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Insurance Certificates P526002804)2 DATE(MMIDOIYYYY) AC ORD CERTIFICATE OF LIABILITY INSURANCE 04/29/2020 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. `r 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 CA#0H64724 1-913-982-3650 CONTACT '^ PHOINA, Inc. (NE Kansas Division) PHONE Lynne Cox FAX INC.No.Ext): (A/C,Ne): '- 51 Corporate Woods ADDRIESS: lynne.CoxeimacOrp.com W 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDINGCOVERAGE NAIL Overland Park, KS 66210 INSURERA: CHARTER OAR FIRE INS CO 25615 INSURED INSURERB: TRAVELERS PROP CAS CO OF AMER 25674 TRERR Design Group LLC INSURERC: BERKLEY INS CO 32603 1411 104th Street INSURERD: INSURER E: Kansas City, MO 64131 INSURERF: COVERAGES CERTIFICATE NUMBER:59145422 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 SUER POLICY EFF POLICY EXP LIMITS LTR !NW,MD POLICY NUMBER (MMIDD/YYYY) IMM(DD/YYYY) A X COMMERCIALGENERALLIABILITY 680009K040933 04/30/20 04/30/21 EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PR1,000,000 PREMISES(Ea occurrence) S RENTED( MED EXP(Any one person) _ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _$ 2,000,000 POLICY X jEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILELIABILITY BA9R036919 04/30/20 04/30/21 COMBINEDSINGLELIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIREDX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY (Per accident) $ B X UMBRELLALIAB X OCCUR CUP009K044317 04/30/20 04/30/21 EACHOCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $• 5,000,000 DED X RETENTIONS 10,000 $ A WORKERS COMPENSATION IJB009K037652 04/30/20 04/30/21 X STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE p N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,deswlbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liability AEC903634202 04/30/20 04/30/21 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Re: Remote Traffic Signal Programming and Monitoring The City of Salina, Kansas, its agents, representatives, officers, officials and employees are Primary, Non-Contributory Additional Insureds on the General Liability (Excluding Professional Liability) and Additional Insured on the Automobile Liability Policies and a Waiver of Subrogation applies in favor of Additional Insureds on the General Liability, Automobile Liability and Worker's Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Daniel R. Stack, PE P.O. Box 736 AUTHORIZEDREPRESENTATIVE Salina, KS 67402-0736 C_�USA ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD lynnecox 59145422 Pi26«Rxu02 AGENCY CUSTOMER ID: LOC#: ACCORD ADDITIONAL REMARKS SCHEDULE Page ofAGEY /MA, Inc. (NE Kansas Division) NAMEOINBURED TREKK Design Group LLC POLICYNUMBER 1411 104th Street CARRIER NAICCODE Kansas City, MO 64131 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ACORD 101(2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P5260028002 ■ ��'"��'�� DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 04/29/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS t' 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(les)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 CA#0H64724 1-913-982-3650 CONTACT NAME: Lynne Cox INA, Inc. (NE Kansas Division) PHONE FAX N (AIC.No.Ext): INC.No): E-MAIL 51 Corporate Woods ADDRESS: lynne.coxBimaaorp.com z W 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDING COVERAGE NAICM _ Overland Park, KS 66210 INSURERA: CHARTER OAK FIRE INS CO 25615 INSURED INSURERS:TRAVELERS PROP CAS CO OF AVER 25674 TREKK Design Group LLC msuRERC:BERKLEY INS CO 32603 1411 104th Street INSURERD: _ INSURER E: Kansas City, MO 64131 INSURERF: COVERAGES CERTIFICATE NUMBER:59145460 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. MSR rypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR ,MMD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYYJ LIMITS A X COMMERCIALOENERALLIABILITY 680009E040933 04/30/20 04/30/21 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) _ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILELIABILITY BA9K036919 04/30/20 04/30/21 COMBINEDSINGLELIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIREDX NON-OWNED PROPERTY DAMAGE AUTOS ONLY _AUTOS ONLY (Per accident) $ B X UMBRELLA LIAB X OCCUR CIIP009K044317 04/30/20 04/30/21 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 $ A WORKERS COMPENSATION OB009E037652 04/30/20 04/30/21 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNERIEXECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Professional Liability AEC903634202 04/30/20 04/30/21 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddIUonal Remarks Schedule,may be attached If more space Is required) Re: Timing and Interconnecting Traffic Signals The City of Salina, Kansas, its agents, representatives, officers, officials and employees are are included as Additional Insureds on the General Liability (Excluding Professional Liability) and Automobile Liability Policies and a Waiver of Subrogation applies in favor of Additional Insureds oa the General Liability, Automobile Liability and Worker's Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Daniel R. Stack, PE P.O. Box 736 AUTHORIZED REPRESENTATIVE Salina, KS 67402-0736 1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD lynnecox 59145460 11 P526uu2*)O2 AGENCY CUSTOMER ID: LOC#: ACO® ADDITIONAL REMARKS SCHEDULE Page ofAGEY MIA, Inc. (NE Kansas Division) NAMED 5" TRBKR Design Group LLC POLICYNUMBER 1411 104th Street Kansas City, MO 64131 CARRIER NAIL CODE °O EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ACORD 101(2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P526002&IO2 ■ 0 0/9/ 2I O CERTIFICATE OF LIABILITY INSURANCE 42200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS �y CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES +'4E 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(les)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 CA#0H64724 1-913-982-3650 CONTACT NAME: Lynne Cox INA, Inc. (NE Kansas Division) PHONE FAX cv (A/C.No.EA): (A/C.No): EMAIL 51 Corporate Woods ADDRESS: lynne.cox@imacorp.com 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDINGCOVERAGE NAICN Overland Park, KS 66210 INSURERA: CHARTER OAK FIRE INS CO 25615 INSURED INSURERS: TRAVELERS PROP CAS CO OF AMER 25674 TREKK Design Group LLC mSURERC:HERKLEY INS CO 32603 1411 104th Street INSURERD: INSURER E: Kansas City, MO 64131 INSURERF: COVERAGES CERTIFICATE NUMBER:59144140 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. 1EFF ICY EXP LTR TYPE OF INSURANCE IINSD SWVD POLICY NUMBER IMM/DDPOLIYIYYYY) IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 680009E040933 04/30/20 04/30/21 EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000-~ POLICY X PRO-JECT LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER: $ A AUTOMOBILELIABILITY BA-9E036919 04/30/20 04/30/21 COM8INEDSINGLELIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _AUTOS ONLY (Per accident) _ $ B X UMBRELLALIAB X OCCUR C0P009K044317 04/30/20 04/30/21 EACHOCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 $ A XTAT WORKERS COMPENSATION UB009K037652 04/30/20 04/30/21 SUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED4 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1,000,000 C Professional Liability AEC903634202 04/30/20 04/30/21 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more spate Is required) Re: Salina Downtown Storm Sewer The City of Salina, Kansas, its agents, representatives, officers, officials and employees are are included as Additional Insureds on the General Liability (Excluding Professional Liability) and Automobile Liability Policies and a Waiver of Subrogation applies in favor of Additional Insureds on the General Liability, Automobile Liability and Worker's Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Daniel R. Stack, PR P.O. Box 736 AUTHORIZEDREPRESENTATNE Salina, KS 67402-0736 (7)- 4 USA 01988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD lynnecox 59144140 P526Il`PUS ri A�O° CERTIFICATE OF LIABILITY INSURANCE 04/30/20019 n p� 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. 