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ID
ACORD INSURANCE BINDER ISSUE DATE (MM/DD/YY)
04/12/94
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. ;':r°.d`t'` �s
;C1r.hG••'z..t.
PRODUCER COMPANY MARYLAND CASUALTY BINDER NO. s";
I ]
Winter-Dent $ Cowpony EFFECTIVE EXPIRATION
., 101 East McCarty St. DATE TIME I DATE TIME '
., P.O. Box 1046 -----------------------------------------+--------------------------------•----
Jefferson City, MO 65102 .12:01---- IX] AM [X] 12:01 AM a`
----^-- 4 .................
;. 314-634-2122 04/06/94 - 07!01/9. {� t;
° [ I PH I ] Noon
--- 's,5
z<< CODE SUB-CODE --------------------------------- ---------------=- --- ----------
r
} ; I THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED
-- ------ COMPANY PER EXPIRING POLICY NO.:
rINSURED ..........................................°.................................... ryfi`
DESCRIPTION OF OPERATION/VEHICLES/PROPERTY (INCLUDING LOCATION) v+ {
CITY OF JEFFERSON }+
a. 320 EAST MCCARTY ST.
JEFFERSON CITY, MO AUTO POLICY #ECA16536998
ti 65101
1994 PIERCE SAVER RESCUE PUMPER 44PICT02U7RA000323 a a
1994 PIERCE SAVER RESCUE PUMPER #4PICT02U1RA000351
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�; w r..
_ 'r4 r•,�
------------------------•---•---------------------------------------------------------------------------------------------.w-.
{. COVERAGES 'LIMITS'
T
TYPE OF INSURANCE COVERAGES FORMS AMOUNT I DEDUCTIBLE JCOIISUIANCE
d PROPERTY CAUSES OF LOSS
[ ] BASK [ ] BROAD [ ] SPECIAL
_ _____________ r 4 Y
GENERAL LIABILITY - GENERAL AGGREGATE $
[ ] COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGG. $ ti
[ ][ ] CLAIMS MADE [ ] OCCURRENCE PERSONAL $ AD. INJURY $
I ] OWNERS $ CONTRACTORS PROTECT. EACH OCCURRENCE $
K.
[ ] FIRE DAMAGE(ANY ONE FIRE) S
[ ] RETRO DATE FOR CLAIMS MADE: MEDICAL EXP(ANY ONE PER.) $
--------------------------------- ------------------------------------------ --------
�' AUTOMOBILE LIABILITY CSL S 1,000,000.
,., IX] ANY AUTO BI PERS/ACCID S z'
[ ] ALL OWNED AUTOS PD $
IX] HIRED AUTOS MED. PAY $
[X] NON-OWNED AUTOS
[ ] GARAGE LIABILTY PIP $
,i,. UM S 25,/50,000
�'• --------------------------------+-----------------------------------------------------+-------------------------------------
`' AUTO PHYSICAL DAMAGE [ ] ALL VEHICLES [X] SCHEDULED VEHICLES [X] ACV
[X] OTCLDED ISION SPD$25.,DED- DED I I [ j THERD AMOUNT IS
--------------------------------+-----------------------------------------------------+-------------------------------------
EXCESS LIABILITY EACH AGGREGATE
I ] UMBRELLA FORM OCCURRENCE RETENTION
I ] OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: ISELF-INSURED
---------- -------------------------------------------------- ---------------------------------
STATUTORY
WORKERS' COMPENSATION $ (EACH ACCIDENT)
? AND
tl, EMPLOYERS' LIABILITY $ (DISEASE POLICY LIMIT)
$ (DISEASE EACH----------------------------------------------------------------------------------------------------------------------------
SPECIAL CONDITIONS/OTHER COVERAGES
CENTRAL TRUST BANK IS AS LOSS PAYEE AS THEIR INTEREST MAY APPEAR TO 2 FIRETRUCKS.
S
4
................................................................
NAME 8 --------------
ADDRESS
�^
[ ] MORTGAGEE [ ] ADDITIONAL INSURED -
[X] LOSS PAYEE [ ]
s
..-------•---------•------------------------------------
LOAN
CENTRAL BANK
238 MADISON AUT RIZE REPRESENTATIV
" JEFFERSON CITY, MO 65101
ACORD 75S (7/90)
------ I. PSHA'P POG& W)VED--------------------------------- - ---- - - ............
By.
Data - RECEIVEO APR 1 4 1994
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