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Special Event - Fallen Heroes Family Ride - June 27
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Special Event - Fallen Heroes Family Ride - June 27
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4/27/2021 2:19:25 PM
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4/27/2021 2:18:26 PM
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Board of Public Works
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Requests
Document Date
4/27/2021
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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br />04/05/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br />PRODUCER CONTACT Brad & Christina Beineke <br />NAME' _ <br />Gateway City Insurers LLC d,b.Ia Gateway Insurance PHONE q ExU 314-631-5111 (FAX No) 314-631-5115 <br />9302 travois RdA <br />ADDRESS bradgatewaycanhelp com &/or christina@gatewaycanhelp con-, <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Sl Louis MO 63123 INSURER A National Casually Insurance Company <br />INSURED INSURER D First Comp Insurance Company <br />American Legion Post 4308. Inc INSURER C <br />P O Box 36 INSURER D <br />122 Lincolnway E INSURER E <br />Osceola IN 46561 INSURER <br />r1r1%1=0Ar_GC PGDTILIC_A.TF N111MRF17• RFVISIfIN NIIMRFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS -ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT- TERM! OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORCED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMIT:, SHOIAIN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LIR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER Mh1 pO.YYYY 'gam- LIMITS <br />X COMMERCIAL GENERAL LIABILITY _ •-:_ �I . r •::h� •t - S 1.000,000 <br />CLAM'S -MAD' X L'CCUR •- _ ._..-. - r S <br />50,000 <br />5.000 - - - <br />A KKO 0000008692.4 01128.12021 01/2812022 PERSONAL s ACV IN:JRY S 1.000,000 <br />GEN L AGGREGATE LIMIT APPLIES -'__R GENERAL AGGLREG,Y; E c 2.000,000 <br />X POLICY PRO- PRODUCTS-CCOaRO, AGG s 2;000.000 <br />JECTPRO_ <br />O T htE�. <br />AUTOMOBILE LIABILITY FOM!1IN D SiNG-E LII.'IT <br />ANY AUTO ECDILY IN. URY !Per p emarj _ <br />OWNED SGi=DULE? UDILY IN.JRY fPer acacent; S <br />AUTOS ONLY AJTOS <br />HIRED NcN.Ui'%E: PROPERTY DAVAGE <br />AUTOS 0Ni Y AUTOS ONLY LPs• ac:rfc'E; . <br />UMBRELLA LIAB EACH OCCURRENCE <br />EXCESS LIAB f Ci AL'.1S-N+an=. AGGREGATE <br />D_D RET ENr1ONS .5 <br />WORKf RS COMPENSATION PERTIS. <br />AND EMPLOYERS' LIABILITY 57.:.t I;TL ER _ <br />Y <br />ANYPROPRIETOR'PARTNER EXE(':,'-, YIN <br />N f A \NCO204196 01!28,'2021 01/28/2022 `- _ EACH ACCIDENT _ S 100,000 <br />B OFFICER'NIEI.IB'_RExCLJDEC•� �, PL G 100-000 <br />(Mandatory in NH) `J F DISEASE - EA =NI. CYE_ <br />desaloe Lr)- <br />y i_i...F,- - :,;1, yy = L DISEASE-POLIS_Y LIMIT c 500.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />A Veterans Fraternal, civic, non-profit organization philanthropically fund raising for the benevolence of Veterans and the Community The Auxiliary and other <br />groups associated in the Post are additional insured's The properiv coverages may be viewed in the policy which will be mailed to the insured <br />Fallen Heroes Family Ride on June 27, 2021 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />I <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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