1 X I OCCUR EACH OCCURRENCE $ 4,000,001 A X I EXCESS LIAB CLAIMS MADE 04XS194109 01/01/16 01/01/17 I AGGREGATE $ 4,000,00• AND EMPLOYERS'LIABILITY 1 I WORKERS COMPENSATION I WC STATU- OTH-, TORY LIMITS� ER $ RETENTION$ 10Y000I - —- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 1 $ OFFICER/MEMBER EXCLUDED' N/A ' - (Mandatory in NH) 1 E L DISEASE-POLICY LIMIT $ i If yes,describe under i j DESCRIPTION OF OPERATIONS below - $ A !Bailee&Cargo I I 04IM63256 01/01/16 01/01/17 Limit 100,001 I A lInstallation 041M63256 01/01/16 01/01/17 Limit 100,001 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION CTYSAL2 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. Offices of City Clerk Po Box 736 AUTHORIZED REPRESENTATIVE Salina, KS 67402 04,-,,,y, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Client#: 3450 HOIDPBC ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)12/28/2015 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: IMA, Inc.-Wichita Division PHONE 316 267-9221 FAX 266-6254 (A/C,No,Ext): (A/C,No): PO Box 2992 E-MAIL ADDRESS: Wichita,KS 67201 INSURER(S)AFFORDING COVERAGE NAIC# 316 267-9221 INSURER A:Employers Mutual Casualty Co. .21415 INSURED INSURER B:EMCASCO Insurance Company 21407 P. B. Hoidale Co.,Inc. INSURER C: 3801 W Harry St INSURER D: Wichita, KS 67213-1415 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 ADDLSUBR POLICY EFF r POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR IWVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I JECT LOC -- PRO- PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY 2E5971617 01/01/2016 01/01/2017 COMBINED SINGLE LIMIT 1,000,000 A (Ea accident) $ X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS - —- -- - PROPERTY X HIRED AUTOS X NON-OOS WNED (Per a cidentDAMAGE $ ) AUT UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ EXCESS LIAB I CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ A WORKERS COMPENSATION 2H5971617 KS/MO) 01/01/201601101/2017 X 5,R 'OTH- AND EMPLOYERS'LIABILITY ( I TTUTE 1ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 2N5971617(OK) 01/0112016'.01/01/2017 E.L.EACH ACCIDENT _ $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A -(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under I I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 II i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured on the Automobile Liability policy if required by written contract or agreement subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Certificate Holder on the Automobile Liability and Workers (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Salina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 W Ash Street ACCORDANCE WITH THE POLICY PROVISIONS. Salina, KS 67401 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1205659/M1205278 SLF2 DESCRIPTIONS (Continued from Page 1) Compensation policies if required by written contract or agreement,subject to the policy terms and conditions. SAGITTA 25.3(2014/01) 2 of 2 #S1205659/M1205278