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Insurance CertficateDATE (MM/DD/YYYY) 08/31/2018 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 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 1-312-648-0914 PRODUCER NAME: EIIA FAX PHONE (A/C, No): (A/C, No, Ext): E-MAIL 200 S. Wacker certificates@eiia.org ADDRESS: Ste. 1000 INSURER(S) AFFORDING COVERAGE NAIC # Chicago, IL 60606 COLLEGE RRG INC 13613 INSURER A : INSURED TRAVELERS IND CO OF CT 25682 INSURER B : Kansas Wesleyan University Hudson Excess Insurance Company & Attached14484 INSURER C : STANDARD FIRE INS CO 19070 100 E. Claflin Avenue INSURER D : INSURER E : Salina, KS 67401-6196 INSURER F : 53784580 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. ADDLSUBR INSR POLICY EFFPOLICY EXP TYPE OF INSURANCE LIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSRWVD GENERAL LIABILITY A GL090118 09/01/19 09/01/18 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED X 50,000 COMMERCIAL GENERAL LIABILITY$ PREMISES (Ea occurrence) X CLAIMS-MADEOCCUR MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 3,000,000 GENERAL AGGREGATE$ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG$ PRO- X $ POLICY LOC JECT COMBINED SINGLE LIMIT 09/01/1809/01/19 B TE-CAP-7437L402-TCT-18 AUTOMOBILE LIABILITY 1,000,000 (Ea accident)$ X BODILY INJURY (Per person)$ ANY AUTO ALL OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOSAUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS (Per accident) AUTOS $ Comp/Collision ACV C X GAXS 000063-00 09/01/1809/01/19 UMBRELLA LIAB 5,000,000 EACH OCCURRENCE$ OCCUR EXCESS LIAB X 5,000,000 CLAIMS-MADE AGGREGATE$ $ DED RETENTION$ WC STATU-OTH- WORKERS COMPENSATION 09/01/19X D TC-UB-121D532-8-18 09/01/18 TORY LIMITSER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of General Liability maintained by the above Insured Institution for: Its activities and operations during the policy term; Obligations of the Insured under a lease or rental contract; Use of facilities by the insured during the policy term; Students in practicum while participating within the scope of their curriculum requirements and assignments; Contractual Liability; Additional Insured status as required by written contract. If named specifically in the Description of Operations the certificate holder is named as Additional Insured as required by written contract. Excess Liability coverage is follow form and follows the terms and conditions of the underlying Liability Policies. 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. Attn: Risk Management 300 W Ash Ave AUTHORIZED REPRESENTATIVE Salina, KS 67401 USA © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)The ACORD name and logo are registered marks of ACORD dadeekoeiia 53784580 EffectiveMarch 25,2009128 higher education institutions affiliatedwith either the United Methodist Church,the EvangelicalLutheran Churchin America,the PresbyterianChurch(USA)or the American BaptistsChurches,organizeda new insurance company,CollegeRisk Retention Group,Inc.under the FederalLiability RiskRetention Actof 1986.TheFederal Actpermits likeinsureds to combine their resources for the purpose of underwriting and insuringtheir liabilityrisks. Theenclosed certificate identifies CollegeRisk Retention Group,Inc.as the general liabilityinsurer for primarylimits of$1 Millionper occurrence and$3 Millionaggregate.Lloydsof London (A.M.BestRating AXV)supports CollegeRisk Retention Group,Inc.as the reinsurer. Asyou may be unfamiliarwith evidences of insurance from riskretention groupswe welcome any questions you may have regardingthe attached certificate of insurance.Shouldyou need any further information regardingthe renewal certificate please do not hesitate to contact our ğķƒźƓźƭƷƩğƷƚƩ͸ƭ office.Followingis the contact information: Educational&InstitutionalInsurance Administrators,Inc. 200 S.WackerDrive,Suite1000 Chicago,IL60606 (800)537 8410 Email:certificates@eiia.org \[ƌƚǤķƭƚŅ\[ƚƓķƚƓCźƓğƓĭźğƌ wğƷźƓŭƭʹ A.M.BestRating AXV 09/01/18-19 Excess Liability Policies PolicyNo.Layer Hudson Excess Insurance CompanyGAXS 000063-00$5M Genesis Insurance Company YUB301245A$5M excess of $5M Hallmark Specialty Insurance Company77PEF180059$5M excess of $10M Brit Global Specialty USA PK1034018$4M xs $15M Mt. Hawley Insurance Company MXL0427312$10M xs $19M Starstone Specialty Insurance Co.03024E183ALI$11M xs $29M United Educators Insurance CompanyIndividual policy numbers$10M xs $40M