The URL can be used to link to this page

Insurance Certificate A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/26/2013 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 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 CONTACT Brenda Smith Assurance Partners lac°NNo,Ext): (800) 563-1871 I jac,No): (785)825-5098 2090 S. Ohio nDORless:bsmith @yourassurance.com P.O. Box 1213 CUSTOMER 00001417 CUSTOMER ID#: Salina KS 67402-1213 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Travelers Indemnity Company 25658 INSURERB:Travelers Property Casualty Co 25674 Salina/Saline County Health Department INSURER C: 148 N Oakdale INSURERD: INSURER E: Salina KS 67401 INSURERF: COVERAGES CERTIFICATE NUMBER:13-14 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 LTR I TYPE OF INSURANCE I IANSR SWVD I POUCY NUMBER I(MM DD//YYYY)I(MM DD/YYYY) OMITS GENERAL UABIUTY I EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I PREMISES(Ea occuE ence) $ II II CLAIMS-MADE OCCUR MED EXP(My one person) $ H PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ n POLICY I I E o I I LOC $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 BA6646R663 6/27/2013 BODILY INJURY(Per person) I $ R A ALL OWNED AUTOS /27/2013 6/27/2014 BODILY INJURY(Per accident)I$ SCHEDULED AUTOS PROPERTY DAMAGE X I HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS Uninsured motorist BI-single I S PIP-Basic IS II UMBRELLA UAB I OCCUR I I EXCESS UAB I I CLAIMS-MADE EACH OCCURRENCE I$ DEDUCTIBLE AGGREGATE I$ -� I$ —�_—I RETENTION $ - -—- —- - - - - --- -—I. -- - - ---I --i$ - — -- -- --— B I AND EMPLOYERS'UABIUTY Y/N X I TORY LIMIT S I I OER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) UB-2B954285 1/1/2013 1/1/2014 E.L.DISEASE-EA EMPLOYES $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) P Q ) Employment Practices Liability Coverage - Limit $1,000,000 Deductible $15,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Salina ACCORDANCE WITH THE POLICY PROVISIONS. 300 W. Ash Salina, KS 67401 AUTHORIZED REPRESENTATIVE Brenda Smith/DWALKE ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD