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Insurance CertificateEBUF!)NN0EE0ZZZZ* 1503803131 DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT DFSUJGJDBUF!EPFT!OPU!BGGJSNBUJWFMZ!PS!OFHBUJWFMZ!BNFOE-!FYUFOE!PS!BMUFS!UIF!DPWFSBHF!BGGPSEFE!CZ!UIF!QPMJDJFT CFMPX/!!UIJT!DFSUJGJDBUF!PG!JOTVSBODF!EPFT!OPU!DPOTUJUVUF!B!DPOUSBDU!CFUXFFO!UIF!JTTVJOH!JOTVSFS)T*-!BVUIPSJ\[FE SFQSFTFOUBUJWF!PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;!!Jg!uif!dfsujgjdbuf!ipmefs!jt!bo!BEEJUJPOBM!JOTVSFE-!uif!qpmjdz)jft*!nvtu!ibwf!BEEJUJPOBM!JOTVSFE!qspwjtjpot!ps!cf!foepstfe/ Jg!TVCSPHBUJPO!JT!XBJWFE-!tvckfdu!up!uif!ufsnt!boe!dpoejujpot!pg!uif!qpmjdz-!dfsubjo!qpmjdjft!nbz!sfrvjsf!bo!foepstfnfou/!!B!tubufnfou!po uijt!dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU 2.977.685.7393 QSPEVDFS Npojdb!Xjmlt OBNF; Ipmnft!Nvsqiz!'!Bttpdjbuft-!MMD GBY QIPOF 927!968.8931 )B0D-!Op*; )B0D-!Op-!Fyu*; F.NBJM nxjmltAipmnftnvsqiz/dpn BEESFTT; 2939!Xbmovu!Tsffu Tvjuf!811 JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD!$ Lbotbt!Djuz-!NP!75219 UXJO!DJUZ!GJSF!JOT!DP!DP3:56: JOTVSFS!B!; JOTVSFE IBSUGPSE!BDDJEFOU!'!JOE!DP 33468 JOTVSFS!C!; Xbufst!Fehf!Brvbujd!Eftjho USVNCVMM!JOT!DP 38231 JOTVSFS!D!; YM!TQFDJBMUZ!JOT!DP48996 JOTVSFS!E!; 22316!X/!8:ui!Tusffu JOTVSFS!F!; Mfofyb-!LT!77325 JOTVSFS!G!; 6:212883 DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJT!JT!UP!DFSUJGZ!UIBU!UIF!QPMJDJFT!PG!JOTVSBODF!MJTUFE!CFMPX!IBWF!CFFO!JTTVFE!UP!UIF!JOTVSFE!OBNFE!BCPWF!GPS!UIF!QPMJDZ!QFSJPE JOEJDBUFE/!!OPUXJUITUBOEJOH!BOZ!SFRVJSFNFOU-!UFSN!PS!DPOEJUJPO!PG!BOZ!DPOUSBDU!PS!PUIFS!EPDVNFOU!XJUI!SFTQFDU!UP!XIJDI!UIJT DFSUJGJDBUF!NBZ!CF!JTTVFE!PS!NBZ!QFSUBJO-!UIF!JOTVSBODF!BGGPSEFE!CZ!UIF!QPMJDJFT!EFTDSJCFE!IFSFJO!JT!TVCKFDU!UP!BMM!UIF!UFSNT- FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ BEEMTVCS JOTSQPMJDZ!FGGQPMJDZ!FYQ UZQF!PG!JOTVSBODFMJNJUT QPMJDZ!OVNCFS MUS)NN0EE0ZZZZ*)NN0EE0ZZZZ* JOTEXWE DPNNFSDJBM!HFOFSBM!MJBCJMJUZ BY94TCXBC129316029032 160290312-111-111 FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE Y 2-111-111 DMBJNT.NBEFPDDVS% QSFNJTFT!)Fb!pddvssfodf* 21-111 NFE!FYQ!)Boz!pof!qfstpo*% 2-111-111 QFSTPOBM!'!BEW!JOKVSZ% 3-111-111 HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS;HFOFSBM!BHHSFHBUF% QSP. 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XPSLFST!DPNQFOTBUJPO Y D94XFHBC5QUT1602903116029032 TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O 2-111-111 BOZ!QSPQSJFUPS0QBSUOFS0FYFDVUJWF F/M/!FBDI!BDDJEFOU% O O!0!B PGGJDFS0NFNCFS!FYDMVEFE@ 2-111-111 )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs 2-111-111 F/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpx EQspgfttjpobm!MjbcjmjuzEQS::6:41:16029032Fbdi!Dmbjn3-111-111 16029031 Boom!Bhhs 3-111-111 EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* Uif!Djuz!pg!Tbmjob-!jut!bhfout-!sfqsftfoubujwft-!pggjdfst-!pggjdjbmt!boe!fnqmpzfft!bsf!beefe!bt!beejujpobm!jotvsfe!po!b qsjnbsz!boe!opo.dpousjcvupsz!cbtjt!po!bmm!qpmjdjft!fydfqu!uif!qspgfttjpobm!mjbcjmjuz!boe!xpslfst!dpnqfotbujpo!bt sfrvjsfe!cz!xsjuufo!dpousbdu/!B!xbjwfs!pg!tvcsphbujpo!jo!gbwps!pg!uif!beejujpobm!jotvsfet!bqqmjft!up!bmm!qpmjdjft!xifsf bmmpxfe!cz!mbx/ DFSUJGJDBUF!IPMEFSDBODFMMBUJPO TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO Djuz!pg!Tbmjob BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ Obodz!Tdivfttmfs 411!X/!Bti BVUIPSJ\[FE!SFQSFTFOUBUJWF Tbmjob-!LT!78513.1847 VTB ª!2:99.3126!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE nxjmltlt 6:212883 DATE (MM/DD/YYYY) 05/03/2018 CERTIFICATE OF LIABILITY INSURANCE 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 1-866-574-6282 PRODUCER Monica Wilks NAME: Holmes Murphy & Associates, LLC FAX PHONE 816 857-7820 866 501-3940 (A/C, No): (A/C, No, Ext): E-MAIL mwilks@holmesmurphy.com ADDRESS: 1828 Walnut Sreet Suite 700 INSURER(S) AFFORDING COVERAGENAIC # Kansas City, MO 64108 TWIN CITY FIRE INS CO CO29459 INSURER A : INSURED HARTFORD ACCIDENT & IND CO 22357 INSURER B : Waters Edge Aquatic Design TRUMBULL INS CO 27120 INSURER C : XL SPECIALTY INS CO37885 INSURER D : 11205 W. 79th Street INSURER E : Lenexa, KS 66214 INSURER F : 52770038 COVERAGES CERTIFICATE 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. ADDLSUBR INSR POLICY EFFPOLICY EXP TYPE OF INSURANCE LIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY AX 83SBWAB0182 05/18/19 05/18/18 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED X 1,000,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 10,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- X X 2,000,000 POLICY LOC PRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT B 83UEGZV8705 05/18/19 05/18/18 AUTOMOBILE LIABILITY$ 1,000,000 (Ea accident) ANY AUTO X BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS NON-OWNED HIRED PROPERTY DAMAGE $ X X (Per accident) AUTOS ONLYAUTOS ONLY $ X X 83SBWAB0182 05/18/19 2,000,000 A UMBRELLA LIAB 05/18/18 EACH OCCURRENCE$ OCCUR 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE$ X 10,000 $ DEDRETENTION$ PER OTH- WORKERS COMPENSATION X C 83WEGAB4PTS05/18/18 05/18/19 STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N N / A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below DProfessional LiabilityDPR9924721 05/18/19Each Claim 2,000,000 05/18/18 Annl Aggr 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Salina, its agents, representatives, officers, officials and employees are added as additional insured on a primary and non-contributory basis 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 where allowed by law. 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. Nancy Schuessler 300 W. Ash AUTHORIZED REPRESENTATIVE Salina, KS 67402-0736 USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD mwilksks 52770038