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Insurance .------"", TITAUDI01 C DWICKS '4c RLY CERTIFICATE OF LIABILITY INSURANCE DA9/16 2020 TE ) 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). PRODUCER CONTACTNAME: INSURICA-Oklahoma City ) I(A/C,No);(405)556-2332 5100 N.Classen Blvd,#300 (A/CC, o,Ext):(405 523-2100 FAX Oklahoma City,OK 73118 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ohio Security Insurance Company 24082 INSURED INSURER B:Ohio Casualty Insurance Company 24074 Titan Audio Visual LLC INSURER C:CompSource Mutual Insurance Company 36188 4349 SW 23rd St INSURER D:West American Insurance Company 44393 Oklahoma City,OK 73108 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 CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR WPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD VD IMM/DDIYYYYI (MM/DD/YYYY1 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE X OCCUR X X BKS5807406510/1/2020 10/1/2021 PREMISESO(Ea occu RENTED $ 1,000,000 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: PERSONAL ADVERT $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO X X BAS58074065 10/1/2020 10/1/2021 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PPeOPEaccRTY)DAMAGE $ AUTOS ONLY _ AUTOS ONLY $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE USO58074065 10/1/2020 10/1/2021 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ C WORKERS LIABIOERON X STATUTE EERH AND Y/N 03143393 201 10/1/2020 10/1/20211,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ N/A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under1,000,000 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ D Inland Marine BMW2059962179 10/1/2020 10/1/2021 Leased&Rented 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Smokey Hill River Festival June 11-14,2020 City of Salina,its agents,representative,officers,officials,and employees are an additional insured with respects to general liability,auto liability,and Waiver of Subrogation applies with respects to Automobile Liability,General Liability if required by written contract subject to all provisions and limitations of the policy.General Liability policy included completed operations and coverage is primary and non-contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Salina Kansas ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk Attn: Shandi Wicks PO Box 736 AUTHORIZED REPRESENTATIVE Salina,KS 67402 4-104L-------- I - --`I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD