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Insurance Certificate ACORE) CERTIFICATE OF LIABILITY INSURANCE DATE'MMD°"YYY 09/10/2020 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(les)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 CONTACT Ashley Hess NAME: Assurance Partners,LLC 11aCNNo,Est): (800)563-1871 fAAic,Nog (785)825-5098 201 E Iron Avenuenoones5: ahessiyourassurance.com P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIL tl Salina KS 67402-1213INSURERA: Firemen's Insurance Company of Washington,D.C. 21784 INSURED INSURER B: Salina Community Theatre Association INSURER C: PO Box 2305 INSURER D INSURER E: y_ Salina KS 67402-2305 INSURER F: COVERAGES CERTIFICATE NUMBER: 20.21 All Lines REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 AUUL-SUUH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DDWYYY) (MM/DWYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 1.000000 DAMAGE TO REN,ED 300,000 CLAIMS-MADE X OCCUR PREMISES(Ea ccnarence) 3 MED EXP(Any one person) 5 5,000 A CPA3210283-22 09/14/2020 09/14/2021 PERSONAL&ADV INJURY $ 1.000,000 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRa S X POUCY n PRODUCTS-COMP/OP AGG JECT LOC 0000 20 • OTHER: •• S AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT S 1,000,000 IEa accident) ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED CPA3210283-22 09/14/2020 09/14/2021 BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY X AUTOS ONLY (Per accident ••UMBRELLA UAB _ OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE 5 DED RETENTION$ $ WORKERS COMPENSATIONI PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER • A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA VuCA3210282-22 09/14/2020 09/14/2021 E.L.EACH ACCIDENT O FICER $ 500,000 H (Mandatory in n NNHR EXCLUDED?) EL.DISEASE-EA EMPLOYEE 5 50 CO00 It yes,desmbe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S • DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) • 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 WAsh AUTHORIZED REPRESENTATIVE Salina KS 67401 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 7 ® DATE(MM/DDIYYYY) AR o CERTIFICATE OF LIABILITY INSURANCE 08/07/2019 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 CONTACT Collin Crowder NAME: Assurance Partners PHONE (800)563-1871 FAX Na: (785)825-5098 1A/C,No,Ext): ( ) 201 E Iron Avenue E-MAIL ccrowder@yourassurance.com ADDRESS: P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIC# Salina KS 67402-1213INs'RERA: Continental Western Group INSURED INSURER B: Salina Community Theatre Association INSURER C: PO Box 2305 INSURER D: _INSURER E: _ Salina KS 67402-2305 INSURER F: COVERAGES CERTIFICATE NUMBER: 19.20 All Lines 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 LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO REN IED 300,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ _MED EXP(Any one person) $ 5,000 A 3210283 09/14/2019 09/14/2020 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO 2,000,000 X POLICY JECT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 3210283 09/14/2019 09/14/2020 BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $ UMBRELLA LIAB - OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADEAGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EORH_ AND EMPLOYERS'LIABILITY YIN 500000 ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 3210282 09/14/2019 09/14/2020 E.L.EACH ACCIDENT $ , A OFFICER/MEMBER EXCLUDED? 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER 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. City of Salina 300 WAsh AUTHORIZED REPRESENTATIVE Salina KS 67401 ",^ 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACOR ® CERTIFICATE OF LIABILITY INSURANCE DATE E(MMJDD TI01 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 CONTACT Rhonda Garcia NAME: Assurance Partners PHONE (800)563-1871 I FAX (785)825-5098 (AIC.No.Esti: (AIL Nal: 201 E Iron Avenue -MAI rgarcia@yourassurance.com ADDRESS: P.O.Box 1213 INSURER(5)AFFORDING COVERAGE NAIC Salina KS 67402-1213 INSURER A: Continental Western Group INSURED INSURER B: Salina Community Theatre Association INSURER C: PO Box 2305 INSURER D: INSURER E: Salina KS 67402 INSURER F: COVERAGES CERTIFICATE NUMBER: 18.19 All Lines 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. NOTVATHSTANDING 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 ADOL DUN POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WvD POLICY NUMBER (MMIDDNYYY) (MMJDDNYYY) LIMITS X COMMERCIAL GENERAL LIABIUTY 1,000,000 EACH OCCURRENCE S DAMAGE RCN?LD 300.000 CLAIMS-MADE CCCUR PREMISES(Ea occurrence) S MED EXP(Amy one perscn) $ 5.000 A 3210283 09/14/2018 09/14/2019 PERSONAL SADV INJURY $ 1.000.000 GENT_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 X POLICY u JEC I I LCCPRODUCTS-COMP/OPAGG 5 2,000,000 OTHER: S AUTOMOBILE LIABILITY SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED 3210283 09/14/2018 09/14/2019 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident' S _ UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LJAB CLAIMS-MADE AGGREGATE S DED RETENTION$ WORKERS COMPENSATION PER 0TH- AND EMPLOYERS LIABILITY X STATUTE ER ANYPROPRIETORrPARTNER/EXECUTIVE YIN 500,000 A OFFICEFVMEMBER EXCLUDED? n NIA 3210283 09/14/2018 09/14/2019 E.L.EACH ACCIDENT S (Mandatory in NH) EL,DISEASE-EA EMPLOYEE S 500.000 If yes.desaibe under 500,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mon space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City Dl Salina ACCORDANCE WITH THE POLICY PROVISIONS. 300 W Ash AUTHORIZED REPRESENTATIVE /244797:24_ LJ[nM Salina KS 67401 ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE g/14/201Y4) 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 Jana Winter NAME: Assurance Partners (A/C.No.Ems). (800)563-1871 (NC No):(785)825-5098 201 E Iron St. E-MAIL 4 wi ADDRESS: nter ourassurance.com P.O. Box 1213 INSURER(S)AFFORDING COVERAGE NAIC# Salina KS 67402-1213 INSURERA:EMC Insurance Companies 21415 INSURED INSURER B: Salina Community Theatre Association INSURERC: PO Box 2305 INSURER D: • INSURER E: Salina KS 67401 INSURERF: COVERAGES CERTIFICATE NUMBER:14/15 GL,WC 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W MI LIMITS LTR INSR VD POLICY NUMBER (MDDIYYYY) (MM/DD/YYYY1 GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ A CLAIMS-MADE X OCCUR 4X6084715 9/14/2014 9/14/2015 MEDEXP(Anyoneperson) $ 5,000 PERSONAL BADVINJURY _ 5 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 2,000,000 X l POLICY n PE n LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ A WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A E.L.EACH ACCIDENT 5 100,000 (Mandatory in H)EXCLUDED? 4X6084715 9/14/2014 9/14/2015 E.L.DISEASE-EA EMPLOYEE 5 100,000 (Mandatory in NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION coi@salina.org 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 � Erin Burch/MELIND w l ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025r,mnrwtm The,ACflRfl namc an,t Innn arc rcnicte,re,rl marke of Arruzq I AUG 2 5 2015 DATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 8/24/2015 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 Eva Henderson NAME: Assurance Partners c N (800)563-1871 INC.No): (A/C. o.Ext): (785)825-5098 201 E Iron St. ADDRE ss:ehenderson @yourassurance.com P.O. Box 1213 INSURER(S)AFFORDING COVERAGE NAIC# Salina KS 67402-1213 IN5uRERA:EMC Insurance Companies 21415 . INSURED INSURER B: Salina Community Theatre Association INSURERC: PO Box 2305 INSURER D: INSURER E: Salina KS 67401 INSURERF: COVERAGES CERTIFICATE NUMBER:15.16 GL/WC 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 I TYPE OF INSURANCE NSD ISWVD I POLICY NUMBER (MM/DDY/YYYY) (MM DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 DAMAGE TO A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S 100,000 4X6084716 9/14/2015 9/14/203.6 MED EXP(Any one person) S 5,000 _ PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG 5 2,000,000 OTHER: AUTOMOBILE LIABILITY • COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) I5 UMBRELLA LIAB - OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTIONS S WORKERS COMPENSATION I PER I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 100,000 OFFICER/MEMBER EXCLUDED? N/A A (Mandatory in NH) 4X6084716 9/14/2015 9/14/2016 E.L.DISEASE-EA EMPLOYEF,S 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I 5 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION coi @salina.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 W Ash ACCORDANCE WITH THE POLICY PROVISIONS. Salina, KS 67401 AUTHORIZED REPRESENTATIVE Eva Henderson/EHENDE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 0014011