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Insurance Certificate A�® CERTIFICATE OF LIABILITY INSURANCE DATE(Mavoolrryr) 12/17/2018 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 • - CONTACT Sandra Wade NAME: G&W Insurance PHONE No.Ertl: (785)537-1600 A/C,No): (785)537-1657 555 Poyntz Avenue,Suite 205 BB ADDRESS: swade@charlsonwilson.com P.O.Box 1989 INSURER(5)AFFORDING COVERAGE (LAIC P Manhattan KS 66505-1989 INSURER A_ Cincinnati Specialty Underwriters Insurance Company I 13037 INSUREDINSURER e: Auto-Owners Insurance Company I 18988 Redi Systems,Inc. INSURER C: Trumbull Insurance Company 27120 1601 Tuttle Creek Blvd INSURER 0: INSURER E: Manhattan KS 66502 INSURER F: _ COVERAGES CERTIFICATE NUMBER: 2019 Master 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 VND POLICY NUMBER (MAVDD/YYYY) (MMJDD(YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY 7000,000 EACH OCCURRENCE 5 DAMAGE 1OneoTnD 100.000 m CLAIMS-MADE X OCCUR PREMISES(Ea oarenre) 5 — MED EXP(Any one person) 5 5.000 A Y CSUO1I3042 04/09/2018 041092019PERSONALt1ADV INJURY 5 1,000.000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY n PRP LOC PRODl1CT5-COMP/OP AGG 5 2,000,000 OTHER: 5 AUTOMOBILELIABIIJTY COMBINED SINGLEUMIT $ 1,000,000 (Ea aotideml __ X ANY AUTO BODILY INJURY(Per person) 5 B O'ANED SCHEDULED 5172837300 04/09/2018 04/092019 BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY _ AUTOS ONLY (Per accident) Hired/borrowed $ X UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ 1000000 A EXCESS UAB CLAIMS-MADE CSU0113044 04/09/2018 04/09/2019 AGGREGATE 5 DED 1 RETENTION 5 5 WORKERS COMPENSATION PER OTH- ANDEMPLOYERLJABILITY VIN STATUTE ER S CAPROPRIETOR/PARTNER/EXECUIVE NIA 37WECID6415 01/01/2019 01/012020 EL EACH ACCIDENT 1,000,000 ANY OFFICERIMEMBER EXCLUDED? ri (Mandatory In NH) - EL DISEASE-EA EMPLOYEE 5 1,000,000 — . _ I/yes.describe undo1.000.000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I 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,Kansas ACCORDANCE WITH THE POLICY PROVISIONS. 300 West Ash Street AUTHORIZED REPRESENTATIVE 1 Salina KS 67402 (V11:"IylfYi Nitili( 1Jl 11�� fr 6611LL1. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACOREP CERTIFICATE OF LIABILITY INSURANCE DAoe/ o1ne) 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 Sandra Wade NAME: G&W Insurance PHONE INC.No.Emir (785)537-1500 FAX (AIC,No): (785)537-1657 555 Poyntz Avenue,Suite 205 EADDR-MAIL ESS: swade@charlsonwilson.com P.D.Box 1989 INSURER(S)AFFORDING COVERAGE NAIC 0 Manhattan KS 66505-1989INSURER A: Cincinnati Specialty Underwriters Insurance Company 13037 INSURED INSURER B: Auto-Owners Insurance Company 18988 Redi Systems,Inc. INSURER C: Trumbull Insurance Company 27120 1601 Tuttle Creek Blvd INSURER D: INSURER E: Manhattan KS 66502 INSURER F: COVERAGES CERTIFICATE NUMBER: Master2018-2019 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 WVD POLICY NUMBER (M$VDOrrYYY) (MAVODIYYYY) UMITS X COMMERCIAL GENERAL LIAEIUTY EACH OCCURRENCE 5 1.000.000 DAMAGE TO RcN,ED 100 000 m CLAMS-MADE ri OCCUR PREMISES(Ea osrencel 5 MED EXP(Anyale person) $ excluded A Y CSU0113042 04/09/2018 04/09/2019 PERSONAL S ALA INJURY 5 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY ri!pi 0 LOC PRODUCTS-COMP,OP AGG 5 2•0°°•°°0OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE UNIT $ 1,000,000 ,Ea accident) – X ANY AUTO BODILY INJURY(Per person) $ B OWNED —SCHEDULED 5172837300 04/09/2018 04/09/2019 BODILY INJURY(Per accident) $ AUTOS ONLY _� AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident, _ __ Hired/borrowed s X UMBRELLA LIMB OCCUR EACH OCCURRENCE ___ 5 1.000,000 A EXCESS UAB CLAMS-MADE CSU0113044 04/09/2018 04/09/2019 AGGREGATE $ DED RETENTION$ 5 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVENIA 37WECID6415 01/01/2018 01/01/2019 E.L.EACH ACCIDENT $ 1�� OFFICER/MEMBER EXCLUDED? ri (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 1.000,000 _. II yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Salina,Kansas ACCORDANCE WITH THE POLICY PROVISIONS. 300 West Ash Street AUTHORQED REPRESENTATIVE [� .,I1 Salina KS 67402 ; a)•r1 i kWh kl ( V-til r LLLLLL ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY - CSGA 437 12 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU - OPERATIONS AND COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II - WHO IS AN INSURED is 2. If coverage provided to the additional amended to include as an additional insured cured is required by a contract or agree- ment, in- anyperson or organization when you and such the insurance afforded to such ad- person or organization have agreed in writing ditional insured will not be broader than in a contract or agreement that such person or organization be added as an additional insured that which you are required by the Con- on your policy, but only with respect to 'bodily tract or agreement to provide for such ad- injury", "property damage" or "personal and ditional !insured. advertising injury"caused, in whole or in part, B. With respect to the insurance afforded to by: these additional insureds, the following addi- 1. Your acts or omissions in the perform- tional exclusions apply: ance of your ongoing operations for the This insurance does not apply to: additional insured; 2. The acts or omissions of those acting1. 'Bodily injury","property damage"or"per- on sonal and advertising injury"arising out of your behalf in the performance of your the rendering of, or the failure to render, ongoing operations for the additional in- any professional architectural, engineer- sured; or ing or surveying services, including: 3. 'Your work" performed for the additional a. The preparing, approving, or failing to insured and included in the "products- prepare or approve, maps, shop completed operations hazard". drawings, opinions,_reports,_surveys,___ If not specified otherwise in the written con- field orders, change orders or draw tract or agreement, a person's or organiza- ings and specifications; or tion's status as an additional insured under this b. Supervisory, inspection, architectural endorsement ends one year after your opera- or engineering activities. tions for that additional insured are completed. The written contract or agreement must be 2. 'Bodily injury" or "property damage" aris- currently in effect or become effective during ing out of'your work" for which a consoli- the term of this Coverage Part. The contract or dated (wrap-up) insurance program has agreement must be executed prior to the 'bod- been provided by the prime contrac- ily injury", "property damage" or "personal and tor/project manager or owner of the con- advertising injury' to which this endorsement struction project in which you are Solved. pertains. 3. 'Bodily injury", "property damage" or"per- However: sonal and advertising injury' to any em- 1. The insurance afforded to such additional em- ployee alof you or to any obligation of the insured onlyapplies to the extentpermit- additional insured to indemnityiingu anotherfsuch PP because of damages arising out of such ted by law; and injury. Includes copyrighted material of ISO CSGA 437 12 13 Properties, Inc., with its permission. Page 1 of 2 4. 'Bodily injury", "property damage" or"per- D. With respect to the insurance afforded to sonal and advertising injury' for which the these additional insureds, SECTION IV - Named Insured is afforded no coverage COMMERCIAL GENERAL LIABILITY CON- under this policy of insurance. DITIONS, 4. Other Insurance is amended to include: C. With respect to the insurance afforded to these additional insureds, SECTION III - LIM- Any coverage provided herein will be excess ITS OF INSURANCE is amended to include: over any other valid and collectible insurance available to the additional insured whether The limits applicable to the additional insured primary, excess, contingent or on any other are those specified in the written contract or basis unless you have agreed in a written con- agreement or in the Declarations of this Coy- tract or written agreement executed prior to erage Part, whichever is less. If no limits are any loss that this insurance will be primary. specified in the written contract or agreement, This insurance will be noncontributory only if the limits applicable to the additional insured you have so agreed in a written contract or are those specified in the Declarations of this written agreement executed prior to any loss Coverage Part. The limits of insurance are in- and this coverage is determined to be primary. clusive of and not in addition to the limits of in- surance shown in the Declarations. Includes copyrighted material of ISO CSGA 437 12 13 Properties, Inc., with its permission. Page 2 of 2