R2018-60 Temporary Closing of State Rights-of-Way Commu

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i 11 11111 ill,11,11,11 1!!'!111,11111611 RNIII, 111,11 5MEN= Name and Address of Agency game and Address of Member Park District Risk Management Agency Decatur Park District 2033 Burlington Avenue 620 E. Riverside Drive Lisle, IL 60532-1646 Decatur, IL 62521 (630)769-0332 The Park District Risk Management Agency(PDRMA)is an intergovernmental self-insurance and risk management pool established under the Constitution and the statutes of the State of Illinois to provide coverage for its members against certain claims and losses. Each member of PDRMA is entitled to the scope and amounts of coverage set forth below. In addition,PDRMA may extend the same scope of coverage to non-members. However,any coverage extended to a non-member is subject to all of the terms,conditions,exclusions,and amendments which are applicable to the members. The above named entity is a member in good standing of the Park District Risk Management Agency. The scope of coverage provided by the Agency may,however,be revised at any time by the actions of PDRMA's governing body. As of the date this certificate is issued,the information set out below accurately reflects the scope of coverage established for the current coverage year. Scope of Coverage Coverage Document Coverage Dates Limits Each Occurrence General Liability Bodily Injury and Property $1,000,000 x commercial general liability 1-010118 01!01/2018- Damage Combined x occurrence 12/31/2018 x liquor liability Personal Injury $1,000,000 Automobile Liability 1-010118 01/01/2018- Bodily Injury and Property $1,000,000 x any auto 12/31/2018 Damage Combined Workers'Compensation WC010118 01/01/2018 1Statutory Employer's Liability WC010118 01/01/2018- $3,000,000 12/31/2018 Property P0700118 01/01/2018- 12/31/2018 Other 01/01/2018- 12/31/2018 City of Decatur is/are additionally insured for Decatur Park District's road race on 7/4118. i Coverage is for general liability with respect to the operations of the Decatur Park District.Additional insured coverage shall not apply to any liability resulting from the certificate holder's own negligence or the negligence of its servants,agents or employees. Certificate Holder Date Issued: 04/04/2018 City of Decatur #1 Gary K Anderson Plaza SR(7 Decatur, IL 62521 Authorized Representative