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HSCHOREY <br /> DATE(MMIDD/YYYYi <br /> INSURANCE BINDER 4/312018 <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM. <br /> AGENCY COMPANY BINDER <br /> J.L.Hubbard Insurance and Bonds West Bend Mutual Insurance Company 4570 <br /> 1090 South Route 51 <br /> Forsyth,IL 62535 DATE EFFECTIVEEXPIRATIONEXPIRATION <br /> AM 12:01 AM <br /> X <br /> 4/3/2018 12:01 PM 5/3/2018 X Noah <br /> A <br /> /CNNo Ell:(217)877-3344c No):(217 877.0795 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br /> CODE: SUB CODE: PER EXPIRING POLICY#: <br /> AGENCY <br /> CUSTOMER ID:DECASMO-01 DESCRIPTION OF OPERATIONS I VEHICLES I PROPERTY(Including Location) <br /> INSURED AND MAILING ADDRESS Location Downtown Decatur,Event Dates 10/05/18 to 10/07/18 <br /> Decatur's Smokin'BBQ Festival,Inc. <br /> 202 E North St <br /> Decatur,IL 62523 <br /> COVERAGES <br /> TYPE OF INSURANCE COVERAGE/FORMS DEDUCTIBLE COINS% AMOUNT <br /> PROPERTY CAUSES OF LOSS <br /> BASIC [:]BROADâť‘SPEC <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> DAMAGE T <br /> COMMERCIAL GENERAL LIABILITY =n PIRFMIRFS <br /> CLAIMS MADE OCCUR MED EXP one rson $ <br /> X Liquor Liability <br /> PERSONAL&ADV INJURY <br /> GENERAL AGGREGATE $ 1,000,00 <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMPIOP AGG <br /> VEHICLE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO BODILY INJURY Perperson) S <br /> ALL OWNEDAUTOS BODILY INJURY Per accident $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br /> HIRED AUTOS MEDICAL PAYMENTS <br /> NON-OWNEDAUTOS PERSONAL INJURY PROT S <br /> UNINSURED MOTORIST $ <br /> VEHICLE PHYSICAL DAMAGE DED ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: STATED M NT $ <br /> OTHER THAN COL: <br /> GARAGE LIABILITY AUTO ONLY-EA ACCADENT <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION <br /> PER STATUTE <br /> WORKER'S COMPENSATION E.L.EACH ACCIDENT S <br /> AND <br /> EMPLOYER'S LIABILITY E.L,DISEASE-EA EMPLOYEE $ <br /> E.L.DISEASE-POLICY LIMIT $ <br /> SPECIAL `Per the terms and conditions quoted by West Bend Mutual Insurance for the term of 4/03/18 to IFEES $ <br /> CONDITIONS/10/07/18 <br /> OTHER TAXES S <br /> COVERAGES ESTIMATED TOTAL PREMIUM $ <br /> AME&ADDRESS <br /> MORTGAGEE ADDITIONAL INSURED <br /> LOSS PAYEE H <br /> City of Decatur LOAN#: <br /> 1 Gary K Anderson Plaza <br /> Decatur,IL 62523 AUTHORIZED REPRESENTATIVE <br /> Page 1 of 2 O 1993-2013 ACORD CORPORATION. All rights reserved. <br /> ACORD 76(2013109) The ACORD name and logo are registered marks of ACORD <br />