2018-15 Authorizing Consumption of Alcoholic Liquor on Public Rights-of-Way and in Central Park Decatur Celebration Inc. French Fried 5K

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DECACEL-01 RTAYLOR CERTIFICATE OF LIABILITY INSURANCE D 04 29/2018Y) 04!29/2018 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(ies)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 C NEACT Randy Taylor J.L.Hubbard Insurance and Bonds PHONE Fax 1090 South Route 51 (AIC,No,Eat):(217)877-3344 3249 (AIC,No):(217)877-0795 Forsyth,IL 62535 E_1MAIL .� jthubbard.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:West Bend Mutual Insurance Company-_ 15350 INSURED INS11URER8: Decatur Celebration Inc INSURER C: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP _ LIMITS T MI M A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 CLAIMS-MADE aX OCCUR X 0711759 07/22/2017 07/22/2018 DAMAGE TO RENTED 200,000 -�tEa occu�ence 5 MED EXP(Any one erson S PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. 2,000,000 GENERAL AGGREGATE POLICY n PECT RO- F—]LOC 2�000,000 JPRODUCTS-COMPIOPAGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _aa AcOftnll $...... .... _ ANY AUTO BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUOTOS ONLY PeOacade DAMAGE $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE Y 1 N E.L.EACH ACCIDENT 5 OFFICER/M EMBER EXCLUDED? ❑ NIA ---�---- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S It yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability X A424207 06/02/2018 06/03/2018 Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re:French Fried 5K Event on 06102/18 City of Decatur is named as additional insured under the General Liability and Liquor Liablity;subject to written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 Gary K Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Decatur,IL 62523 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD