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Insurance Certificate ACCPREI0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/26/2021 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 Ashley Stucky NAME: Assurance Partners,LLC PHONE (800)563-1871 FAX (785)825-5098 (A/C,No,Eat): (A/C,No): 201 E Iron Avenue E-MAIL astucky@yourassurance.com ADDRESS: P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIC# Salina KS 67402-1213INSURERA: Philadelphia Indemnity Insurance Company 18058 INSUREDINSURER B: Twin City Fire Insurance Co. 29459 Salina Area United Way,Inc. INSURER C: United States Liability Insurance Company 25895 113 N 7th Street INSURER D: Suite 201 INSURER E: Salina KS 67401 INSURER F: COVERAGES CERTIFICATE NUMBER: 21.22 All Lines 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. NOTWITHSTANDINGANY 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 SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y PHPK2241725 03/14/2021 03/14/2022000 PERSONAL INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO 0000X POLICY JECT LOC PRODUCTS-COM — OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea aLi ANY AUTO BODILYYINJURY(Per person) $ A XOWNED SCHEDULED PHPK2241725 03/14/2021 03/14/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ — EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION X STATUTE 0TH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 B W OFFICER/MEMBER EXCLUDED? Y NIA 37ECGJ6049 01/01/2021 01/01/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Aggregate Limit $1,000,000 Directors&Officers C ND0020C 1525 01/01/2021 01/01/2022 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. City of Salina 300 WAsh AUTHORIZED REPRESENTATIVE Salina KS 67401 .-�G}1k7Ji' rr I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACo® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) ‘1....------ 12/23/2020 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). CONTACT Ashley Stucky PRODUCER NAME: Assurance Partners,LLC PHONE (800)563-1871 AX (785)825-5098 (A/C,No,Ext): (A/C,No): 201 E Iron Avenue E-MAIL astucky@yourassurance.com ADDRESS: P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIC# Salina KS 67402-1213 INSURER A: Philadelphia Indemnity Insurance Company 18058 INSUREDINSURER B: Twin City Fire Insurance Co. — 29459 Salina Area United Way,Inc. INSURER c: United States Liability Insurance Company 25895 113 N 7th Street INSURER D: Suite 201 INSURER E: Salina KS 67401 INSURER F: COVERAGES CERTIFICATE NUMBER: 21.22 All Lines 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1'000'000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any o e person) $ 5,000 A Y PHPK2086453 03/14/2020 03/14/2021 PERSONAL&At(VINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000'000 X POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: AUTOMOBILE LIABILITY CO a INEDt SINGLE LIMIT $ 1,000,000 (EaANY AUTO BODILY INJURY(Per person) $ AX OWNED SCHEDULED PHPK2086453 03/14/2020 03/14/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON-OWNED $ X AUTOS ONLY X AUTOS ONLY (Per accident) _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE _AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE OTTH- AND EMPLOYERS'LIABILITY YIN 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 37WECGJ6049 01/01/2021 01/01/2022 E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100 (Mandatory in NH) '000 If yes,describe under500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Aggregate Limit $1,000,000 Directors&Officers C NDO020C1525 01/01/2021 01/01/2022 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 WILT.BE DELIVERED IN City of Salina ACCORDANCE WITH THE POLICY PROVISIONSt 300 W Ash AUTHORIZED REPRESENTATIVEj Salina KS 67401 /( �( I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • PHILADELPHIA INDEMNITY INSURANCE COMPANY 1-877-438-7459 ONE BALA PLAZA, SUITE 100 ' BALA CYNWYD PA 19004 REINSTATEMENT NOTICE • Named Insured 8 Mailing Address: Producer.0004487 SALINA AREA UNITED WAY INC. ASSURANCE PARTNERS, LLC 210 E WALNUT ST STE 100 PO BOX 1213 SAUNA KS 67401-2829 SALINA KS 67402-1213 Policy No.: PHPK1938586 Type of Policy: PACKAGE You recently received a notice advising this policy was being cancelled effective 04/04/2019.. - — This notice is to advise that the policy is being reinstated without lapse in coverage. • • • • • • • • . Date Mailed: 25th day of March, 2019 Other Party of Interest / LtCITY OF SALINA 300 W ASH ST SALINA KS 67401-2335 . MISSY LYNCH • KSCT19 FORM#cT969897KS51995 03222019SNNY ODEN ao.rsoza Copy for Other Interests • Page 1 of 1 • • PHILADELPHIA INDEMNITY INSURANCE COMPANY • 1-877-438-7459 ONE BALA PLAZA, SUITE 100 BALA CYNWYD PA 19004 • NOTICE OF CANCELLATION OF INSURANCE • • Named Insured&Mailing Address: Producer.0004487 SALINA AREA UNITED WAY INC. ASSURANCE PARTNERS, LLC 210E WALNUT ST STE 100 • PO BOX 1213 SALINA KS 67401-2829 SALINA KS 67402-1213 •Policy No.: PHPK1938586 Type of Policy: PACKAGE • Date of Cancellation: 04/04/2019; 12:01 A.M. Local Time at the mailing address of the Named Insured. We-are•cancellingthis policy. Your insurance will cease on the Date of Cancellation shown above:— — — The reason for cancellation is NONPAYMENT OF PREMIUM 2936.00. Your interest in this policy as an"insured"or other party of interest is being cancelled effective 04/04/2019; 12:01 A.M. Local Time at the mailing address of the named insured. • • • • Date Mailed: 21st day of March, 2019 Other Party of Interest Wtheydriewb atCITY OF SALINA 300 W ASH ST SALINA KS 67401-2335 MISSY LYNCH KSCC19NONPMNT FORM#CC9697KS51995 03212019MYNY ODEN 30.19.02a Copy for Other Interests Page 1 of 1 0000264-0000529 CO TE ACORD CERTIFICATE OF LIABILITY INSURANCE °A O7,D720,�9) 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 Rhonda Garda NAME: Assurance Partners PHONE (800)563-1871 FAx L1AIC,No.Ertl_ (AJC,No): (785)825-5098 201 E Iron Avenue ADRESS: rgarciacyourassurance.com P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIC Salina KS 67402-1213 INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER e: Twin City Fire Insurance Co. 29459 Salina Area United Way,Inc. INSURER c: United States Liability Insurance Company 25895 210 E Walnut INSURER D: Ste 100 INSURER E: Salina KS 67401 INSURER F: COVERAGES CERTIFICATE NUMBER: 19.20 All Lines 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. NOTWTHSTANDING 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 ADOL SUNK POLICY ED POUCY EXP LTR TYPE OF INSURANCE INSD WvD POLICY NUMBER (MMIDIYYYY) (MMIDDtYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1.000,000 DAMAGE.O RENTED 100,000 CLAIMS-MADE n OCCUR PREMISES(Ea occvrencel 5 MED EXP(Any one person) 5 5.000 A Y PHPK1938586 03/14/2019 03/14/2020 PERSONAL ADV INJURY 5 1,000,000 GEN_AGGREGATE UMRAPPU ES PER: GENERAL AGGREGATE $ 2,000,000 X POUCY 'JEi n LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: S AUTOMOBILEUABILITY COMBINED SINGLE LIMIT S 1.000.000 IEa accident, ANY AUTO BODILY INJURY(Per person) 5 A X OWNED SCHEDULED PHPK1938586 03/14/2019 03/14/2020 BODILY INJURY(Per accident) $ AIJTOS et LY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY ,Per accident UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE 5 DEO RETENTION 5 5 WORKERS COMPENSATION X STATUTE ETH AND EMPLOYERS'LIABILITY - B ANYPROPRIETORJPARTNERJEXECUTIVE YJN NIA 37WECGJ6049 01/01/2019 01/01/2020 E.L.EACH ACCIDENT 5 100,000 OFFICER/MEMBER EXCLUDEDi (Mandatory inin NH) EL DISEASE-EA EMPLOYEE 5 100,000 u yes,desmce user - 500,000 LI DESCRIPTION OF OPERATIONS below E.L.DISEASE-POCY LIMIT S Directors 8 OfficersAggregate Limit 51.000,000 C ND01578317 01/01/2019 01/01/2020 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may W 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 ACCORDANCE WITH THE POLICY PROVISIONS. 300 WAsh AUTHORIZED REPRESENTATIVE 12N/` T"—` Salina KS 67401 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE DATE MWDDYT 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 Collin Crowder NAME: Assurance Partners PHONE (800)563-1871 I FAX (785)825-5098 LMC Na.Esll: IMC Nol: 201 E Iron Avenue 'MAIL ccrowder ou ADDRESS: C�3Y rassumnce.com P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIL Salina KS 67402-1213IN5uRERA, Philadelphia Indemnity Insurance Company 18058 INSURED INSURER e: Twin City Fire Insurance Co. 29459 Salina Area United Way,Inc. INSURER c: United States Liability Insurance Company 25895 210E Walnut INSURER D: Ste 100 INSURER E: Salina KS 67401 INSURERF: COVERAGES CERTIFICATE NUMBER: 18/19 PKG 19/20 WC DSO 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 ADDUSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IVSD.MID POLICY NUMBER (MWDDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE 5 CLAIMS-MADE X OCCUR DAMAGE TO R.N.ED 100,000 PREMISES(Ea occurrence) $ MED EXP(Am one person) $ 5,000 A Y PHPK1784228 03/14/2018 03/14/2019 PERSONAL ADV INJURY _ $ 1'00 ' W GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ S 2,000.000 - X POLICY i JECPROT LOC PRODUCTS-COMP/OP AGG 5 2,000.000 OTHER: Professional Liability S 2.000,000 AUTOMOBILE LIABILITY SINGLE LIMIT $ 1,000,000 (Ea accident, ANY AUTO BODILY INJURY(Per person) s A X OWNED — SCHEDULED PHPK1784228 03/14/2018 03/14/2019 BODILY INJURY(Per accident) E AIRED ONLY AUTOS X HIRED X AUNONLY PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) Uninsured motorist BI- s 1,000.000 UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE 5 _ DED RETENTION 5 I 5 WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LABILRY X SiANTE ER Y/N B ANYPROPRIETORIPARTNEEXECUTWE N/A 37WECGJ6049 01/01/2019 01/01/2020 E.L.EACH ACCIDENT 5 100,000RI OFFICER/MEMBER EXCLUDED? -- -- IMandatory in NH) E.L.DISEASE-EA EMPLOYEE s 1°D'" It yes.desmbe under 500.000 DESCRIPTION OF OPERATIONS belowI E.LDISEASE-POUCY LIMIT 5 C DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD t01,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 City of Salina ACCORDANCE WITH THE POLICY PROVISIONS. 300 W Ash AUTHORIZED REPRESENTATIVE ///���,��(��/��/ /,�.�- Salina KS 67401 ' yL�p'' U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ,eco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY'YY) `I.-- - 03/02/2018 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 CS Brokered NAME: Assurance Partners PHONE (800)No Ertl: (800)563-1871 FAX I(A/C Not, (785)825-5098 201 E Iron Avenue A-MAESS: nevans@yourassurance.com P.O.Box 1213 INSURERS)AFFORDING COVERAGE NAIC 0 Salina KS 67402-1213INSURERA: Philadelphia Indemnity Ins Co INSURED INSURER B: Twin City Fire Insurance Co. 29459 Salina Area United Way,Inc. INSURER C: 210 E Walnut INSURER D: Ste 100 INSURER E: Salina KS 67401 INSURER F COVERAGES CERTIFICATE NUMBER: 18.19 All Lines COI 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. LTR TYPE OF INSURANCE NSD VND POLICY NUMBER POLICY EFF PMJDDA XP (MOLIC/YEFF (POLICY C?) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS-MADE n OCCUR DAMAGE TOREN/1[D 100,000 PREMISE hence) S — MED EXP(Any One person) $ 5,000 A Y PHPK1784228 03/14/2018 03/14/2019 PERSONAL B ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLES PER: 2,000,000 1�yII GENERAL AGGREGATE S POLICY 0 JECTT LOC ' PRODUCTS-COMP/OPAGG— S 2,000,000 OTHER: Professional Liability S 1.000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per per m) S A XOWNED SCHEDULED PHPK1784228 03/14/2018 03/14/2019 BODILY INJURY(PeracddenI S AUTOS ONLY _ AUTOS ) XMIRED NON-OWNED PROPERTY DAMAGE 1 AUTOS ONLY X AUTOS ONLY (Peraccldene S UMBRELLA UAB OCCUR _ EACH OCCURRENCE __ S EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION PFR 0TH- AND EMPLOYERSLNBRJTY X STATUTE ER BANY PROPRIETOR/EXCLU RIDIECUTM Y� NIA 37WECGJ6049 01/01/2018 01/01/2019 100,000 OFFICER/MEMBER EXCLUDEDi E.L.EACH ACCIDENT 5 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 100,000 It yes,desmbe under - 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached It 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 ACCORDANCE WITH THE POLICY PROVISIONS. 300 WAsh AUTHORIZED REPRESENTATIVE Salina KS 67401 04143162A. la ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD