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Waters Edge COIRutherford, JoVonna From: Sent: To: Subject: Attachments: JoVonna, Schuessler, Nancy Friday, May 14, 2021 9:14 AM Rutherford, JoVonna FW: Delivery by CertificatesNow 0162197947.pdf Please add the attached certificate to the Waters Edge Project file in Laserfiche. Thanks! Nancy Schuessler Risk Manager City of Salina 300 W. Ash, Room 202 P.O. Box 736 Salina, KS 67402-0736 Phone: 785.309.5705 Fax: 785.309.5711 TDD: 785.309.5747 Email : nancy.schuessler@salina.org Website: www.salina-ks .gov -----Original Message----- From: certificates@prod.certificatesnow.com [mailto:certificates@prod.certificatesnow.com] Sent: Wednesday, May 12, 2021 9:00 AM To: Schuessler, Nancy <nancy.schuessler@salina.org> Subject: Delivery by CertificatesNow This insurance document was sent to you from Monica Wilks ( mailto:mwilks@holmesmurphy.com ) via CertificatesNow. We hope you find this document satisfactory. If you have any questions regarding the content of this certificate, please contact Holmes, Murphy & Associates or the Insured, both are listed on the certificate of insurance. NOTICE: This communication is not encrypted and may contain privileged or other confidential information. If you are not the intended recipient or believe that you may have received this communication in error, please reply to the sender indicating that fact and delete the copy you received . In addition, you should not print, copy, retransmit, disseminate or otherwise use this information. Thank you. cc: The attachment is an Adobe Acrobat PDF file. To open the PDF file, you need Adobe Acrobat Reader, which can be easily downloaded by going to http://www.adobe.com/prodindex/acrobat/readstep.html. After completing Adobe's simple 3- step process, just double-click on the file to open it. The data included in this notice and in the attached document is confidential to Confirm Net and the party responsible for bringing you this information. 1 ACORD@ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 05/12/2021 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). PRODUCER 1-866-574-6282 CON1Ac:;T Monica Wilks NAME: Holmes Murphy & Associates, LLC r.~~N.\°_ c-"· 816 857-7820 I r~ Nol: E-MAIL mwilks@holmesmurphy.com 1828 Walnut Sreet ADDRESS: Suite 700 INSURERCSl AFFORDING COVERAGE NAIC# Kansas City, MO 64108 INSURER A : TWIN CITY FIRE INS CO CO 29459 INSURED INSURER B: HARTFORD ACCIDENT & IND CO 22357 Waters Edge Aquatic Design INSURER C : TRUMBULL INS co 27120 11205 W. 79th Street INSURER D : XL SPECIALTY INS CO 37885 INSURERE : Lenexa, KS 66214 INSURER F: COVERAGES CERTIFICATE NUMBER: 62197947 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 '"en wun POLICY NUMBER IMMIDD/YYYYl CMMIDD/YYYYI LIMITS A x COMMERCIAL GENERAL LIABILITY 83SBWAB0182 05/18/21 05/18/22 EACH OCCURRENCE $ 1,000,000 -D CLAIMS-MADE 0 OCCUR DAMACit= TO RENTED PREMISES IEa occurrencel $ 1,000,000 -MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 =i POLICY 0 ~~~T ~LOC PRODUCTS · COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 83UEGZV8705 05/18/21 05/18/22 COMBINED SINGLE LIMIT IEa accidentl $ 1,000,000 -x ANY AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ONLY -AUTOS x HIRED x NON-OWNED fp~?~~c~~fiAMAGE $ -AUTOS ONLY -AUTOS ONLY $ A x UMBRELLA LIAB N OCCUR 83SBWAB0182 05/18/21 05/18/22 EACH OCCURRENCE $ 2,000,000 - EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 OED Ix I RETENTION$ lO,OOO $ WORKERS COMPENSATION 83WEGAB4PTS 05/18/21 05/18/22 x I ~f~TUTE I I OTH· c AND EMPLOYERS' LIABILITY ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE • POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D Professional Liability DPR9977798 05/18/21 05/18/22 Each Claim 2,000,000 Annl Aggr 2,000,000 DESCRIPTION OF OPERATIONS I 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. allowed by law. CERTIFICATE HOLDER City of Salina Nancy Schuessler 300 W. Ash Salina, KS 67402-0736 I ACORD 25 (2016/03) mwi lksks 62197947 A waiver of subrogation in favor of the additional insureds appli es to all polici es where 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. AUTHORIZED REPRESENTATIVE USA ~ © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD