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Insurance Certificate ACCPREI CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/12/2020 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(les)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). PRODUCER CON CONE:CT Julie Harmsen PHONE Capital West Insurance P IA/C.No.Ext): (480)838-8000 Nc): (480)838-13002 8501 N Scottsdale Rd E-MAIL • ADDRESS: �ulieecapitalwestins.com Ste 200 INSURER(S)AFFORDING COVERAGE NAIC# Scottsdale AZ 85253 INSURER A:Certain Underwriters at Lloyds,London INSURED INSURER B:Scottsdale Insurance Company 41297 Smart Security, Inc. INSURER C:Everest National Insurance Co 10120 625 S. Anna St INSURERD: INSURER E: Wichita KS 67209 INSURERF: COVERAGES CERTIFICATE NUMBER:CL2061223406 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 LTR TYPE OF INSURANCE INSD,)ppm POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 A CLAIMS-MADE n OCCUR DAMAGE TO RENTED 50,000 PREMISES(Ea occurrence) $ X Y 869L2188533.20 5/7/2020 5/7/2021 MED EXP(Any one person)_ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIESES JECT PER: GENERAL AGGREGATE _ $ 2,000,000 X POLICY n PRO- 17 PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) _ ANY AUTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED — - _ AUTOS AUTOS N BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) —$ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ xBS0129884 5/7/2020 5/7/2021 $ WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? n E.L.EACH ACCIDENT N/A $ 1,000,000 C (Mandatory In NH) y 5300004589-201 6/13/2020 6/13/2021 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Professional Liability /012188533.20 5/7/2020 5/7/2021 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addhlonal Remarks Schedule,may be attached If more space Is required) Certificate holder is listed as additional insured per written contract with respects to general liability per form WCLMPL P0008 CW (04/15) . Coverage is primary and non-contributory. Waiver of subrogation applies in favor of the certificate holder per written contract on general liability per form WCLMPL P0008 CW (04/15) and Worker's Compensation Waiver of Subrogation - (Form Pending) Note: Umbrella is follow form to the General Liability terms. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Salina THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN PO Box 736 ACCORDANCE WITH THE POLICY PROVISIONS. Salina, KS 67402 AUTHORIZED REPRESENTATIVE N Kourouglos/HARMS E ~^ I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)