7 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polis ties)must have ADDITIONAL INSURED provisions or be endorsed. ^' H 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 CA60E164724 1-913-982-3650 CONTACT Lynne Cox r NAME: . IMA, Inc. (NB Kansas Division) PHONE (Ar H Exit ( INC No. AK.Rol: 51 Corporate Woods ADDRESS: lyOne.coxeinacorp.can Z 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDINGCOVERAGE I NAICO Overland Park, KS 66210 INSURERA:CHARTER OAK FIRE IHS CO 125615 INSURED INSURERS:TRAVELERS PROP CAS CO OF AMER 125671 MERE Design Group LLC INSURER C: STANDARD FIRE INS CO 19070 INSURERD: BRP.EY INS CO 132603 1411 104th Street INSURERE: I Kansas City, FA 64131 INSURERF: I COVERAGES CERTIFICATE NUMBER:56107660 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. LTRI TYPE OF INSURANCE IItAW MNDI POLICY NURSER EYI DIIomVYYYI IMWOOILIMITS A I I COMMERCIALGENERALUABa1TY 580009K040933 04/30/19 04/30/20 EACHnrn1RRENCE IS 1,000,000 CLAIMS.MADE E OCCUR DAMAGE ET ES(EaoNTErzDrxel $ 1,000,000 DAMAGRE I I _ I MED EXP(An an pecan) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GENt AGGREGATE LIMB APPLIES PER: GENERAL AGGREGATE s 2,000,000 II PODCI rTh�ECT I ILOC PRODUCTS-COMROPAGG $ 2,000,000 I OTHER $ B AUTOMOBILE LIABILITY 13A9R036919 04/30/19 04/30/20 COMBINED SINGLE OMIT $ 1,000,000 E ANY AUTOOWNEIdentl BODILY INJURY(Per paw) s AUTOS SCHEDULED BOORT INJURY(Pr accident) $ AUTOS ONLY AUTOS 1 E HIRED AUTOS NON-OWNED PROPERTY DAMAGE S I AUTOS ONLY I AUTOS ONLY (Per accident) $ B I UMBRELLALIAB E OCCUR CUP009K044317 04/30/19 04/30/20 EACHOCCURRENCE Is 5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED III RETENTIONS 10,000 I S ORNERWORIO:RS COMPENSATION C 03009K037652 04/30/19 04/30/20 E I STATUTE I I ER I LOYERS'LL18iRY ANYPROFRETDRPARTNEREXECUTNE E N/A E.L.EACH ACCIDENT I$ 1,000,000 OFFICERMEMBEREXCLtDEdl (Mandatory In NH) E.L DISFACP-EA EMPLOYEEi S 1,000,000 e Muga war DESCRIPTION OF OPERATIONS below EL.DISEASE•POLICY LIMIT 15 1,000,000 D Professional Liability ABC902906601 04/30/19 04/30/20 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Add1&msl Rrnadra Schedule,may be allactsed H mom space Is regWM) Re: Saline Downtown Storm Sewer The City of Salina, Kansas, its agents, representatives, officers, officials and erployees are are included as Additional Insureds on the General Liability (IDccluding Professional Liability) and Automobile Liability Policies and a Waiver of Subrogation applies in favor of Additional Insureds on the General Liability, Automobile Liability and Worker's Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terma and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Daniel R. Stack, PB P.O. Box 736 AUTHORIZED REPRESENTATIVE Salina, RS 67402-0736 I OSA 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD lynnecoi 56107660 P]}HC2B02 SI IIIIIII_ T. ALC0R�e DATE(Y Y) CERTIFICATE OF LIABILITY INSURANCE o4/3o/2019 /ao19 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. 7 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy les)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 Gt0S66774 1-913-982-3650 catITACT Lynne Cox h NAME: z ILA, Inc. (NE Kansas Division) PRONE FAX N INC FaEwt UR:,NO 51 Corporate Woods ADDRESS: lynne.COxOiraCOrp.coo 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDING COVERAGE I NAICI Overland Park, KS 66210 INSURERA:CHARTER OAK FIRE INS CO 25615 INSURED INSURERS:TRAVELERS PROP CAS CO OF AVER 25674 TAM Design Group LLC INSURER c:STANDARD FIRE INS CO 19070 1411 104th Street INSURER El:BERMS/ INS CO 32603 INSURER E: Kansas City, NO 64131 INSURER F: I COVERAGES CERTIFICATE NUMBER:56107968 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. I.TSRRI TYPE OF INSURANCE INSD MD POLICY NUMBER DL SUER I�POLICY EFF l(MMDDrrrY YrYYT)I UNITS A E I COMMERCIAL GENERAL LIABILITY 680009E040933 04/30/19 04/30/20 EACHOCCURRENCE Is 1,000,000 CLAIMS-MADE I I I OCCUR DAMAGE TO RENTED PREMISESIEa pmnenrnl IS 1,000,000 MED EXP(My onepasm) Is 10,000 PERSONAL AADV INJURY Is 1,000,000 GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE IS 2.000,000 IPOUCYIE IT& I (LOC PRODUCTS•COMP/OPAGG s 2,000,000 OTHER: 5 B AUTOMOBILE LIABILITY HA9R036919 04/30/19 04/30/20 �MBINEIXDe9INGLE UMR S 1,000,000 E ANY AUTO BODILY INJURY(Per perm) f OWNED SCHEDULED BODILY INJURY(Per ewden015 AUTOS ONLY AUTOS E WIRED NON-OWNED PROPERTY DAMAGE IS AUTOS ONLY AUTOS ONLY (Pm salden) IF B E UMBRELLA LIAB E OCCUR COP009K044317 04/30/19 04/30/20 EACH OCCURRENCE I5 5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE 5 5,000,000 DED I E I RETENf10Ns 10,000 I Is WORKERS COMPENSATION PER OTH C OB009E037652 04/30/19 04/30/20 E ISTATUTEI IER AND EMPLOYERS'LIABILITY M(WROPRIETORPARTNERIEJECUTNE n NIA E.L.EACH ACCIDENT s 1,000,000 OFFICERMEMBEREXCLUDED7 (Mandatory In NH) E.L.D SEASE•EA EMPLOYE s 1,000,000 DIm.desObe roger DESCRIPTION OF OPERATIONS Cabs El DISEASE-POUCY LIMIT I s 1,000,000 D Professional Liability AEC902906601 04/30/19 04/30/20 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(ACORD set.Addlamal Remarks Schedule,may be attached If man space Is remand) Re: Remote Traffic Signal Programming and Monitoring The City of Salina, Kansas, its agents, representatives, officers, officials and employees are Primary, Non-Contributory Additional Insureds on the General Liability (Excluding Professional Liability) and Additional Insured on the Automobile Liability Policies end a Waiver of Subrogation applies in favor of Additional Insureds on the General Liability, Automobile Liability and Workers Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms end conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. Daniel R. Stack, PE P.O. Box 736 AUTHOREHD REPRESENTATIVE Salina, RS 67402-0736 I DSA ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD lynnecox 56107968 P,2600•02 • - F. ACORD DATE(YYlOCINTY17 CERTIFICATE OF LIABILITY INSURANCE 04/30/2019 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(les)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 040B64724 1-913-982-3650 CONTACT Lynne Cox x x INA, Inc. (NE Kansas Division) PHONE FAX N INC No DT: INC.No): E-MAIL 1 e.coxgimac0 mom Z 51 Corporate woods AODRE83: Y� rD• 9393 W. 110th Street, Suite 600 INSURER(S)AFFORDING COVERAGE I NAILS Overland Park, RS 66210 _IN5uRERA:CHARTER OAR FIRE INS CO 25615 INSURED INSURER e:TRAVELERS PROP CAS CO OP AMER 25674 TAMER Design Group LLC INSURERC: STANDARD FIRE INS CO 19070 1411 104th Street INSURER O:B RPJN INS CO 32603 INSURER E: I Kansas City, MO 64131 INSURER F: I COVERAGES CERTIFICATE NUMBER:56108072 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. Y DR LTR TYPE OF INSURANCE IINDISUERIWO POIJCY NUMBER I(MWDDYEFF D(YYY17 II MNDIYYYY)I LIMITS A IxI COMMERCIAL GENERAL LUBILm 680009K040933 04/30/19 04/30/20 EACH OrY'IIRRENCE IS 1,000,000 1 CLAIMS-MADE E I OCCUR DAMAGE TORENTED wnr,m1,000,000 PREMISES(Eso mnel f MED EXP(Any one pens) 5 10,000_ _ PERSONAL&ADV INJURY If 1,000,000 GENL AGGREGATE UNIT APPLIES PER GENERAL AGGREGATE f 2,000,000 POLICY n JECT n LOC PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER f B AUTDMOBILEIIARIITY B719R036919 04/30/19 04/30/20 COMBWEIDKSINGLE MUT 1,000,000 E ANY AUTO BODILY INJURY(Per perm) $ AUTOS ONLY AUTOS ED LED BODILY INJURY(Per ettMent)If E hHIRED ANON-OWNED DAMAGE f AUTOS ONLY AUTOS ONLY (Per accident) IS B E UMBRELLALIAB I X I OCCUR COP009R044317 04/30/19 04/30/20 I EACH OCCURRENCE IS 5,000,000 EXCESS LIAR n CLAIMS-WOE I AGGREGATE 1$ 5,000,000 DED I E RETENTION f 10,000 I f C STAT WORKERS COMPENSATION 04/30/19 04/30/20 EI UTE I 10TH- ER I AND EMPLOYERS'WBn1TY ANYPROPRIETORNARTNERIXECVTNE n NIA EL.EACH ACCIDENT If 1,000,000 OFFICE(LMELDNERIXCLIAED7 77 (Mandatory In NM EX.DISEASE-EA EMPLOYEE! 1,000,000 Syn. DESCRIPTION OF OPERATIONS below I EL.DISEASE-POUCY LIMIT I$ 1,000,000 D Professional Liability AEC902906601 04/30/19 04/30/20 Each Claim 3,000,000 Aggregate 3,000,000 I DESCRIPnON OF OPERATIONS(LOCATIONS/VEHICLES(ACORO 101,Addabnd Remarks Sc dole,may M aaaCHad II more span M rsquirM) Re: Timing and Interconnecting Traffic Signals The City of Salina, Kansas, its agents, representatives, officers, officials and employees are are included as Additional Insureds on the General Liability (Excluding Professional Liability) and Automobile Liability Policies and a Waiver of Subrogation applies in favor of Additional Insureds on the General Liability, Automobile Liability and Workers Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Daniel R. Stack, PB P.O. Box 736 AUTHORIZED REPRESENTATIVE Salina, RS 67402-0736 `— I USA 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD lynnecox 56108072 Pihtu2SW2 ACORD' CERTIFICATE OF LIABILITY INSURANCE os 9/22D018 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. IN 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 CA10864724 1-913-982-3650 CONTACT NAYS: Lynne Cox v.-)_ v ISA, Inc. (NB Kansas Division) PHONE FAX INC No Ea >t INC.IAC.No): 51 Corporate Woods SOMA ADDRESS: lynne.coxeimacorp.cm 9393 W. 110th Street, Suite 600 WSURERIS)AFFORDINGCOVERAGE NACI Overland Park, KS 66210 WSURERA:CBARTER OAP PIAS INS CO 25615 INSURED INSURERS:TRAVIS PROP CAS CO OP ACE 25674 TRBKR Design Group LLC INSURER C:TRAVELERS IIID CO 25658 1411 104th Street INSURERD: FARNING'NN CAS CO 41483 INSURERS: BERXLLB1 INS CO 32603 Kansas City, MO 64131 INSURERF: _ _ _COVERAGES_ ___ _ CERTIFICATE NUMBER: 52801700 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. UISR AWLSUES POLCY EFF POLICY EAP LTR TYPE OF INSURANCE SSD WVD POLCY NUMBER IVMIDDIYYYYT (MWDD(YYYYL LIMITS A I COMMERCULGENERALUABLRY 680980409331847 04/30/18 04/30/19 6.40(mcCURRENCE $ 1,000,000 O AIUC.nArw I OCCUR PREMI-OAMSESS((Eno: ori) S 1,000,000 MEDEXP(Anyonepem) $ 10,000 PERSONAL&ADVINwURY _ S 1,000,000 GENLAGGREGATEUMRAPPLIESPER GENERALAGGREGATE s 2.000,000 POLICY n ilei n LOC PRODUCTS.COMPCPAGG 52,000,000 OTHER: 3 • B AUTOMOBLEtIARarTY BA9K03691918 04/30/18 04/30/19 Ep�a SWGIEWAIT 5 1,000,000 I ANY AUTO BOOLY INJURY(Per pari) S OWNED SCHEDULED BODILY UUURY(PaaSSrS $ AUTOSONLY AUTOS I AUTOS ONLY i AUTOSONLY IPS QTYDAIAAGE 1 m — S C I usBRELLALIA9 K OCCUR COP9.0443171847 04/30/18 04/30/19 EACHOccuRRENG2 IS 5,000,000 EXCESSUAB CLApISMADE AGGREGATE 1 5,000,000 DED Jr RETENTIONS 10,000 1 D WORKERS coYPEyISATIDN OB9.0376521847 04/30/18 04/30/19 I PER w ATUTE ETR ANDEYPLIYERSLIABaf1Y ANYPROPRE:TORRARTNEWEAECUTNE Y I NIA EL.EACHACCIDENT 11,000,000 OFFIC.EIUMEMBEREXCLW Edi II totwyWNlq EADLSFAAr.EAEMPLOYEE S 1,000,000 ny�Roea O DESGRIPTgN OFF OTI OPERAONS beb, El.DiSFABE.POl1CV LIALIT $ 1,000,000 B Professional Liability ABC902288200 05/10/18 04/30/19 Each Clain 3,000,000 Aggregate 3,000,000 DESCRIP ION OF OPERATIONS I LOCATMINS I VDOLES(ACORD tet,Aeetama Remats SCMO M,mer M onwi W a men IPSO'b rgWed) Re: Salina Downtown Storm Sewer The City of Salina, Kansas, its agents, representatives, officers, officials and agployees are are included es Additional Insureds on the General Liability (Excluding Professional Liability) and Automobile Liability Policies and a Waiver of Subrogation applies in favor of Additional Insured. on the General Liability, Automobile Liability and Worker's Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SNIIMM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina, Kansas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Daniel R. Stack. PB P.O. BOx 736 AUTHORIZED REPRESENTATIVE Salina, KS 67402-0736 __ I OSA `�� ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD lynnecox 52801700