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Home My WebLink AboutINDEPENDENT SALT - INSURANCE CERTIFICATEACORDa CERTIFICATE OF LIABILITY INSURANCE 1 09/15/20061 PRODUCER (800) 563-1871 FAX (785)825-5098 Sunflower Insurance Group, Inc. 217 S. Santa Fe P.O. Box 1213 Salina, KS 67402-1213 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Independent Salt Company P. 0. Box 36 Kanopol i s , KS 67454 INSURERA: Federal Insurance Company 26281 INSURER& St Paul Travelers INSURER C: INSURER D: INSURER E: reTeAvi= 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 0kDD`L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 09/16/2006 POLICY EXPIRATION 09/16/2007 LIMITS GENERAL LIABILITY 37110044 EACH OCCURRENCE $ 1 , 000 , 00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RENTED $ 1,000,000 MED EXP (Any one person) $ 51000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POUCYF_j PROJECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO 78389735 09/16/2006 09/16/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000 00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE 79764048 09/16/2006 09/16/2007 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,000 $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND 6KUB0839C97706 09/16/2006 09/16/2007 X I WCSTATU- I I OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNERIEXECUTI`JE OFFICERIMEMBER EXCLUDED? If yea, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 11000,000 OTHER DESCRIPTI N OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ,it o Fort Collins, CO is named as an additional insured with respect to the General Liability overage for Independent Salt Company, but only with respect to Independent Salt's product. City of Fort Collins ATTN: Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS 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 INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (200ilosl FAX: (970)221-6707 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. ACORD 25 (2001/08)