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Home My WebLink AboutINDEPENDANT SALT - INSURANCE CERTIFICATEACORD,R CERTIFICATE OF LIABILITY INSURANCE o9/ /2007 PRODUCER (800) S63-1871 FAX (785)82S-SO98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sunflower Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 217 S Santa Fe HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O'. Box 1213 I, Salina, KS 67402-1213 INSURERS AFFORDING COVERAGE NAIL # INSURED Independent Salt Company INSURERA Federal Insurance Company 20281 P. 0. Box 36 INSURERS Travelers Indemnity Kanopolis, KS 67454 INSURER NSURER D NSURER E FJ \gyr1.TN�9 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 LTR DO SRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDONYI POLICY EXPIRATION DATE (MWDDMI LIMITS GENERAL LABILITY 37110044 09/16/2007 09/16/2008 EACH OCCURRENCE $ 1,000,00i X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,00 CLAIMS MADE FX OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJUKY S I, 000, 00' A GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $ 2,000,00 X I POLICY PRO LOC ECT AUTOMOBILE LIABILITY ANY AUTO 7838973S 09/16/2007 09/16/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per s=dent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per awidenl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ ANY AUTO $ EXCESS/UMBRELLALIABILITY 79764048 09/16/2007 09/16/2008 EACH OCCURRENCE $ 5,000,00 X OCCUR CLAIMS MADE AGGREGATE $ 5', DDD, 00 $ A $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND 6KUB0839C97707 09/16/2007 09/16/2008 X WCSTATU- OTH- B - EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 01-FICER11EMBEREXCLUDED? E L EACH ACCIDENT $ 1,000,00 EL DISEASE - EA EMPLOYEE $ 1,1000,00 If yes dembe under SPECIALe ROVISIONS below EL DISEASE POLICY LIMIT $ 1,000.00 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Tty of 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. i 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 I 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 REPRESENTATIVES I AUTHORIZED REPRESENTATIVE ACORD 25 (2001/OB) FAX: (970)221-6707 CACORD CORPORATION 191 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 (2001108)