2017-40 Authorizing Consumption of Alcoholic Liquor on Public Rights-of-Way Decatur Celebration

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DECACEL-01 RTAYLOR ACORN" CERTIFICATE OF LIABILITY INSURANCE DATE I 07/MMI13/20172D0"17Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER =ACT Randy Taylor J.L.Hubbard Insurance and Bonds PHONE FAX 1090 South Route 51 IA/C,No,Ext:(217)877-3344 3249 lac,Ne:(217)877-0795 Forsyth,IL 62535 EMAIL ,rtaylor lhubbard.com . INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:West Bend Mutual Insurance Company 15350 INSURED INSURER B:Libegy Mutual ins.Co. 22659 Decatur Celebration Inc WSURERC:Lloyd's of London 160 East Main Suite#200 INSURER D: Decatur,IL 62526 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Im TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I OCCUR X X 0711759 07/22/2017 07/22/2018 DAMMGE TO RENTED $ 200,000 MED EXP(Any oneperson) $ Excluded PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000,000 POLICY❑sma F]LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBI aEDSINGLE LIMIT $ 1,000,000 c ANY AUTO 0711759 07/22/2017 07/22/2018 BODILY INJURY Per son $ AU OS ONLY NED AUTOS LED �� pN.pyy�Ep BODILYINJURY(Per accident) $ X l O.S ONLY X AUTOS ONLY P OPIR AMAGE $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 0711759 07/22/2017 07/22/2018 AGGREGATE $ 1,000,000 DED I X I RETENTION$ O B WORKERS COMPENSATION X I PER OTH- ANDEMPLOYERS'LJABILITY YIN ANY PROPRIETORIPARTNER/FXECUTIVE C539S348160017 07/22/2017 07/22/2018 500,000 FICERIMEMBER EXCLUDED? Y NIA E.L.EACH ACCIDENT $ Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 C Liquor Liability X LIQ229653 08!04/2017 08/07/2017 Limit 1,000,000 A Rented Equipment 0711759 07122/2017 07/22/2018 Limit 120,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101 Additional Remarks Schedule,may be attached If more space is required) EXCLUDED OFFICERS: Michelle O'Bryan;TJ Jackson;Kendall Briscoe;Greg Spain Re:Decatur Celebration 2017 The City of Decatur is named as additional insured under the General Liability and Liquor Liability;subject to written contract. A Waiver of Subrogation is awarded to the City of Decatur under the General Liability;subject to written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur 1001187 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Barry Leonard #1 Gary K Anderson Plaza Decatur,IL 62523 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 019888-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD