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Insurance Certificate ® DATE(MM/DDIYYYY) ACCORD CERTIFICATE OF LIABILITY INSURANCE 05/28/2020 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 Ashley Hess NAME: Assurance Partners,LLC (A/CO,No,Ext): (800)563-1871 (AA/ C,No): (785)825-5098 201 E Iron Avenue E-MAIL ahess@yourassurance.com ADDRESS: P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIC a Salina KS 67402-1213 INSURERA: Philadelphia Insurance INSURED INSURER B: North Salina Community Development,Inc. INSURER C: c/o Barb Young INSURER D • PO Box 1211 INSURER E: _ Salina KS 67402-1211 INSURER F: COVERAGES CERTIFICATE NUMBER: 20.21 GL 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 POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGERENTED CLAIMS-MADE X OCCUR PREM SESO(Ea occurrrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y PHPK2119345 06/03/2020 06/03/2021PERSONAL&ADVINJURV $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS - HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) ,$ l 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 NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 ACCORDANCE WITH THE POLICY PROVISIONS. 300 W Ash AUTHORIZED REPRESENTATIVE Salina KS 67401 // r ' • ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC/a.'" CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD YYYY 06/04/2019 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 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 Amber Bell NAME: Assurance Partners PHONE (800)563-1871 FAX (785)825-5098 RC IA ,No,EMI: (AIC,No): 201 E Iron Avenue ADDRIESS: abell@yourassurance.com P.G.Box 1213 INSURER(S)AFFORDING COVERAGE NAICI Salina KS 67402-1213 INSURER A: Philadelphia Insurance INSURED INSURER B: North Salina Community Development,Inc. INSURER c: UO Barb Young INSURER D: PO Box 1211 INSURER E: Salina KS 67402-1211 INSURER F: COVERAGES CERTIFICATE NUMBER: 19.20 GL 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 ADOLSUBR POLICY EFF POUCYEXP LTR TYPE OF INSURANCE ,INSD VND POUCY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) OMITS X COMMERCIAL GENERALUABIUTY 1,000,000 EACH OCCURRENCE 5 DAMAGE SO CLAIMS-MADE a OCCUR PREMISES a owj, 100,000 RcitiE ercel S MED EXP(Any one Person) 5 5,000 A Y PHPK1805096 06/03/2019 06/03/2020 PERSONAL SADV INJURY S 1.000,000 GENL AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 JE X POLICY ❑ L I ESI LOC PRODUCTS-COMP/OP AGG S 2.000,000 OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 (Ea acWeno ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE -- 5 AUTOS ONLY AUTOS ONLY (Per accident) •UMBRELLA UAB H OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION 5 5 WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'UABIUTY YIN STATUTE ER ANY PROPRIETORPARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT 5 OFFICER/MEMBER EXCLUDED? N IA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 If yes,desmbe aper DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD let.Additional Remarks Schedule.may be attached If more space Is required) 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 ACCORDANCE WITH THE POLICY PROVISIONS. 300 WAsh AUTHORIZED REPRESENTATIVE Salina KS 67401 nI ��'' ' - ,C L/ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD