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DATE(MMIDOfYYYY) <br /> AIR" CERTIFICATE OF LIABILITY INSURANCE 7/25/2018 <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(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,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 /> CNTA T <br /> PRODUCER NAME: U5 Client Service <br /> Arthur J. Gallagher Risk Management Services, Inc. PHONE 855 840 1046 FAx N :630-694-4401 <br /> fAIC,No 0,2850 Golf Road EODRIE usclientservice a' .com <br /> Rolling Meadows IL 60008 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Frankenmuth Mutual Insurance Company 13986 <br /> INSURED INSURERS: <br /> Decatur Area Arts Council INSURER C: <br /> 125 N.Water <br /> Decatur IL 62523 INSURER : <br /> INSURER EE <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:181573953 REVISION NUMBER: <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 ADDL U8 POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY Y CPPS217831 4/112018 4/1/2019 EACH OCCURRENCE $1,000,000 <br /> DAMAGE D <br /> CLAIMS-MADE o OCCUR PREMISES Ea occurrence) $ <br /> MED EXP Any one person) $5,000_ <br /> PERSONAL&AOV INJURY $1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> PRODUCTS-COMP/OP AGG $2,000,000 <br /> X POLICY ElJPERCOT- � LOC $ <br /> OTHER: COMBINED INGLE LIMIT <br /> A AUTOMOBILE LIABILITY BA6217831 4/1/2018 4/1/2019 Ea cadent $1,000,000 <br /> -)----._..IM <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS PROPERTY DAMAGE $ <br /> X HIRED X NON-OWNED (Per accident) <br /> AUTOS ONLY AUTOS ONLY $ <br /> A X UMBRELLA LIAR X OCCUR CPPS217831 4/1/2018 4/1/2019 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $1,000,000 <br /> DEDTX RETENTION$ $ <br /> A WORKERS COMPENSATION WC6217831 4/V2018 4/1/2019 X STAT E ERH <br /> AND EMPLOYERS'LIABILITY Y 1 N E.L.EACH ACCIDENT $500_,_000 _ <br /> ANYPROPRIETORMARTNERIEXECUTIVE r NIA <br /> OFFICER/MEMBEREXCLUDED? EL DISEASE-EA EMPLOYEE $500,000 <br /> (Mandatory In NH) -"- <br /> Kyas,describeunder E.L.DISEASE-POLICY LIMIT $500,000 <br /> DESCRIPTION OF OPERATIONS below <br /> A Liquor Liability CPPS217831 4/1/2018 4/112019 Occ&Agg $1,000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Decatur is shown as an additional insured solely with respect to General Liability coverage as evidenced herein as required by written contract with <br /> respect to The Decatur Craft Beer Festival on <br /> Friday,September 7,2018 <br /> Saturday,September 8,2018 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Decatur <br /> One Gary K.Anderson place AUTHORIZEDREPRES£NTATIVE <br /> Decatur IL 62523 P X�� <br /> /� ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />