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Salina Downtown Storm Sewer Assessment
Client#: 93TREDESPC DATE (MM/DD/YYYY) ACORD TM CERTIFICATE OF LIABILITY INSURANCE 2/27/2017 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). CONTACT PRODUCER Monica Wilks NAME: FAX PHONE Holmes Murphy-Missouri 816 857-7820866 501-3940 (A/C, No): (A/C, No, Ext): E-MAIL 1828 Walnut, Suite 700 mwilks@holmesmurphy.com ADDRESS: Property Casualty/MM-KC INSURER(S) AFFORDING COVERAGENAIC # Kansas City, MO 64108 Travelers Property Casualty Co. INSURER A : INSURED Travelers Indemnity Company25658 INSURER B : TREKK Design Group, LLC Charter Oak Fire Insurance Comp25615 INSURER C : 1411 E. 104th Street Travelers Casualty & Surety of 31194 INSURER D : Kansas City, MO 64131 Travelers Indemnity Co of Ameri25666 INSURER E : INSURER F : COVERAGESCERTIFICATE NUMBER: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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSRWVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ AX6808F412601TIL1604/30/201604/30/20171,000,000 DAMAGE TO RENTED $ X1,000,000 CLAIMS-MADEOCCUR PREMISES (Ea occurrence) MED EXP (Any one person)$ 10,000 PERSONAL & ADV INJURY$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE$2,000,000 PRO- X PRODUCTS - COMP/OP AGG$2,000,000 POLICYJECTLOC $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY EBA1H88874A04/30/201604/30/20171,000,000 (Ea accident)$ BODILY INJURY (Per person)$ X ANY AUTO ALL OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOSAUTOS NON-OWNEDPROPERTY DAMAGE $ XX HIRED AUTOS (Per accident) AUTOS $ UMBRELLA LIAB B EACH OCCURRENCE$ XX OCCUR CUP8F4232461604/30/201604/30/20175,000,000 EXCESS LIAB CLAIMS-MADEAGGREGATE$ 5,000,000 $ X10000 DEDRETENTION$ PEROTH- WORKERS COMPENSATION CXV2OUB4432T6241605/10/201605/10/2017X STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ 1,000,000 N / A OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT$1,000,000 DESCRIPTION OF OPERATIONS below DProfessional10651001404/30/201604/30/2017$2,000,000 per claim Liability$2,000,000 annl aggr DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Salina Downtown Storm Sewer The City of Salina, Kansas, its agents, representatives, officers, officials and employees are added as additional insured on all policies except the professional liability and workers compensation as required by written contract. A waiver of subrogation in favor of the additional insureds applies to all policies as required by written contract. CERTIFICATE HOLDERCANCELLATION 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. Attn: Daniel R. Stack, P.E. P.O. Box 736 AUTHORIZED REPRESENTATIVE Salina, KS 67402-0736 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01)The ACORD name and logo are registered marks of ACORD 11of 1of 1 #S271718/M264363#S271718/M264363WILM2 This page has been left blank intentionally.