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A�® CERTIFICATE OF LIABILITY INSURANCE 7/DATE(M 7 D/YYYY) <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 <br /> Arthur J.Gallagher Risk Management Services,Inc. NAME: <br /> PHONE 630-595-5300 FAX 630-694-4401 <br /> 2850 Golf Road E-MAIL ,centre <br /> Rolling Meadows IL 60008 quests @ ajgcom <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Frankenmuth Mutual Insurance Company 13986 <br /> INSURED INSURER B: <br /> Decatur Area Arts Council INSURER C: <br /> 125 N.Water <br /> Decatur IL 62523 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1936553471 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 ADDL SUBN POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MWDD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y CPP6217831 4/1/2017 4/1/2018 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X❑OCCUR DAMA RENTED <br /> PREMISES Ea occurrence) <br /> ccurcence $ <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY 0 PRO ❑LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> X JECT <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY BA6217831 4/1/2017 4/1/2018 COMBINED NGIETFIr— <br /> Ea accident 1 $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> AUTOS ONLY SCHEDULED BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMA E <br /> AUTOS ONLY X AUTOS ONLY Per accident $ <br /> X <br /> $ <br /> A X UMBRELLA LUa6 X OCCUR CPP6217831 4/1/2017 4/1/2018 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED X RETENTION$0 $ <br /> A WOR KERS COMPENSATION WC6217831 4/1/2017 4/1/2018PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N X iSTATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE F— N/A E.L.EACH ACCIDENT $500,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000 <br /> A Liquor Liability CPP6217831 4/1/2017 4/1/2018 Occ R Agg $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> City of Decatur is shown as an additional insured solely with respect to General Liability coverage as evidenced herein as required by written <br /> contract with respect to The Decatur Craft Beer Festival from 9/29/17 to 9/30/17. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1 Gary K.Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Decatur IL 62523 <br /> USA <br /> AUTHORIZED REPRESENTATIVE <br /> 3 -t6�& <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />