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COI- Kejr06/29/2021 Assurance Partners, LLC 201 E Iron Avenue P.O. Box 1213 Salina KS 67402-1213 Amber Bell (800) 563-1871 (785) 825-5098 abell@yourassurance.com Kejr, Inc., DBA: Geoprobe Systems Kejr, Inc. DBA DRILLMAX 1835 Wall St Salina KS 67401-1736 Travelers Indemnity Company of America 25666 Travelers Indemnity Company of Connecticut 25682 Travelers Property Casualty Company of America 25674 21.22 All Lines A Y 6307882B298 07/01/2021 07/01/2022 1,000,000 300,000 5,000 1,000,000 2,000,000 2,000,000 B Garage 8101N85771421-14G 07/01/2021 07/01/2022 1,000,000 C 10,000 CUP3J214514 07/01/2021 07/01/2022 9,000,000 9,000,000 B UB7K771088 07/01/2021 07/01/2022 500,000 500,000 500,000 Public Property Access Permit CGD458, CGD037 City of Salina 300 S. Ash Street Salina KS 67401 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY COMMERC GENERAL L ITYIALIABIL THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. OTHER INSURANCE ADDITIONAL INSUREDS This endorsement i ies insurance pro ided under t folmodfvhelowing: COMMERC GENERAL L ITY VERA AIALIABILCOGEPRT PROVI ONS b.SI The "personal injury"or "ad ert jury"forvisingin which co is sought arises out of an overagef-COMMERC GENERAL LIA TY CONDI ONSIALBILITI fense co m tedmit(Sect ),Paragraph ()ision,IV 4.Other Insurance amended as lows:subsequent to the signing and execut o thatfolionf contract or by youagreement.1.a.PrimaryThefolisaddedtoParagraphlowing Insura 2.(2)b.Ex-nce:The fi Subparagraph of Paragraphrst cess Insurance regarding any other pr mary in-iHoweiyouspeciicayagreeinan-ver,f f ll written co surance ava lable is deleted.i to youtractorwrittenagreethattheinsurancepro-ment 3.b.ExcessThefolowingisaddedtoParagraphlvdedtoanadditonalinsuredunderthisii Insurance,as an additional subparagraph underCoPartmustapplyonaprimarybasis,orverage Subparagraph :(1)a pri and non-contributory basis,this insur-mary ance is pri ry to other insurance that is a aimavl-That is a lable to the insured when the insuredvai able to such additional insured which co suchvers is added as an additional insured under any otheradditionainsuredasanamedinsured,and wel policy inc ding any mbrel e,lu u la or xcess policy. will not share with that other insurance,provided that: a.The "bodily injur "or "property damage"fory which co is sought occurs;andverage CG D0 37 04 05 Copyright 2005 The .Pau Tra elers Co .l ts reserved.Page 1 o 1Stlvmpanies,Inc Al righ f