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Special Event - Fallen Heroes Ride - June 25
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Special Event - Fallen Heroes Ride - June 25
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4/14/2025 3:14:59 PM
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5/9/2023 2:25:24 PM
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Board of Public Works
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Recommendations
Document Date
5/9/2023
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ACC I® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />04/06/2023 <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 <br />Gateway City Insurors LLC d/b/a Gateway Insurance <br />CONTACT Brad & Christina Beineke <br />NAMAJCE: <br />PHONE Bad. 314-631-5111 ac Not: 314-631-5115 <br />ao0 brad@gatewaycanhelp.00m &/or chrisOna@gatewaycanhelp.com <br />9302 Gravois Rd <br />INSUIRI AFFORDING COVERAGE <br />NAIC0 <br />St Louis MO 63123 <br />INSURERA: U.S. Insurance Company of America <br />WSURED <br />INSURER B: First Comp insurance Company <br />INSURERC: <br />American Legion Post #308Inc <br />INSURER O: <br />PO Box 36 <br />INSURER E : <br />122 LlncolDWay E <br />1 INSURER F: <br />Osceola IN 46561 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AWLUM <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />Lam <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />7 <br />US-2021-156 <br />01/28/2023 <br />01/28/2024 <br />EACH OCCURRENCE <br />E 1,000,000 <br />PREMISES Ea oxurrerlw <br />E 50,000 <br />MED EXP (Any are Parker) <br />E EXCLUDED <br />I <br />PERSONAL B ADV INJURY <br />S 1,000,000 <br />GENL <br />X <br />AGGREGATE LIMIT APPLIES PER <br />POLICY JECT F7LOC <br />OTHER: <br />GENERAL AGGREGATE <br />E 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />E 2.000,0W <br />E <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />AUTNED OS ONLY AUTOSULED <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />No Coverage <br />COMBINED SINGLE LIMIT <br />Ea agodenl <br />E <br />BODILY INJURY (Per perl <br />E <br />BODILY INJURY (Pat solaced) <br />E <br />PROPERTY DAMAGE <br />Per accident) <br />E <br />f <br />UMBRELLA LIAR <br />EXCESS UAB <br />OCCUR <br />CLAIMS -MADE <br />NO Coverage <br />EACH OCCURRENCE <br />E <br />AGGREGATE <br />$ <br />DED RETENTION S <br />S <br />B <br />WORKERSCOMPENSATNRI <br />ANDEMPLOYERS' LABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICE ITINH MREXCLUDEDT ❑Y <br />(Mandatory ) <br />N yes, descdba under <br />DESCRIPTION OF OPERATIONStal. <br />NIA <br />WCO204196 <br />01/28/2023 <br />01/28/2024 <br />PER OTH- <br />X STATUTE Eft <br />E.L. EACH ACCIDENT <br />E 100,000 <br />E.L DISEASE -EA EMPLOYEE <br />E 100,000 <br />E.L DISEASE -POLICY LIMB <br />E $LID 6 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may as attached N mom apace 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 property coverages may be viewed in the policy which will be mailed to the insured. <br />City of Osceola <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 />Brad W. Beineke itl <br />© 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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