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Insurance Certificate Act CERTIFICATE OF LIABILITY INSURANCE DATE 12020 /YYYY) �,•--" 1013012020 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 Marsh USA Inc. NAME: PHOE FAX 100 North Tryon Street,Suite 3600 (A/CNNo.Ext): (A/C,No): Charlotte,NC 28202 E-MAIL Attn:Charlotte.CertRequest@marsh.com ADDRESS. INSURER(S)AFFORDING COVERAGE NAIC# CN130745150-VONTO-GAWU-20- TELET TELE INSURER A:ACE American Insurance Company INSURED INSURER B:N/A N/A TELETRAC NAVMAN 7391 LINCOLN WAY INSURER C: GARDEN GROVE,CA 92841 INSURER D:ACE Fire Underwriters Insurance Company 20702 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-005175556-14 REVISION NUMBER: 9 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 INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG71570460 10/09/2020 07/01/2021 EACH OCCURRENCE $ 2,000,000 CLAIMS MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 2,000,000 X Contractual Liability MED EXP(Any one person) , $ 10,000 X Broad Form PD PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 5,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: $ A AUTOMOBILELWBILITY ISAH25313951 10/09/2020 07/01/2021 COMBINED SINGLE LIMIT $ 5 000 (Ea accident) _ X ANY AUTO BODILY INJURY(Per person) $ J OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE _ $ — DED RETENTION$ $ A WORKERS COMPENSATION WLRC67806840(AOS) 10/09/2020 07/01/2021 X PER OTH- D AND EMPLOYERS'LIABILITY Y/N 2,000,000 STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE SCFC67806888 (WI) 10/09/2020 07/01/2021 OFFICER/MEMBEREXCLUDED? n N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CITY OF SALINA ITS AGENTS,REPRESENTATIVES,OFFICERS,OFFICIALS,AND EMPLOYEES ARE ADDITIONAL INSURED FOR GENERAL LIABILITY AND AUTO LIABILITY BUT ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY AND AUTO LIABILITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIMARY AND NON-CONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IS APPLICABLE FOR GENERAL LIABILITY,AUTO LIABILITY,AND WORKERS COMPENSATION WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF SALINA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 W.ASH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SALINA,KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ......�,...= --y.a..,....e..«.,,a.e-e.. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ® DATE(MM/DD/YYYY) ACOREl CERTIFICATE OF LIABILITY INSURANCE 06/29/2020 THIS ERTIFICATE 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 CONTACTNAME: Marsh USA,Inc PHONE FAX 1301 5th Avenue (NC.No.Extl: (NC,No): Seattle,WA 98101 E-MAIL ADDRESS: Attn:Fortive.certrequest@marsh.com INSURER(S)AFFORDING COVERAGE NAIC# CN117677530-VONT1-GAWUE-20- TELET _ INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:N/A N/A TELETRAC NAVMAN N/A 7391 LINCOLN WAY INSURER C:N/A GARDEN GROVE,CA 92841 INSURER D:N/A N/A INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003392798-10 REVISION NUMBER: 9 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 POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY HDOG2763025A 07/01/2020 07/01/2021 EACH OCCURRENCE $ 2,000,000 DAMAGE X PREMISES occurrence) $ 2,000,000 CLAIMS-MADE OCCUR 10,000 X Contractual Liability MED EXP(Any one person) $ PERSONAL&ADV INJURY X Broad Form PD - $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY[—I PRO- LOC JECT PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: A AUTOMOBILE LIABILITY ISAH08872508 07/01/2020 07/01/2021 (Ea MBINED accident]INGLE LIMIT $ 5,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON-OWNED (Per accident) $ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WLRC48135389(AOS) 07/01/2020 07/01/2021 X PER STATUTE ETH AND EMPLOYERS'LIABILITY SCFC48135407 WI 07/01/2020 07/01/2021 2,000,000 A Y/N ( ) E.L.EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A OFFICER/MEM BER EXCLUDED? 2,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe underDISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below E.L. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CITY OF SALINA ITS AGENTS,REPRESENTATIVES,OFFICERS,OFFICIALS,AND EMPLOYEES ARE ADDITIONAL INSURED FOR GENERAL LIABILITY AND AUTO LIABILITY BUT ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY AND AUTO LIABILITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIMARY AND NON-CONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IS APPLICABLE FOR GENERAL LIABILITY,AUTO LIABILITY,AND WORKERS COMPENSATION WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF SALINA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 W.ASH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SALINA,KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Katie Stephens 014-414444je-5.arit"'''' I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACOR11 GATE IYYRIOIYI/YY)CERTIFICATE OF LIABILITY INSURANCE 06Ei2019 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(SI, 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 riot confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME _ _ MarMI USA,Inc PHONE • FAX 1301 5th Avenue (Arc.N9.Esti. I(NC.** Seattle.WA 98101 E-MAIL Ann Fq/ve.celtr .marsh com AOORESS. — INSURERS'AFFORDING COVERAGE NMI CN 11767777530-STND-GAW 19-20 TE LET INSURER A:ACE American Insurance Company 22667 INSURED INSURERS:Ifldefrrlily Ss CO Of Nlxlh America 43575 TELETRAC NAVMAN 7391 LINCOLN WAY INSURER C: GARDEN GROVE CA 92841 INSURER O: INSURER E: _INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003392798-10 REVISION NUMBER: 9 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO.iW i) POLICY NUMBER (MMIOOIYVYY) (MM!DOrYYYYI UNITS A X COMMERCIAL GENERAL LIAHILITY I HDOG27629751 07/01/2019 07/01120202000 000 _� EACH OCCURRENCE _ CLAIMS-MADE ^ I OCCUR I Sb;ENS,) $ 2.000.000 X Contractual Liability I MED ExP(My one person) f 10.000 X Broad Form PD PERSONAL a AoV INJURY S 2.000.000 GEHLAGGREGATE Law APPLIES PER GENERAL AGGREGATE $ 5,000,000 X POLICY 1 .171-- -.1 rtCOT LOC PRODUCTS-CDAProP AGG $ 5,000.000 OTHER s e 'AUTOMOBILE LIAB:LrTY ( ISA1108870500 07101!2019 07+01!2020 rEa D SINGLE LIMIT s 5 000 000 X ANY AUTO BOOEY INJURY(Per moon) 5 OWNED SCHEDULEDAUTOS I BOW(INJURY(Per ac odea! $ OS HIED ONLY AUTNON-OWNED AUTOS ONLY 1 DAMAGE AUTOS ONLY _ (Pat a dirt) s S — UMBRELLA LIAR _ OCCUR EACH OCCURRENCE , S EXCESS LAB CLAIMS—MADE AGGREGATE I DED 1 j RETENTIONS S B WO RKERScoMPENSATIDN WLRC48134373(ADS) 07/01/2019 07/0112020 x I PER OTH- ERAND EMPLOYERS LMIBIUTY STATUTE A ANYPROPR;ETOR/PARTNERIEXECUTIVE YN/A RC48134361 ICA.AZ MAI OTAI/1019 07/0112020 E L EACH ACCIDENT $ Z� A GFFICER/MEMBEREXCLUCEDr ` I SCFC18131385(WI) 07/0112019 07/01/1020 (Mandatoryin NH) E L DISEASE-EA EMPLOYEE S 2,000,0313 r ° �of o 2,000,000 DESCRIPTION OFOPERATIONS bebr r E L DISEASE-POLICY LST 5 1 . DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(ACORD 1St,Additional Remarks Schedule,may be attached H more space Is required) CITY Cf SAUNA ITS AGENTS,REPRESENTATIVES,OFFICERS,OFFICIALS.AND EMPLOYEES ARE ADDITIONAL INSURED FOR GENERAL UABILITY AND AUTO LABILITY BUT ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED GENERAL LIABILITY AND AUTO LIABLITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIVRY AFD NON-CONTRBUTO Y WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IS APPLICABLE FOR GENERAL IJABIUTY.AUTO LIABILITY,AM:11,01404S DOSIPENSATDN MERE REQUIRED BY WRITTEN CONTRACT CERTIFICATE HOLDER CANCELLATION CITY OF SAUNA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300W.ASHSTREET THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN SALBIA.KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc Katie Stephens C 674-hilliy jrdarA4-+- t ©1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACOROOTE/0® CERTIFICATE OF LIABILITY INSURANCE DMM/8D YYYY) ka.----- 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 Marsh USA,Inc NAME: HONE FAX 1301 5th Avenue INC No Eatl' (ANC.No): Seattle,WA 98101 E-MAIL Ann:Fotve.art- uesligmarsh.wa ADDRESS: r INSURER(S)AFFORDING COVERAGE NAIC a CN117677530-STNDGAW-18-19 TELET INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:Indemnity Ila Co Of North America 43575 TELETRAC NAVMAN 7391 LINCOLN WAY INSURER C:Awl General Insurance Company 42757 GARDEN GROVE,CA 92841 INSURER D:ACE Fire Undervmters Insurance Company 20702 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: SEA-003392798-07 REVISION NUMBER: 9 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 MIR POUCY EFF POLICY EXP LIMITS LTR INSD VD POUCY NUMBER (MDD/YYYY) (MMJDDIYYYY) A X COMMERCIAL GENERAL UABIUTY HDOG27629210 07/01)2018 07/0172019 EACH OCCURRENCE $ 2.000.000 DAMAGE TO RENTED 2 CLAIMS-MADE OCCUR PREMISES(Ea o .srecce) $ X Conaadual