Insurance Certificate 002229/GGID 11-000889-02-400
WilED FARM BUREAU
- C FINANCIAL SERVICES
FARM BUREAU MEMBER'S CHOICE
PERSONAL PACKAGE POLICY
LIABILITY INSURANCE CERTIFICATE
POLICY #: 0000000008110165
CERTIFICATE ISSUED TO: FIRST NAMED INSURED:
CITY OF SALINA ATTN: WASTERWATER PLANT ROGER MATTISON
596 N. MARYMOUNT 485 UPPER MILL HEIGHTS DRIVE
SALINA, KS 67401 SALINA, KS 67401
EFFECTIVE DATE: 01-15-2020 EXPIRATION DATE: 01-15-2021
INSURANCE COVERAGES
❑ Personal Vehicle Liability * ® Farm/Ranch Employer Liability
❑ Personal Liability ❑ Business Liability'
❑ Personal Injury Liability ❑ Umbrella Liability
Fl Farm/Ranch and Personal Liability•'
This certificate certifies liability insurance is afforded as shown above. It is issued
as a matter of information only and does not amend, alter or extend any of the
coverages in the Farm Bureau Member's Choice Personal Package Policy.
COVERAGE LIMIT
FARM/RANCH AND PERSONAL LIABILITY
Bodily Injury/Property Damage $1,000,000 Each Occurrence
52,000,000 Aggregate
• Personal Vehicle includes any of the following: An auto of the private passenger type designed solely to carry persons and
their luggage. An auto of the pickup, panel truck, van or motorhome type not customarily used in any business or
occupation other than farming or ranching for: delivery of products or supplies; carrying of tools or equipment; hauling for
hire; office, store or display purposes. An auto of the truck or truck tractor type owned by a farmer or rancher and used
exclusively in connection with their farming or ranching operation, for exchange purposes with neighbors or for personal
pleasure. A motorcycle or recreational motor vehicle. A snowmobile or a watercraft.
For a certificate issued to a lessor for the above described vehicle, the lessor is also named as an additional insured for legal
liability, but only with respect to the ownership, maintenance or use of the vehicle.
'• Business Liability includes bodily injury, property damage and personal injury/advertising injury.
••• For certificates issued to lessors or lienholders of equipment under Farm/Ranch and Personal Liability, 'insured" includes the
"personls)" or organization(s) to whom this certificate is issued, but only with respect to their liability "caused by" the
maintenance, operation or use by the "insured" of equipment leased by them to the "insured'. Coverage with respect to said
"person" or organization does not apply to:
— Any 'occurrence' that takes place after the equipment lease expires;
— Any "damages' arising out of the negligence of the additional insured;or
— 'Bodily Injury" to any employee of said 'person° or organization arising out of and in the course of their employment by
said "person' or organization.
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5400 UNIVFRsm-AVENUE•WEST DES MOINES,IOWA 50266-5997 •515-225-5400• www.fbfs.com
Fens,Bureau life Insurance Company'I Finn Bureau Property&casualty Insurance Umnpeoy'I Weal=Agricultural Insurance Company'I'Company provihn of Rim Bureau waxen Senior
PKKS.NF002.1017 POLICY NO. 0000000008110165
12-12-2019