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Saline County Fair Association --- Insurance
1 ® DATE(MM/DD/YYYY) A� CERTIFICATE OF LIABILITY INSURANCE 02/15/2021 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 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 WA `CT Neuschafer&Associates, Inc. Neuschafer&Associates, Inc. °bo,Ext): (785)827-5150 riQ6,No): (785)827-7441 1528 E Iron Ave ADMDREss: DNEUSCHA@amfam.com Salina, KS 67401 (785)827-5150(080/662) INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American Family Mutual Insurance Company,S.I. 19275 INSURED INSURER B:Midvale Indemnity 21738 Will Electric, Inc. INSURER C: 212 W Pacific Ave INSURER D: Salina,KS 67401 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ 1,000,000 X❑ANY AUTO BODILY INJURY(Per accident) $ 1,000,000 A ❑AUTOs"ED ❑ AUTOSULED 15X9370801 03/01/2021 03/01/2022 IPe?accRnt4AMAGE $ 1,000,000 ❑X HIRED AUTOS Q AJTOSWI'I ED BODILY INJURY $ ❑ ❑ $ X❑ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 p ❑ CLAIMS-MADE ❑X OCCUR PREMISESO(Ea occurrence) $ 100,000 ❑ MED EXP(Any one person) $ 5,000 B ❑ GLP 1037731 03/02/2021 03/02/2022 PERSONAL Si ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ❑ POLICY p PROJECT ❑ LOC $ ❑OTHER ❑ UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑ CLAIMS-MADE AGGREGATE $ ❑ DED ❑RETENTION$ pFR $ WORKERS COMPENSATION ZSTATUTE ❑OTHER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? N/A WCP1008891 03/01/2021 03/01/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Salina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 W Ash THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salina, Ks 67401 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE Kelly Rundell ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD