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Insurance Certificate
A CORN® c"EVIDENCE OF PROPERTY INSURANCE1 DATE (MM/DD/YYYY) DEDUCTIBLE 8/20/2015 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE (800)563-1871 A/C No Ext): COMPANY Assurance Partners Hartford Casualty Insurance Co 201 E Iron St. 7300 West 110th St. P.O. Box 1213 Salina KS 67402-1213 Shawnee Mission KS 66201 FAXA/C No): (785) 825-5098 URLESS: ap@yourassurance . com CODE: 37271512 SUB CODE: AGENCY 00001800 CUSTOMER ID #: INSURED LOAN NUMBER POLICY NUMBER WOODS & DURHAM LLC 37SBAUX4525 PO BOX 1516 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 10/1/2015 10/1/2016 TERMINATED IF CHECKED SALINA KS 67402 THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION Loc# 00003/Bldg# 00001 1619 E IRON AVE SALINA, KS 67401-3237 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Personal Property, Replacement Cost, Special form 202,800 1,000 KtiVIAFCFSs (incivaina special uonamons) 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. ADDITIONAL INTEREST coi@salina.org Sunflower Bank PO Box 800 Salina, KS 67402 X MORTGAGEE ADDITIONAL INSURED LOSS PAYEE Id LOAN # AUTHORIZED REPRESENTATIVE Erin Burch/VICTOR ACORD 27 (2009/12) © 1993-2009 ACORD CORPORATION. All rights reserved. INS027 !200912102 Thin nrr)pn names and Innn nra ranicfararl markt of ik(Y1pn