1988 Fireworks Permit
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PER M I T
"SUPERVISED PUBLIC DISPLAY OF FIREWORKS"
DATE: May 17, 1988
NAME OF PERMITTEE John Zeigler / Salina Jaycees
LOCATION OF DISPLAY East of Municipal Golf Course
DATE OF DISPLAY July 4. 1988
Subject to compliance with City of Salina Codes - Division 2, Fireworks,
Section 14-51 through 14-58 - approval is hereby granted for a supervised
public fireworks display to be conducted by the above named organization
on the location and date given.
The fireworks will be discharged by John Zeigler
who has furnished evidence of his competence in accordance with City Code
Sec. 14-53 through 14-54.
In compliance with City Code 14-54, Permittee has on file with the City
Clerk a copy or affidavit of proof of liability insurance in the minimum
amount of $500,000.00.
The City of Salina assumes no liability for this permitted display.
y:Z~
. Tom GfrarCl, - Flre Chlef
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CERTIFICATE OF INSURANCE
ISSUE DATE (MMIODIYY)
5-10-88
PRODUCER
Wenger-York Insuors, Inc.
P. O. Box 2508
Salina, KS 67402
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
City of Salina
City/County Building
300 West Ash
Salina, KS 67401
COMPANY A
LETTER
COMPANY B
LETTER
COMPANy C
LETTER
COMPANY D
LETTER
E
M~r land Casualt Co.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,
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 CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICy NUMBER
POLICY EffECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MM/DDIYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
X CLAIMS MADE D OCCURRENCE
OWNER'S & CONTRACTORS PROTECTIVE
ECA8l092017
2-1-88
2-1-89
GENERAL AGGREGATE
PRODUCTS-CDMPIOPS AGGREGATE
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
fiRE DAMAGE (ANY ONE fiRE)
MEDICAL EXPENSE (ANY ONE PERSON)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
CSL
$
BOOIL Y
INJURY
(PER PERSON) $
BODILY
INJURY
(Pl'R $
ACCIDENT!
EACH
OCCURRENCE
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
$
$
$
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
OTHER
Additiona
Insured-Salina J ycees
DESCRIPTION OF OPERATIONS I LOCA TIONSIVEHICLES I RESTRICTIONS I SPECIAL ITEMS
For:
Skyfire display
City of Salina
City/County Building
300 West Ash
Salina, KS 67401.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3 CPA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED ENTATIVE ~
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