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Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MM/12/30(2020 YYYY) 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 0 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 3 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. a 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 °.4= certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .2 PRODUCER CONTACT at Aon Risk Services Central, Inc. NAME: 13 PHONE (866) 283-7122 FAX (800) 363-0105 m Chicago IL office (A/C.No.Ext): (A/C.No.): 200 East Randolph E-MAIL —0- Chicago Chicago IL 60601 USA ADDRESS: { _ INSURERS)AFFORDING COVERAG NAIC# INSURED INSURER A: Everest Denali insurance Co 16044 Tradebe Environmental Services, LLC INSURER B: Everest Premier insurance Company 16045 1433 E 83rd Ave Suite 200 INSURER C: Indian Harbor Insurance Company 36940 Merrillville IN 46410 USA INSURER D: INSURER E: INSURER F: yl COVERAGES CERTIFICATE NUMBER: 570085493450 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS LTR INSD WVD ((MMlDD/YYYY (MMIDD/YYYY) C X COMMERCIAL GENERAL LIABILITY Y Y US00077228L120A 12/31/202001/01/2022 EACH OCCURRENCE $2,000,000 CLAIMS-MADE I X IOCCUR DAMAGE TORENIED $300,000 PREMISES(Ea occurrence) MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 rn PRO- POLICY X I JECT I I LOC PRODUCTS-COMP/OPAGG $2,000,000 n OTHER o r V Y RM8CA00039-201 12/31/202012/31/2021 COMBINED SINGLE LIMIT D A AUTOMOBILE LIABILITY $2,000,000 (Eaaccitlenp •, X ANY AUTO BODILY INJURY(Per person) O Z OWNED —SCHEDULED BODILY INJURY(Per accident) w _ AUTOS HIRED AUOTOSY NON-OWNED PROPERTY DAMAGE V ONLY _AUTOS ONLY (Per accident) C X UMBRELLA LIAB X OCCUR V V US00077229L120A 12/31/202001/01/2022 EACH OCCURRENCE $5,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $14,000,000 DED I X RETENTION$10,000 B WORKERS COMPENSATION AND Y •RM8WC00049201 12/31/2020 12/31/2021 x PER STATUTE OTH- EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN Work Comp (AOS) E.L.EACH ACCIDENT $1,000,000 B OFFICER/MEMBER EXCLUDED? I N I N/A V RM8W000050201 12/31/2020 12/31/2021 (Mandatory in NH) ll Work Comp (FL,N)) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— O .rJ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Vi City of Salina, its agents, representatives, officers, officials, and employees are included as Additioal Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Excess Liability policies. General wk..- Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but '""- only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Additional Insured in ,c accordance with the policy provisions of the General Liability, Automobile Liability, Excess Liability 4nd workers Compensation -..!..._a policies. r'-1 a CERTIFICATE HOLDER CANCELLATION . i- . -o0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE �J o^ EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE .4 i•-•....; POLICY PROVISIONS. - g City of Salina AUTHORIZED REPRESENTATIVE C o Attn: Chris Slubowski �A S PO ina 736 �� �.`- o Salina KS 67402-0736 USA .xa0 'L6, p �i Q 4e/ c, i. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: US00077228L120A COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBRO ATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART tr- RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization that you are required in a written contract or written agreement to waive any right of recovery we may have against the person or organization, provided the "Bodily Injury"or"Property Damage"occurs subsequent to the execution of the written contract or written agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. 12- 0,00 W 0 0 r 8N 6$1 mO O 8 O 0 CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US. Qi! This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured TRADEBEE ENVIRONMENTAL SERVICES RM8CA000492501 Premium INCL. Insurance Company Countersigned by EVEREST PREMIER INSURANCE COMPANY 0 WC 00 03 13 g (Ed. 4-84) 8 m 1983 National Council on Compensation Insurance.