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Insurance Certificate 002963/GGIG WB-001202-02-400 - FARM BUREAU /1/IIM FINANCIAL SERVICES FARM BUREAU MEMBER'S CHOICE PERSONAL PACKAGE POLICY LIABILITY INSURANCE CERTIFICATE POLICY #: 0000000007514720 CERTIFICATE ISSUED TO: FIRST NAMED INSURED: CITY OF SALINA DENNIS D. SWENSON C/O GALEN SWENSON RISK MANAGEMENT DEPARTMENT 3404 W. CRAWFORD ST 300 W ASH PO BOX 736 SALINA, KS 67401 SALINA, KS 67402-0736 EFFECTIVE DATE: 08-06-2020 EXPIRATION DATE: 08-06-2021 INSURANCE COVERAGES n Personal Vehicle Liability * I I Farm/Ranch Employer Liability n Personal Liability n Business Liability** n Personal Injury Liability n Umbrella Liability X 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 $2,000,000 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 "person(s)" 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. 5400 UNIVERSITY AVENUE•WEST DES MOINES,IowA 50266-5997 •515.225.5400• www.tbfs.com Farm Bureau Life Insurance Company*I Farm Bureau Property&Casualty Insurance Company*I Western Agricultural Insurance Company*I*Company providers of Farm Bureau Financial Services PKKS.NF002.0420 POLICY NO. 0000000007514720 07-01-2020 004171/GG H MAS-001569-02-000 - Farm Bureau Property & Casualty Insurance Company 5400 University Avenue ®®m West Des Moines Iowa 50266-5997 FARM BUREAU FINANCIAL SERVICES PH (515) 225-5400 FARM BUREAU MEMBER'S CHOICE PERSONAL PACKAGE POLICY LIABILITY INSURANCE CERTIFICATE POLICY #: 0000000007514720 CERTIFICATE ISSUED TO: FIRST NAMED INSURED: CITY OF SALINA DENNIS D. SWENSON C/O G SWENSON RISK MANAGEMENT DEPARTMENT 3404 W CRAWFORD RD 300 W ASH PO BOX 736 SALINA,KS 67401 SALINA, KS 67402-0736 EFFECTIVE DATE: 08-06-2016 EXPIRATION DATE: 08-06-2017 INSURANCE COVERAGES ❑ Personal Vehicle Liability * n Farm/Ranch Employer Liability ❑ Personal Liability n Business Liability** ❑ Personal Injury Liability ❑ Umbrella Liability © 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 * 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 "person(s)" 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. ��• /' AUTHORIZED REPRESENTATIVE PKKS.NF002.1010 POLICY NO. 0000000007514720 07-01-2016