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Insurance Certificate A�0® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 7/13/2020 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 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 CON)AC r Colleen Kuhn NAME: Insurance Planning Inc. lac°NNo.Extl: (785)625-5605 FAX No): (795)625-6388 3006 Broadway Avenue ADDARESS:kuhnco@insurance-planning.com P. O. Box 100 INSURER(S)AFFORDING COVERAGE NAIC# Hays KS 67601 INSURER A:Capitol Specialty Insur Co. 10328 INSURED INSURER B:Berkshire Hathaway Homestate Co Resource Management Company, Inc. INSURERC:BerkleyNet 25656 160 Road INSURERD: INSURER E: Brownell KS 67521-2528 INSURERF: COVERAGES CERTIFICATE NUMBER:CL2071323772 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. ITR SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE NSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RENTE A CLAIMS-MADE 1 OCCUR PREM SESO(Ea occurr I Xence) $ 50,000 X EV2018233103 7/14/2020 7/14/2021 MED EXP(Any one person) $ 5,000 PERSONAL 8,ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000- OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _ (Ea accident) B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED X 02TRM01823105 7/26/2020 7/26/2021 BODILY INJURY(Per accident) $ NON-OWNED AUTOS NPROPERTY DAMAGE $ _ HIRED AUTOS _ AUTOS (Per accident) X 46 Non Owned Liability $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITYYIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ^ N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? C (Mandatory In NH) y BNUWC0151B32 7/11/2020 7/11/2021 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,0001 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Additional insured in favor of City of Salina in respect to General Liability and Business Auto . Waiver of subrogation in favor of City of Salina in respect to General Liability and Work Comp. CERTIFICATE HOLDER CANCELLATION (785)309-5713 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 736 - Salina, KS 67402-0736 AUTHORIZED REPRESENTATIVE Colleen Kuhn/KUHNCO ( CP/, , I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) A�® CERTIFICATE OF LIABILITY INSURANCE DATE 8/27/201°" ' 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 Colleen Kuhn NAME: AX Insurance Planning Inc. HONo.Em: (785)625-5605 CA No)_ (785)625-47sa 3006 Broadway Avenue E-MAILADDDRESS: P 4 kuhnco@insurance- Tannin com P. 0. Box 100 INSURER(S) AFFORDING COVERAGE NAIC e Hays KS 67601 INSURER A:Cap 1tOl Specialty Insur Co. 10328 INSURED INSURER a:Berkshire Hathaway Homes tate Co Resource Management Company, Inc. INSURER C:Accident Fund Ins Co of Americ 25656 160 Road INSURERD: INSURER E: Brownell KS 67521-2528 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1982720065 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 SUER POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER IMMIDDl1'YYY) (MMIDDIYYYYI OMITS X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE 5 1,000,000 A 1 CLAIMS-MADE n OCCUR DAMAGE TO RENTED PREMISES /Ea RENTED 5 50,000 X Pollution Liability X EV2018233102 7/14/2019 7/14/2020 MED EXP(My one person) 5 5,000 PERSONAL d ADV INJURY 5 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 X POLICY 0 JEC I I LOC PRODUCTS-COMP/OP AGG 5 2,000,000 I OTHER Poait^n Lubiy 5 1,000,000 AUTOMOBILE UABILSTY COMBINED SINGLE LIMIT 5 1,000,000 IEa accident B ANY AUTO BODILY INJURY(Per person) 5 All OWNED R SCHEDULED 02TP3501623104 7/26/2019 7/26/2020 BODILY INJURY(Per acbdent S _ AUTOS _ NON-OWNEDAUTOS X ) X HIRED AUTOS X AUTOS PROPERTY DAMAGE 5 AUTOS (Per accident' _ 5 -- UMBRELLA UAB OCCUR EACH OCCURRENCE 5 _ EXCESS LIAR CLAIMS-MADE AGGREGATE 5 DED RETENTION S 5 WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'UABIUTY Y I N STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTNE E.L.EACH ACCIDENT 5 1,000,000 OFFICER/MEMBER EXCLUDED? - ❑Y NIA - — ' - -C- (Mandatory In NH) - - . y wcv6192012 7/11/2019 7/11/2020- E.L.DISEASETEAEMPLOYEE 5 170007000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTOR OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached B more space is required) Additional insured in favor of City of Salina in respect to General Liability and Business Auto . Waiver of subrogation in favor of City of Salina in respect to General Liability and Work Comp. CERTIFICATE HOLDER CANCELLATION (785)309-5713 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. P. 0. Box 736 Salina, KS 67402-0736 AUTHORIZED REPRESENTATIVE Colleen Kuhn/KUHNCO i0(7C7) l,Ai ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) . _ • ..�•• - .,r _ _ r .. .. • DATE(MMJDD/YYYY),.. '�� CERTIFICATE OF LIABILITY INSURANCE • 7/16/201e 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 dist ch endorsement(s). - ' . PRODUCER . CONTACT Colleen Kuhn NAME: Insurance'.P1aRR1ng, ZRC-._-_, PHONE a (785)625-56OS' ir (AI/�;Nolc• (785)625-8388:' ac 3006-.Broadway-Avenue_ • q DDt'aEss:kuhnco@insurance-planning.com - P. O. Box ,100' _ • INSURER(S)AFFORDING COVERAGE NAILA"1 Hays KS 67601INSURER A:Rockhiil Insurance Co 28053 INSURED _ • IN5uRER a:Berkshire Hathaway Homestate Co •. Resource Management Company, Inc. IN5uRERc:Praetorian Insurance Co 37257 25656 160 Road INSURER D: INSURER E: Brownell KS 67521-2528 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1871615130 REVISION NUMBER: I 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. ILTR I TYPE OF INSURANCE IAry D ISyryp I POLICY NUMBER I EFF POLICY EXP(MM/D/YYYY)I IMMIDD/YYYY)I LIMITS A IX I COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE I $ 1,000,000 I CLAIMS-MADE X OCCUR PRPREMISESS( ftENTEO(ER oNconenrel 15 50,000 I X EV2018233102 7/19/2018 7/14/2019 MED EXP(Any one person) Is 5,000 I-- .. PERSONALBADV INJURY Is 1,000,000 I GENII AGGREGATE LIMITAPPLIES PER: _ I GENERAL AGGREGATE I S 2;000,000 I X'II POLICY lE6 I LOC L PRODUCTS COMP/OPAGG I5 I 2,000;000 I OTHER: ... . . _ • :Th .I. -. - a 15 .1-'- I AUTOMOBILE UABIUTY L - COMBINED SWGLE LIMIT • - -- Ea xc'rbrn) -. I!5 1T000,000 -ANYAUTO w - •• '`^- BODILY INJURY(Per person) I S ALLOWNED SCHEDULED - - -�• � I AUTOS I.X AUTOS -X 02701823103 7/26/2018 7/26/2019 BODILY INJURY(Per acciden;)I S .-I-. /HIRED AUTOS I '• NON-OWNED UTOS••EO (PROPERTY aerg) • -IS - I I. I. . _. - I I5 .. UMBRELLA UAB I I OCCUR -• • - I EACH OCCURRENCE IS .I EXCESS UAB [I CLAIMS-MADE - - - • - - AGGREGATE IS - I I DED I I RETENTIONS • - - . I s WORKERS COMPENSATION - - r ' l x I PER STATUTE I I ETH I AND EMPLOYERS'LIABILITY YIN '" ANY PROPRIETORIPARTNERIEXECUTIVE I E.L.EACH ACCIDENT I S - ' '1,000,000 OFFICER/MEMBER EXCLUDED? y NI A C I ry in NH) y 019C0102669 7/11/2018 7/11/2019 E,L.DISEASE-EAEMPLOYEEI S 1,000,000 It yes.describe under ...,“.....1,•rt....,Or _G..°ND.. - r - -' r I E .'DISCA3E;POLICY LIMO I: 1;000;00_ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION (785) 309-5713 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 736 Salina, KS 67402-0736 AUTHORIZED REPRESENTATIVE Colleen Kuhn/KUHNCO C g(2('a/, ie----5e-ete-C--'1---- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) • I • DATE(MWDD/YYYY) .ACORD®.' CERTIFICATE OF LIABILITY INSURANCE . ��:- . - 7/26/2016' 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 —.', Colleen Kuhn ' NAME:' -- Insurance-Planning -Inc. "• _(a/c,No.Exc): FAX(785) 625-5605 F No): (785)625-8386 3006 Broadway Avenue notiliess:kuhnco @insurance-planning.com • • P. O. Box 100 INSURER(S)AFFORDING COVERAGE NAIC#' Hays KS 67601 INSURER A:Admiral Insurance Company 24856 • INSURED INSURER B:Berkshire Hathaway Homestate Co ' Resource Management Company, Inc. INSURER C:QBE Insurance Corporation 139217 25656 160 Road INSURERD: • INSURER E: I • Brownell KS 67521-2528 P INSURER F: • 1 COVERAGES . CERTIFICATE NUMBER:2016-17 Certs , •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. ILTR I TYPE OF INSURANCE I I SD ISWVD I POLICY NUMBER I(MM/DD/YYYY)I(MM/DD/YYYY)I LIMITS I X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1$ 1,000,000 A.I I CLAIMS-MADE X OCCUR RENTED PREEMIMI DAMAGE PREMISES( RENTED occurrence) I $ 50,000 X Y FEIEIL1991702 7/14/2016 7/14/2017 MED EXP(Any one person) I$ 5,000 . PERSONAL 8 ADV INJURY 1.$ . 1,000,000 I GEN'L AGGREGATE LIMIT'APPLIES PER: GENERAL AGGREGATE I$ 2,000,000 X 'POLICY 1 1238-' LOC PRODUCTS-COMP/OP AGG I$ 2,000,000 P OTHER: 1$ I AUTOMOBILE LIABILITY' ' '• = - .COMBINED SINGLE LIMIT I $ , 1,000,000 (Ea accident) B i l ANY AUTO - . - ' . - BODILY INJURY(Per person) 15 ALL OWNED SCHEDULED AUTOS x AUTOS X 02APM00278504 7/26/2016 7/26/2017 ..BODILY INJURY(Per accident)I$ . NON-OWNED • ' • • PROPERTY DAMAGE IS HIRED AUTOS AUTOS . . (Per accident) • Ig . • I •I.UMBRELLA LIAB OCCUR • EACH OCCURRENCE I$ ' ' Iri EXCESS LIAB CLAIMS-MADE AGGREGATE • I$ I I DED I I RETENTION$ I$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X I STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y��I��N ___._C�F_F_ICER/MEMBER_F�CCLUDED?. _ L_Y..l H CA._ _ _ _ _ — E^L.EACH ACCIDENT _ _I$ _ 1,000 000,000 I_ (Mandatory in NH) y EQB0102669 7/11/2016 7/11/2017 E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) I CERTIFICATE HOLDER CANCELLATION (785)309-5713 • - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 736 Salina, KS 67402-0736 AUTHORIZED REPRESENTATIVE Colleen Kuhn/KUHNCO c )ei(E ?, „ f)-r, '-._-- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)