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Insurance Certificate AR D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/17/2020 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 LON TACT Jolene Cooper NAME: p Insurance Planning Inc. PA/CNNo,Ertl: (785)625-0819 FAX No): (785)625-0869 3006 Broadway Avenue aDORless: coopjo@insurance-planning.com P. 0. Box 100 INSURERS)AFFORDING COVERAGE NAIC S Hays KS 67601 INSURER A:Oklahoma Surety Company 23426 INSURED INSURER B:United Financial Casualty Co 11770 Salina Wrecker Service & Transport Inc INSURER C:Liberty Mutual (AR/WC) Affordable Smokin Joe's Towing INSURER D: c850 E North INSURER E: Salina KS 67401 INSURERF: COVERAGES CERTIFICATE NUMBER:20-21 Certs (2) 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 LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 TA CLAIMS-MADE X OCCUR PREEMIMI EPRSESS (RENTED occurrence) $RENTED 100,000 X 06GL001043229 3/21/2020 3/21/2021 MED EXP(Any one person) $ Excluded PERSONAL 8 ADV INJURY _ $ 500,000 GENII_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _ (Ea acciden0 ANY AUTO BODILY INJURY(Per person) $ B _ ALL OWNED SCHEDULED AUTOS X AUTOS X y 01447869-6 3/21/2020 3/21/2021 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N N/A C (Mandatory in NH) y WC539S738591010 3/27/2020 3/27/2021 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificateholder listed as Additional Insured on the General Liability & Business Auto policies where required by written contract. Waiver of Subrogation in favor of Certificateholder on the Business Auto & Workers Compensation policies, where required by written contract, where allowed by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Salina Police Dept ACCORDANCE WITH THE POLICY PROVISIONS. Attn Nancy Schuessler 255 N 10th St AUTHORIZED REPRESENTATIVE Salina, KS 67401 / ftniL Jolene Cooper/COOPJO (� ©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 DAT/25 /20) 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 Jolene Cooper - . NAME: Insurance Planning Inc. INC NNo Fat): (785)625-5605 FAX No): I7es)625-nes E-MAIL3006 Broadway Avenue ADDRESS: cooPJ o@insurance-planning'com P. 0. Box 100 INSURER(S) AFFORDING COVERAGE NAIC a Hays KS 67601 INSURER A:Oklahoma Surety Company 23426 INSURED INSURER B:United Financial Casualty Co 11770 Salina Wrecker Service & Transport Inc; Affordable Smokir I INSURER C:Riverport Insurance Company 36684. 850 E North INSURER D: INSURER E: Salina KS 67401 INSURERF: COVERAGES CERTIFICATE NUMBER:19/20 .GL 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. LIR I TYPE OF INSURANCE IAIVSD(SUER( ,r i POLICY NUMBER I(MMJDDYEFF MYYY) IIMM1VDDYM'YYEXP) I LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I5 500,000 A I CLAIMS-MADE n OCCUR RENTEDPREMISESO100,000 DAAET IEE EDence) 5 X 0601.001022927 7/25/2019 7/25/2020 MED EXP(Any One person) 15 Excluded _ PERSONAL &ADV INJURY I5 500,000 I GENL AGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE 5 1,000,000 X POLICY n Ta0 LOC PRODUCTS-COMP/OPAGG 5 1,000,000 OTHER' 15 I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,000,000 (Ea ace/Oeml 1111 B 7 ANY AUTO BODILY INJURY(Per person) 5 AOVINE) X AUTOS X y ( )SCHEDULED AUTOS 01447869-5 3/21/2019 3/21/2020 BODILY INJURY Peracddent 5 I _ NON-0NMED PROPERTY DAMAGE X IMIREOAUTOS R AUTOS JPer epCidenU 5 PIP-Basic I5 25,000 I I UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 -- EXCESS UAB CLAIMS-MADE AGGREGATE 5 I DED I I RETENTION 5 5 WORKERS COMPENSATION I STATUTE I I EV- I AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.E.L.EACH ACCIDENT 15 100,000 OFFICERIMEMBER EXCLUDED? C (mandatory In NH) _y_ KSARP300525 .. _10/5/2018__10/5/2019_ EL.DISEASE-EAEMPLOYEE•.5---100;000- - IIyes.describe under DESCRIPTION OF OPERATIONS ENow I E.L.DISEASE-POLICY LIMIT 5 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES IACORD 101,Additional Remarks Schedule,may be attached it mon space Is required) Certificateholder listed as Additional Insured on the General Liability & Business Auto policies. Waiver of Subrogation in favor of Certificateholder on the Business Auto & Workers Compensation policies, where allowed by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Salina THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Salina Police Dept ACCORDANCE WITH THE POLICY PROVISIONS. Attn Nancy Schuessler 255 N 10th St AUTHORIZED REPRESENTATIVE Salina, KS 67401 Jolene Cooper/C00PJO iLU�L. ,J I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) AccoRc, CERTIFICATE OF LIABILITY INSURANCE DTE(MWDoie 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 . . CC NTACT Jolene Cooper Cer NAME: Insurance Planning Inc. C peab (785)625-0819 I(AIC,NO): (785)625-0869 Ax .1A13006 Broadway Avenue E-MAIL coopjo@insurance-planning.coon P. O. Box 100 INSURER(S)AFFORDING COVERAGE NAICA Hays KS 67601 INSURER A:Oklahoma Surety Company 23426 INSURED INSURERB:United Financial Casualty Co 11770 Salina Wrecker Service & Transport Inc IN 5uRERc:Riverport Insurance Company 36684. INSURER D: 850 E North INSURER E: Salina KS 67401 INSURER F: COVERAGES CERTIFICATE NUMBER:18/19 WC 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. INSR EXP LTRI TYPE OF INSURANCE IANSD ISWVDI POLICY NUMBER I(MMIDDIYYYY)I IMMIDDUBRPOLICY EFF POYNYYY)I LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 500,000 DA I I I CLAIMS-MADE I X I OCCUR PREMISES GE O aENTEcccv once ) $ 100,000 I I X 06GL001001362 7/25/2018 7/25/2019 I MED EXP(Any one person) S Excluded II PERSONAL&ADV INJURY S 500,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S 1,000,000 X I POLICY j CT I LOC PRODUCTS-COMP/OP AGG 5 1,000,000 I I OTHER' I S I AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 5 1,000,000 (Ea accident) B ANY AUTO BODILY INJURY(Per person) $ ALL OV.4JEDX SCHEDULED 01947869-4 3/21/2018 3/21/2019 BODILY INJURY(Per accident S _AUTOS I AUTOS X y 1 X HIRED AUTOS I X NON-OWNED I PROPERTY DAMAGE S _ AUTOS (Per accident) I I I S I UMBRELLA UAB I I OCCUR I EACH OCCURRENCE S EXCESS LIAR I I CLAIMS-MADE AGGREGATE 5 I I OED I I RETENTIONS I I S WORKERS COMPENSATION AND 0TH- AND EMPLOYERS'LIABILITY YIN ,, I X STATUTE I I Eft ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 __ C OFFICER/MEMBER EXCLUDED? I N I NIAI _ (Mandatory In NH) _y_ KSARP300525 10/5/2018 10/5/2019 ELE DISEASE-.EA EMPLOYES 100,000. — 1 DESCRIPTION uOF OPERATIONS below I I I I E.L.DISEASE-POLICY LIMIT I$ 500,000 B GARAGEKEEPERS-LEAL LIAB 01447869-4 3/21/2018 3/21/2019 100,000 LIMIT B ON-HOOK LEGAL LIABILITY 01447869-4 3/21/2018 3/21/2019 100,000 LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Certificateholder listed as Additional Insured on the General Liability & Business Auto policies. Waiver of Subrogation in favor of Certificateholder on the Business Auto & Workers Compensation policies, where allowed by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salina Police Dept ACCORDANCE WITH THE POLICY PROVISIONS. Attn Nancy Schuessler 255 N 10th St AUTHORIZED REPRESENTATIVE Salina, KS 67401 gyp`_ -_ C�p Jolene Cooper/COOPJO �� - -'•`� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401)