2018-28 Authorizing Consumption of Alcoholic Liquor on Public Rights-of-Way and in Central Park Decatur Celebration

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DECACEL-01 .acOR,lC7" CERTIFICATE OF LIABILITY INSURANCE DATE 06/226/26/201188 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(les)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 AcT Randy Taylor J.L.Hubbard Insurance and Bonds PHONE FAX 1090 South Route 51 A/C,No,Ext: 217 877-3344 3249 AIC No; 217 877-0795 Forsyth,IL 62535 Ifflpfiss,rtaylor@jlhubbard.com INSURERS AFFORDING COVERAGE NAIC# INSURERA•West Bend Mutual Insurance Company 15350 INSURED INSURER :1-lbeft Mutual Ins.Co. 22659 Decatur Celebration Inc INSURER C:LIo d's of London 160 East Main Suite#200 INSURER 0: 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 TY OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP YYM LIMITS LTR A X COMMERCIAL GENERAL LIABILITYEA11000,000 ❑OCCUR CLAIMS-MADE X 0711759 07/22/2018 07/2212019 CH OCCURRENCE _ X X DAMAGE TO RENTED $_ 300,000 Pnee) MED EXP(Any one on Excluded - PERSONAL&ADV INJURY 1,000,000 GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000'000 POLICY E]jPeT F]LOC PRODUCTS-COMP/OP AGG 2,000,000 THE A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 0711759 07/22/2018 07/2212019 BODILY INJURY Per person) OWNED SCHEDULED AUTOS ONLY AUUTNOSyyNEp BODILY INJURY Per accident X AUTOS ONLY X AUTO ONLY P BROPcde t AMAGE A X UMBRELLA UAB X OCCUR EACH OCCURRENCE 1'000'000 EXCESS UAB I CLAIMS-MADE 0711759 07/22/2018 07/22/2019 AGGREGATE 11000'000 DEO I X I RETENTION$ 0 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N RENEWAL WC539SU$160017 07/22/2018 07/22/2019 STA TE r-R 500,000 ANY PROPRIIETORIPARTNER/EXECU I IVE E.L.EACH ACCIDENT WIC natory in )EXCLUDED? N f A E.L.DISEASE-EA EMPLOYE 500'000 If yes,describe under 500,000 E RI F OPERATIONS below E.L. -POLICY LIMIT C Liquor Liability X 228035 08/03/2018 08/05/2018 Limit 1,000,000 A Rented Equipment 0711759 07/22/2018 07/22/2019 Limit 120,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) EXCLUDED OFFICERS: Michelle O'Bryan;TJ Jackson;Kendall Briscoe;Greg Spain Re:Decatur Celebration 2018 The City of Decatur is named as additional insured under the General Liability and Liquor Liability;subject to written contract. A Waiver of Subrogation is awarded to the City of Decatur under the General Liability;subject to written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, City of Decatur 1001187 ACCORDANCE WITH THE POLICY PROVISIONS.NOTICE WILL BE DELIVERED IN Attn: Barry Leonard #1 Gary K Anderson Plaza Decatur,IL 62523 AUTHORIZED REPRESENTATIVE -2 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD