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Insurance Certificate
97 Zurich - DM Account Service Center 0 7045 College Blvd ZURICH Overland Park, KS 66211 CITY OF SALINA CITY-COUNTY BUILDING 300 W ASH STREET SALINA, KS 67401 • 0 0 0 0 0 m N 0 ■0 0 m N CERTS ADDRESS SHEET ACORO' CERTIFICATE OF LIABILITY INSURANCE ( DATE(MM/DD/YYYO <9 `r 02/W2020 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 CERTICATE 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 Zurich-Account Service Center Zurich-Account Service Center NAME: 7045 College Blvd. PXONE 877-225-5276 FAX 888-7344776 Overland Park,KS 66211 (NC No.EXT): (AIC Not Fax:888-734-6776 Ph:877-225-5276 E-MAILDES:service.center@zurichna.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED M021017688 INSURER A: Zurich American Insurance Company 16535 LONG MCARTHUR.INC. INSURER B: American Guarantee and Liability Ins.Co. 26247 3450 SOUTH 9TH STREET SALINA,KS 67401 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CW MS. INSR TYPE OF INSURANCE ADD LSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IXSRD VVtDF (MMIDDIYYYY) (MMIDO/YYYY) 111 ❑X COMMERICAL GENERAL LIABILITY El ElEACH OCCURENCE ($1,000,000 DAMAGE TO RENTED ❑❑CLAIMS MADE OCCUR PREMISES(Ea occurrence) $ ❑ MED EXP(Any one person) $5,000 ❑ ADM0143304-03 03/01/2020 03/01/2021 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $3,000,000 ❑POLICY ❑PROJECT ❑LOC PRODUCTS-COMP/OP AGG $ ❑OTHER: LI AUTOMOBILE LIABILITY ElCOMBINED SINGLE LIMIT (Ea Accident) $1,000,000 1 ANY AUTO ElOWNED ❑SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ O HIRED AUTOS O NNOTOSWNED ADM 0143304-03 03/01/2020 03/01/2021 PROPERTY DAMAGE (Per acddent) ❑ ❑ $ © ®UMBRELLA LLAB IX]OCCUR ❑ ,❑ EACH OCCURRENCE $10,000.000 ❑EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $30,000,000 ❑DED ❑RETENTION$ AUC 0122029-03 03/01/2020 03/01/2021 PRODUCTS-COMP/OP AGG $30,000,000 TH- ❑ EMPLOYERS'LIABIWORKERS LITY AND ❑I PERSTATUTE I O ANY PRORLETORAMTNEPJEXECUTIVE oFFlcEpn.e.EER EXCLUDED] YIN E.L.EACH ACCIDENT $ ❑ WA ❑ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ A❑ Garagekeepers-Legal Liability ❑ ❑ ADM0143304-03 03/01/2020 03/01/2021 Total Policy Aggregate Limit $3,000,000 DESCRIPTION OF OPERATIONS/LOCA.TIONS/VEHICLES(ACORD 101..Additional Remarks Schedule.may be attached if mare space's required Reason for Certificate:GENERAL LIABILITY 30 Day notice of cancellation applies.except for cancellation due to non payment of premium. See Additional Remarks Schedule Attached CERTIFICATE HOLDER CANCELLATION CITY OF SALINA CITY-COUNTY BUILDING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 WASH STREET THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN SALINA, KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS. Attn AUTHORIZED REPRESENTATIVE Z/1J�t, Y� a Fax: /�, ! / /.I ©1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD so IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. • C 1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: M021017688 LOC#: SI ADDITIONAL REMARKS SCHEDULE Pagel of 1 AGENCY NAMED INSURED Zurich-Account Service Center LONG MCARTHUR.INC. POLICY NUMBER 3450 SOUTH 9TH STREET ADM0143304-03 SALINA, KS 67401 CARRIER NAIL CODE Zurich American Insurance Company 16535 EFFECTIVE DATE: 03/01/2020 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM. FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Products - Completed Operations Aggregate of 53,000,000 applies to the Garage Liability. Certificate holder is named as an Additional Insured per Endorsement: CA 20 48 The cert holder is Additional Insured to the garage liability policy for this insured. Additional Named Insured(s) Include: SALINAUSEDCARS.COM, LLC., SALINAUSEDCARS.COM, LLC. DBA ABILENECARSALES.COM, SALINAUSEDCARS.COM, LLC. DBA KAWASAKI OF SALINA, SALINAUSEDCARS.COM, LLC. DBA KEYLEASINGCO.COM ACORD 101 (2008/01) 02008 ACORD CORPORATION,All rights reserved. The ACORD name and logo are registered marks of ACORD