Loading...
HomeMy WebLinkAboutINDEPENDENT SALT COMPANY - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE 9/3-2/2008Y) PRODUCER (800) 563-1871 FAX: (785) 825-5098 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sunflower Insurance Group,NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc.. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 217 S. Santa Fe ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1213 Salina KS 67402-1213 INSURERS AFFORDING COVERAGE NAIC # INSURED -, 17-Ao.-n1 Tno..----- P'------ onof Independent Salt Company PO Box 36 Kanopolis KS 67454 I INSURERS. Travelers Indemnitv I I INSURER E'. 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 ADDI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE N IDDNY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCURRENCE $ 1,000,000 DAMAGE TO RENTEDPREMISE Ea oc urrence $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OOCCUR 37110044 9/16/2008 9/16/2009 MED EXP (Any oneperson) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PR D TS- MP/ PAGG S 2,000,000 X POLICY PEOT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 X BODILY INJURY (Per person) S A ALL OWNED AUTOS SCHEDULED AUTOS 78389735 9/16/2008 9/16/2009 BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN FA ACC S ANY AUTO S AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY X1 OCCUR CLAIMS MADE EACH OCCURRENCE S 5,000,000 AGGREGATE $ 5,000,000 S $ A DEDUCTIBLE 79764048 9/16/2008 9/16/2009 S X RETENTION S10,000 $ WORKERS COMPENSATION AND EMPLOVERS' LIABILITY P.PIY PROPRIEI OPIPARTN'cRl'�XECUHIE y WC STATU- OTH- G.L EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE 5 1 , OOO , OOO OFFICERIMEMBER EXCLUDED9 If yes, describe antler SPECIAL PROVISIONS below 6KU130839C97708 9/16/2008 9/16/2009 E. L. DISEASE -POLICY LIMIT 5 1, 000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins, CO is named as an additional insured with respect to the General Liability coverage for Independent Salt Company, but only with respect to Independent Salt's product. (970)221-6707 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS025 (oms).oea © ACORD CORPORATION 1988 Page I of 2 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) INS025 (aios)ma Page 2 d 2