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Insurance Certificate ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(IALUDD/YYYY) 06.117/2017 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 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 MARSH USA,INC NAME: 401 S BOSTON AVE.,STE 650 INC lig e MI: FAX No): TULSA,OK 74103-4016 EMAIL AW:Sherri Muck,918-5667939 She niA.Mucktmarsh.can ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC tl _ INSURER A:Associated Electric 8 Gas Ins Services Ltd 3190004 INSURED INSURER B:Old Republic Insurance Company 24147 ONEOK,Inc. 100 West Fifth Street INSURER C: Tulsa,OK 74103 INSURER D: INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER: HOU-003133697-24 REVISION NUMBER: 2 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 OFINSURANCE AODL SUBR POUCY EFF POLICY EXP LIMITS LTR ,INSD,WV D, POLICY NUMBER (MM/DDNYYYI /Y IMWDDYYY) ' A X COMMERCIAL GENERALLIABIUTY XL5168006P 09012017 09101/2018 EACH OCCURRENCE S 2,000,010 DAMAGE TO REM ED X I CLAIMS-MADE OCCUR PREMISES(Ea ocwrerce) S N/A X See Excess Liabaity Below MED EXP(Any one person) $ WA X SIR$2,000,000 PERSONAL 8 ADV INJURY S Included GENT AGGREGATE LIMIT APPLIES PER. • GENERAL AGGREGATE S 2,000.000 X POLICY Tel. LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: S B AUTOMOBILE LIABILITY MW1.6310976 09101/2017 09/01/2018 COMBINED SINGLE LIMIT $ 2,000,000 (Ea accident} X ANY AUTO Quafifed Self-Insured for OK&KS: BODILY INJURY(Pa person) S AWNED fl SCHEDULED 0083000046 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS X HIRED NON-OWNED KS440.30-03-65 PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LAB _ OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER I AND EMPLOYERS'LIABIliTY ^I .L Y/N1 STATUTE ER ANYPROPRIETORPARTNER/EXECUTIVE 1 1 N/A E .EACH ACCIDENT ICS OFFERJMEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S B Excess Workers'Compensation MNXS310977 09/01/2017 09/012018 Limits: Statutory (No Employers'Liataty) SIR$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addmtlonal Remarks Schedule.may be attached If more space Is required) Sett-Insured Retention for Each Aoddent or Face Employee for Oisenc :52,000,000. CERTIFICATE HOLDER CANCELLATION City of Satin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Clerk's Office THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Safina,KS 67402-0736 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Randy Pierce f!/ �,�_ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD