This certifies that a Workers Compensation Excess Insurance Policy has been issued and delivered to the employer named below, and that by issuance and delivery of said policy and the filing of this certificate of insurance, it is admitted that said excess policy was effective on the date stated below and that the coverage provided therein is applicable to benefits under the Workers Compensation Act of the state of Kansas and that said policy shall remain in full force and effect until 20 days after receipt by the Division of Workers Compensation of notice of its cancellation or expiration and/or non-renewal.