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--"—"1 HSCHOREY <br /> '4�Ro INSURANCE BINDER FDAT4/312 D/YYYY( <br /> 4/3/2018 <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM. <br /> AGENCY COMPANY BINDERK <br /> J.L.Hubbard Insurance and Bonds West Bend Mutual Insurance Company 4570 <br /> 1090 South Route 51 P y <br /> Forsyth,IL 62535 DATE EFFECTIVE TIME DATE EXPIRATION TIME <br /> X AM X 12:01 AM <br /> 4/3/2018 12:01 AM 513/2018 MOON <br /> AIC PHON <br /> No, <br /> Ext):(217)877-3344 a/c N.). 217 877-0795 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br /> CODE: SUB CODE: PER EXPIRING POLICY#: <br /> AGEN DECASMO-01 <br /> CUSTOMER 10: DESCRIPTION OF OPERATIONS I VEHICLES I PROPERTY(Including Lowllon( <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 LIMIT <br /> TYPE OF INSURANCE COVERAGE I FORMS DEDUCTIBLE COINS% AMOUNT <br /> PROPERTY CAUSES OF LOSS <br /> BASIC BROAD❑SPEC <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE S 1.000,00 <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO <br /> RENTED PRFMIRF.' <br /> 3 <br /> CLAIMS MADE FIOCCUR <br /> X Liquor Liability MED EXP An one person) S <br /> PERSONAL&ADV INJURY S <br /> GENERAL AGGREGATE 5 1,000,000 <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG S <br /> VEHICLE LIABILITY <br /> COMBINED SINGLE LIMIT S <br /> ANY AUTO BODILY INJURY Perperson) S <br /> ALL OWNED AUTOS BODILY INJURY Per accident S <br /> SCHEOULEDAUTOS PROPERTY DAMAGE S <br /> HIRED AUTOS MEDICAL PAYMENTS S <br /> NON-OWNEDAUTOS PERSONAL INJURY PROT S <br /> UNINSURED MOTORIST S <br /> $ <br /> VEHICLE PHYSICAL DAMAGE DED ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: STATED AMOUNT S <br /> OTHER THAN COL: <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> EXCESS LIABILITY AGGREGATE <br /> EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION S <br /> PER STATUTE <br /> WORKER'S COMPENSATION <br /> AND E.L.EACH ACCIDENT 5 <br /> EMPLOYER'S LIABILITY E.L.DISEASE-EA EMPLOYEE S <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 FEES $ <br /> CONDITIONS 1 10/07/1$ <br /> OTHER TAXES S <br /> COVERAGES <br /> ESTIMATED TOTAL PREMIUM S <br /> NAME&ADDRESS <br /> MORTGAGEE ADDITIONAL INSURED <br /> LOSS PAYEE <br /> City of Decatur LOAN#: <br /> 1 Gary K Anderson Plaza <br /> Decatur,IL 62523 AUTHORIZED REPRESENTATIVE <br /> Page 1 of 2 ©1993-2013 ACORD CORPORATION. All rights reserved. <br /> ACORD 75(2013/09) The ACORD name and logo are registered marks of ACORD <br />