Liahifity MED EXP(Any one person) $ 10,000 X Broad Form PD PERSONAL B ADV INJURY S 2,000.000 GENL AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 5•000•000 POLICY PRP LOC PRODUCTS•COMP/OP AGG S 5.000,000 X PEC. OTHER' $ A AUTOMOBILELIABILITY ISAH08868025 07/012018 07/012019 COMBINED SINGLE LIMIT S 3.000.000 (Ea accident) X I ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per aoodem) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I RETENTIONS $ B WORKERS COMPENSATION WLRC48133307(AOS) 07/012018 07/01/2019 x PER I I OTH- AND EMPLOYERS LIABILITY STATUTE ER A YIN WLRC48133290(CA,AZ,MA) 07/01/2018 07/012019 2,000,000 ANYPRWRIETOR/PARTNERIEXECUTIVE n NIA E.L EACH ACCIDENT S D (MandaOFFICER/MEMBER EXCWDED? I I SCFC48133344 07/01/2018 07/012019 (Mandatory in NH) (WI) E.L.DISEASE-EA EMPLOYEE f 2,000,0W C r yes.describe utter WLRC48133319(TN) 07/012018 07/01/2019 E.L.DISEASE-POLICY LIMIT S 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space Ii required) CITY OF SAUNA ITS AGENTS,REPRESENTATIVES,OFFICERS,OFFICIALS,AND EMPLOYEES ARE ADDITIONAL INSURED FOR GENERAL LIABILITY AND AUTO LIABILITY BUT ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY AND AUTO LIABILITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIMARY AND NON-CONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IS APPLICABLE FOR GENERAL LIABILITY,AUTO LIABIUTY,AND WORKERS COMPENSATION WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF SALINA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 W.ASH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SALINA,KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Jean Aguirre gassiai eQ.FYNAm_ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1 DATE(MDDNYYY) ACORL7® M/CERTIFICATE OF LIABILITY INSURANCE 06/27/2016 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 CONTACT Marsh USA,Inc NAME: 1301 5th Avenue INC No.Ext): I FAX No): Seattle,WA 98101 E-MAIL Attn:Fortive.certrequest@marsh.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 117677530-FORT-7/1-16-17 TELET • INSURER A:ACE American Insurance Company INSURED INSURER B:Indemnity Ins Co Of North America 43575 TELETRAC,INC. 7391 LINCOLN WAY INSURER c:ACE Fire Underwriters Insurance Company GARDEN GROVE,CA 92841 INSURER D:Agri General Insurance Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003050000-03 REVISION NUMBER:9 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 WPOLICY IMITS LTR INSD VD POCY NUMBER IMM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY HDOG27854709 07/02/2016 07/01/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR PREMISES SESO(EaRENTED nce) $ 2,000,000 X Contractual Liability MED EXP(Any one person) $ 10,000 X Broad Form PD PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE _ $ 5,000,000 POLICY PRO- , LOC PRODUCTS-COMP/OP AGG $ 5, , X 5,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY ISAH09043913 07/02/2016 07/01/2017 COMBINED SINGLE LIMIT $ 3,000,000 (Ea accident) --- -X ANY AUTO ---- — • - - BODILY INJURY(Per person) $•- __-- ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ 1 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE_ AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WLRC4860870A (AOS) 07/02/2016 07/01/2017 x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE YNN N WLRC48608711 (CA,MA) 07/02/2016 07/01/2017 E.L.EACH ACCIDENT $ 2,000,000 C OFFICER/MEMBER EXCLUDED? SCFC48608735 (WI) 0710212016 07/01/2017(Mandatory in NH) (W) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 D If yes,describe under WLRC48608723 (TN) 07/02/2016 07/01/2017 E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CITY OF SALINA ITS AGENTS,REPRESENTATIVES,OFFICERS,OFFICIALS,AND EMPLOYEES ARE ADDITIONAL INSURED FOR GENERAL LIABILITY AND AUTO LIABILITY BUT ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY AND AUTO LIABILITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIMARY AND NON-CONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IS APPLICABLE FOR GENERAL LIABILITY,AUTO LIABILITY,AND WORKERS COMPENSATION WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF SALINA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 W.ASH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SALINA,KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee -314-auao►..■- I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1