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Insurance Certificate
----- 1 ACORE° CERTIFICATE OF LIABILITY INSURANCE DATE eiliti....---' 8/23/ 9/1/2020 8/23/2019 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 I 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 NAMTACT E: 444 W.47th Street,Suite 900 PHONN FAX ,Ext): (A/C,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: The Continental Insurance Company 35289 INSURED HOWCO UTILITIES,LLC INSURER B: Navigators Insurance Company 42307 1433426 2201 N STATE ROUTE 7,SUITE B INSURER C: Midwest Builders Casualty Mutual Company 13126 PLEASANT HILL MO 64080 INSURER D: Valley Forge Insurance Company 20508 ' INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 14885091 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD MD POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY N N 5099652353 9/1/2019 9/1/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PRESESOaoccurrence)MI (E $ 100,000 I MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[PE COT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 —yl OTHER: $ D AUTOMOBILE LIABILITY N N 6018629553 9/1/2019 9/1/2020 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX AUTOS ONLY NED AUTODULED BODILY INJURY(Per accident'$ XXXXXXX _ X AUTOS ONLY X ONANO (Peri accidentDAMAGE $ XXXXXXX $ XXXXXXX B UMBRELLA LIAB X OCCUR N N 172300190ALI 9/1/2019 9/1/2020 EACH OCCURRENCE $ 7,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 7,000,000 DED RETENTION$ $ XXXXXXX C WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY Y/N N WC100-0001726-2019A 9/1/2019 9/1/2020 X STATUTE ER ANY OFFICER/MEMBER E ECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 I If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROOF OF INSURANCE 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. 14885091 AUTHORIZED REPRESENTATIVE CITY OF SALINA PUBLIC WORKS DEPARTMENT P.O.BOX 736 300 W.ASH STREET SALINA KS 67402-0736 f ACORD 25(2016/03) ©19$8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD ACOREY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/4...------ 12/31/2018 8/28/2018 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). PRODUCERP CONTACT Lockton Com anies NAME: 444 W.47th Street,Suite 900 PHONE FAX - - - Kansas Cit MO 64112-1906 (NC,No,Est): INC,No): E-MAIL (816)960- OOO ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC e INSURER A: The Continental Insurance Company 35289 INSURED HOWCO UTILITIES,LLC INSURER B: NavieatOrS Insurance Company 42307 1433426 2201 N STATE ROUTE 7,SUITE B PLEASANT HILL MO 64080 INSURER C: D1idWest Builders Casualty Mutual Company 13126 INSURER D: Valley Foree Insurance Company 20503 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 14885091 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 INSD wvv POLICY NUMBER fMMJOD/VYYY)IMM/OD/YYYY), LIMITS A x COMMERCIAL GENERAL LIABILITY N N 5099652353 9/1/2018 9/1/2019 EACH OCCURRENCE $ 1.000.000 CLAIMS-MADE I I OCCUR D DAMAGE TO (Eaoccurrence) $ 100.000 1 MED EXP(Any one person) g 15.000 — PERSONAL 8 ADV INJURY 5 I.000.000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 n JE n LOC OTHER: PRODUCTS-COMP/OP AGG $ 2.000.000 OTHER: $ D AUTOMOBILE LABILITY N N 6018629553 9/1/2018 9/1/2019 JEa accciidentSINGLE LIMIT $ 1.000.000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX — OWNED —AUTOS ONLY AUTOOSULED BODILY INJURY(Per accident $ XXXXXXX X AUTOS ONLY X AU OS ONLYY Wet a idenDANAGE $ X,NOCOOKX — $ XXXXXX X B UMBRELLA UAB XOCCUR N N 172300180ALI 9/1/2018 9/112019 EACH OCCURRENCE $ 7.000.000 X EXCESS LIAR CLAIMS-ADE AGGREGATE $ 7.000.000 DED RETENTION S $ XXXXXXX WORKERS COMPENSATIONPER C AND EMPLOYERs'LIABILm YIN N WCI00-0001 i26-2017A 1?G 12017 )?/31/2018 X STATUTE ER ANY OFFIC0.OP2EWMEMOEa E%awED'"EWEk, `UTNE N N/A E.L EACH ACCIDENT $ 1.000.000 Wandalon in NH) E.L.DISFseS-EA EMPLOYEE $ 1.000.000 tl dimente.IS — _ —.- DESCRIPTION OF OPERATIONS below E .DISEASE-POUCYLIMIT c 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROOF OF INSURANCE 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. 14885091 AUTHORCED REPRESENTATIVE CITY OF SALINA PUBLIC WORKS DEPARTMENT P.O.BOX 736 n SALIN.ASH STREET72 // ^� %i SALINA0W. KS 6740T36 //y ACORD 25(2016/03) ©19$8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD