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LSBON4 OP ID <br /> � �- CERTIFICATE OF LIABILITY INSURANCE DATE(MfiVDDMYY) <br /> 04/0512018 <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(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WANED,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 217-543-3737. . Wituam W.Singer <br /> Singer Insurance Agency a NEe 217.543.3737 a ;217-543-3743 <br /> 109 South Vine Street E <br /> P.O.Box 18 <br /> ftems <br /> Arthur,IL 61911 <br /> William W.Singer SURE s c co NAI <br /> INsuRsR,.Specialty Risk of America <br /> INSURED LSD Otte, <br /> INSURER B; <br /> 129 S and <br /> Decatur,IL 62521 INSURER c <br /> INSURER D• <br /> INSURER E• <br /> WSURERF• <br /> COVERAGES CERTIFICATE NUMBER: REVISION : <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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER -POLICY EFF POLICY EXP LIMA <br /> A X coMMERGALGENERALUASILITY EACH OCCURRENCE S 1,000,000 <br /> cLA1Ms MADE SE;i(OCCUR 10-2012-4601 12128/2017 12/26/2018 DAMAGES f RENTED _- 100,000 <br /> YIIias�r <br /> ME ') n onPerson) 1,000 <br /> PER & VI J 1,000,000 <br /> EN'L AGGREGATE LIMIT APPLIES PER GENERAL AWReQATE 1,000'000 <br /> PPOLICY El WT El LOC PRODU - !OP 1,000,000 <br /> OTHER: <br /> COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO BODILY INJURY _ <br /> OWNED SCHEDULED B DILYINJURY r <br /> AUTOS ONLY AUUTTOSSWN�p <br /> AUTOS ONLY AUTOS ONLY era�R AMAGE t <br /> UMBRELLAL144B OCCUR EACH OCCURRENCE ' <br /> EXCESS LIAB CLAIMSMADE AGGREGATE' S <br /> DEC) I J RETENTION S <br /> WORKERS COMPENS__ATJON_ PER R <br /> AND EMRPPROLLOEYERS'uatHu 1 T <br /> (.'FIC ory I BOER i LUDF E.R/OEJ?CECUTNE NIA E.L. E-FAME I <br /> M 0 >: <br /> Wyes.desalbe undor <br /> F OPERA 1 DISEASE- rT <br /> A Liquor Liability 0-2011-226 12/28/2017 12128/2018 1,000,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Scbedale,may be attached If mere apace Is required) <br /> Coverage for Bike Night on the following date:819/2018 in the 100 Block of <br /> South Oakland Avenue. <br /> CERTJFICAJE HOLDER <br /> DECATUR <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Decatur ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Inspections Department <br /> #1 Gary K.Anderson Plaza AUTHORIZED REPRESENTATIVE <br /> Decatur,IL 62523.1196 <br /> ACORD 25(2016103) ®1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />