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Insurance Certificate
,acORD• CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) `—/ 9/15/2021 9/14/2020 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. 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 Lockton Companies NAMEACT 444 W.47th Street,Suite 900 PHONE Ertl: FAX(N No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURERIS)AFFORDING COVERAGE NAIC# INSURER A: Twin City Fire Insurance Company 29459 INSURED GEORGE BUTLER ASSOCIATES,INC. INSURER B: Hartford Underwriters Insurance Company 30104 1402002 ATTN:SHAUN KOTWITZ INSURER C: Travelers Property Casualty Insurance Co 36161 BLVD. 9801 RENNER BLVD. LENEXA KS 66219 INSURER D: Hartford Casualty Insurance Company 29424 _ INSURER E: -- -- ,— INSURER F: - -- 1— COVERAGES * CERTIFICATE NUMBER: 14510970 REVISION NUMBER: XXXXXXX 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. LTR TYPE OF INSURANCE ADEL SUER POLICY EFF POLICY EXP INSD W M POUCY NUMBER IMMIDDIYYYY)(MMIDDNYYY) LIMITS B x COMMERCIAL GENERAL LIABILITY N N 37UEAQIO39S 9/15/2020 9/15/2021 EACH OCCURRENCE $ 1.000.000 CLAIMS-MADE OCCUR PREM SEB(OEaF RENTED $ 300.000 1/ 'I MED EXP(Any one person) $ 10.000 PERSONAL B ADV INJURY $ 1,000.000 GEN_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000.000 poucyri Tei n LOC OTHER' PRODUCTS-COMPIOPAGG S 2.000.000 OTHER' s A AUTOMOBILE LIABILITY N N 37UEAQ10525 9/15/2020 9/15/2021 (EsaaBINeDISINGLELIMIT $ 1.000.000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX AUTOS ONLY SCHEDULED BODILY INJURY accident $ XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE 5 XXXXXXX AUTOS ONLY _AUTOS ONLY (Per accident) 5XXXXXXX C UMBRELLA LIAB X OCCUR N N ZUP-51N20560-20-NF 9/15/2020 9/15/2021 EACH OCCURRENCE 5 9.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE S 9.000.000 DED X RETENTION 510,000 $ XXXXXXX I D AND WOFtKERS MPLOYERS'COMPELIABIUTY YIN N 37W`EAQI0524 9/15/2020 9/15/2021 X STATUTE OER ANY PROPRIETORNPRTNEFF_XECUHvr ® NIA EL EACH ACCIDENT $ 1.000.000 OFFICERM.EMBER EXCLUDED, (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ 1,000.000 _ DESLRIan� O OF below PERAI1ONS Ce _ - E L.DISEASE-POLICY LUNT C 1.000.000 - 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 ACCORDANCE WITH THE POLICY PROVISIONS. 14510970 AUTHORIZED REPRESENTATIVE CITY OF SALINA , 300 W ASH STREET SALINA KS 67401 ACORD 25(2016103) ©1968-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD -1 A�j L' CERTIFICATE OF LIABILITY INSURANCE 9/15/2020 DATE ODI 9/6/ 19 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 Lockton Companies CONTACT 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 No,Ext): (ac.No): E-M (816)960-9000 D ADDRESS: INSURERIS)AFFORDING COVERAGE NAIL A INSURER A: Hanford Fire Insurance Company 19682 INSURED GEORGE BUTLER ASSOCIATES,INC. INSURER B: Hartford Casualty Insurance Company 29424 1402002 ATTN:SHAUN KOTWITZ 9801 RENNER BLVD. INSURER C: Travelers Property Casualty Insurance Co 36161 LENEXA KS 66219 INSURER D: INSURER E: INSURER F: COVERAGES * CERTIFICATE NUMBER: 14510970 REVISION NUMBER: XXXXXXX 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 0159 VIVID POLICY NUMBER IMMJDDIYYYYI(MM/DD/YYYI') LIMITS B x COMMERCIAL GENERAL LNBILrTY N N 37UEAQI0398 9/15/2019 9/15/2020 EACH OCCURRENCE $ 1.000.000 1CLAIMS-0NOE[IOCCUR NTED PASETO aRMIS(Errencel s 300.000 MED EXP(Any one person) $ 10.000 PERSONAL&ADV INJURY S 1.000.000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000.000 POLICY[PE a n we PRODUCTS-COMP/OP AGG s 2.000.000 OTHER: S A AUTOMOBILE LIABILITY N N 37UEAQ10525 9/15/2019 9/15/2020 COMMBIINNEDISINGLE LIMIT $ 1,000.000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED —AUTOS ONLY AUTOSULED BODILY INJURY(Per accident 5 XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX _ AUTOS ONLY _AUTOS ONLY /Per accident) $ XXXXXXX C UMBRELLALIAB X OCCUR N N ZUP-51N20560-I9-NF 9/15/2019 9/15/2020 EACH OCCURRENCE $ 9.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE S 9.000.000 OED X RETENTION$10.000 $ XXXXXXX B WORKERSCOMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN N 37WEAQ10524 9/15/2019 9/158030 X STATUTE ER ANY PROPRIETORWARTNER(EXECUTNE ® N/A E.L.EACH ACCIDENT $ 1.000.000 OFFICERIMEMBER EXCLUDED? (Mandatory m NH) E.L.DISEASE-EA EMPLOYEE S 1.000.000 _. .IrStRIPI1ON OF OPFAAUONS trYv - -- El.aSEASE=POucrLi a . '1.000:000 -_ 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 ACCORDANCE WITH THE POLICY PROVISIONS. 14510970 AUTHORIZED REPRESENTATIVE CITY OF SALINA 300 W ASH STREET SALINA KS 67401 Ia4t1 % 4J ACORD 25(2016103) ©1966-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD ----1 ACORO• CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) k.. .------ 9/15/2018 9/13/2017 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 Lockton Companies NAMEACT 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 E-M,No.Eat): (NC.No): (816)960-9000 ADDRESS: INSURERISI AFFORDING COVERAGE NAIC A INSURER A: Hartford Fire Insurance Company 19682 INSURED GEORGE BUTLER ASSOCIATES,INC. 7 9801 RENNER BLVD. INSURER B: Hartford Casualty Insurance Company 29424 1407_00_ LENEXA KS 66219 INSURER c: \avieators Insurance Company 42307 INSURER D: INSURER E: -- - - INSURER F: COVERAGES * CERTIFICATE NUMBER: 14510970 REVISION NUMBER: XXXXXXX 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 ADOI SUER POLICY EFF POLICY EXP LTRMD 1WD POLICY NUMBER (MMIDD(YYYY)(MMJDDIYYYY) LIMITS B x COMMERCIAL GENERAL LIABILITY N N 37UEAQ10398 9/15/2017 9/15/2018 EACH OCCURRENCE S 1.000.000 CLAIMS-MADE` I OCCUR D PREMISES(EaE�rrrence, 5 300.000 l 1 MED EXP(Any one person) $ 10.000 PERSONAL&ADV INJURY $ 1,000.000 GEN_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2.000.000 POLICYn JET LiLOC OTHER: PRODUCTS-COMP/OP AGG 5 2,000,000 OTHER: 5 A AUTOMOBILE LIABILITY N N 37UEAQIO52$ 9/15/2017 9/15/2018 IEOMaBreideentSINGLE LIMIT $ 1.000.000 X ANY AUTO BODILY INJURY(Per person) S — AUTOSDONLY SCHEDULED BODILY INJURY(Per accident 5 XXXXXXX AUTOS ONLY D S NON-OWNEDONPROPERTYident)DAMAGE S XXXXXXX (Per accident) $ XXXXXXX C UMBRELLA UAB X OCCUR N N CHI7EXC8572301V 9/15/2017 9/15/2018 EACH OCCURRENCE S 9,000.000 X EXCESS UAB CLAIMS-MADE AGGREGATE $ 9,000.000 DED X RETENTION 510,000 5 XXXXXXX B AND EMPLOYERSWORKERS 'LIABILITYYIN N 37WEAQ10524 9/15/2017 9/15/2018 X I STATUTE N I IE R ANY PROPRIETORIPARTNERIEXECUTNE I�1 N N A E.L.EACH ACCIDENT $ 1.000.000 OFFICER/MEMSER EXCLUDED? I ' I sndatonInNH) E.L.DISEASE-EA EMPLOYEE S 1,000.000 DESCRIPTION OFPERAT ONS belov EL wsEASE-Paucv war__ x_1.000.000_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II 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 ACCORDANCE WITH THE POLICY PROVISIONS. 145510970 AUTHORIZED REPRESENTATIVE CITY OF SALINA 300 W ASH STREET SALINA KS 67401 ACORD 25(2016/03) 0196-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD