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Insurance09/25/2020 AUTOS ONLYHIRED The ACORD name and logo are registered marks of ACORDCERTIFICATE HOLDER© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICYGEN'L AGGREGATE LIMIT APPLIES PER:OCCURCLAIMS-MADECOMMERCIAL GENERAL LIABILITYPREMISES (Ea occurrence)$DAMAGE TO RENTEDEACH OCCURRENCE$MED EXP (Any one person)$PERSONAL & ADV INJURY$GENERAL AGGREGATE$PRODUCTS - COMP/OP AGG$$RETENTIONDEDCLAIMS-MADEOCCUR$AGGREGATE$EACH OCCURRENCE$UMBRELLA LIABDESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)INSRLTRTYPE OF INSURANCEPOLICY NUMBERPOLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITSPERSTATUTEOTH-ERE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEEE.L. DISEASE - POLICY LIMIT$$$ANY PROPRIETOR/PARTNER/EXECUTIVEIf yes, describe underDESCRIPTION OF OPERATIONS below(Mandatory in NH)OFFICER/MEMBER EXCLUDED?AND EMPLOYERS' LIABILITYWORKERS COMPENSATIONY / NAUTOMOBILE LIABILITYANY AUTOOWNEDSCHEDULEDNON-OWNEDAUTOS ONLYAUTOSAUTOS ONLYCOMBINED SINGLE LIMITBODILY INJURY (Per person)BODILY INJURY (Per accident)PROPERTY DAMAGE$$$$EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INSDADDLWVDSUBRN / A$$(Ea accident)(Per accident)OTHER:REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISthis 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 onIMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:INSUREDPHONE(A/C, No, Ext):PRODUCERADDRESS:E-MAILFAX(A/C, No):CONTACTNAME:NAIC #INSURER(S) AFFORDING COVERAGE ACCORDANCE WITH THE POLICY PROVISIONS.THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE67401KSSalina300 W Ash StreetCity of Salina500,000500,000500,00009/24/202109/24/2020B1,000,00010/15/202110/15/2020A355748A2,000,0002,000,0001,000,00010,000300,0001,000,00010/15/202110/15/2020A 355748YA20.21 All Lines38970Markel Insurance CompanyWest Bend Mutual Insurance Company67402-1482KSSalinaPO Box 1482255 S ChicagoSalina Emergency Aid Food Bank Inc.astucky@yourassurance.com(785) 825-5098(800) 563-1871Ashley Stucky67402-1213KSSalinaP.O. Box 1213201 E Iron AvenueAssurance Partners, LLC DATE(MMIDD/YYYY) ACGRE, CERTIFICATE OF LIABILITY INSURANCE 09/22/2020 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(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). CONTACT Ashley Stucky PRODUCER NAME: PHONE (800)563-1871 I A/C,No): (785)825-5098 Assurance Partners,LLC tar Ext): LTAAIL 201 E Iron Avenue astucky@yourassurance.com ADDRESS: P.O.Box 1213 INSURER(S)AFFORDING COVERAGE NAIC# Salina KS 67402-1213 INSURER A: West Bend Mutual Insurance Company INSURED INSURER B Markel Insurance Company 38970 Salina Emergency Aid Food Bank Inc. INSURER c: PO Box 1482 INSURER D: INSURER E: Salina KS 67402-1482 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 NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING 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 SUbtt- POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE INSD WVD POLICY NUMBER (MWDDNYYY) (MM/DD/YYYY) LTR EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE 10 REN rLD PREMISES(Ea occurrence) $ 300,000 CLAIMS-MADE n OCCUR 10,000 _MED EXP(Any one person) $ A — Y A355748 10/15/2019 10/15/2020PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE F$ 2,000,000 GENT_AGGREGATE LIMIT APPLIES PER: - 2,000,000 X POLICY I 12 n LOC PRODUCTS-COMP/OPAGG $ $ OTHER: ^ COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY (Ea accident) BODILY INJURY(Per person) $ X ANY AUTO A OWNED SCHEDULED A355748 10/15/2019 10/15/2020 BODILY INJURY(Per accident) $ — AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON-OWNED (Per accident) AUTOS ONLY _ AUTOS ONLY $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ $ DED I RETENTION$ WORKERS COMPENSATION XI STATUTE I I ETH AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [7 N IA WCO210029-01 09/24/2020 09/24/2021 500,000 B OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ (Mandatory dtory biandNH) 500,000 Ityes, OFer E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I 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 Street AUTHORIZED REPRESENTATIVE �1 Salina KS 67401 f ii >8 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD