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HSCHflREY <br /> A� It�:��1RANCE BINDER DA 4.3IZO'IH <br /> THIS BINDER IS A TEMPORARY 1NSURAhCE CONTRACT SUBJECT TO THE COND1T10NS SHOWN ON PAGE 2 OE THIS FORM. <br /> AGENCY COMPANY 81NOER# <br /> J.L.Hubbard insurance and Bonds West Bend Mutual Insurance Campany b570 <br /> i 090 SouYh Route 51 <br /> �Ecnve �cauu+nav <br /> Forsyth,IL&2535 <br /> �X AM X �z:oi aM <br /> 4/3l20'18 12:01 P� 5I3120i8 NooN <br /> � :�2�7�$�-3344 ruc wo: 217 877-0795 THIS SINDER IS ISSUEO TO EXTEND COVERAGE IN THE A60VE NAMED COMPANY <br /> NC.No. <br /> GODE: SUB CODE: PER FXPIRING POIJCY#: <br /> " "�`' dECASMO-01 DESCRIPiION OF OPERAi1WJ5/VEHICLES f PROPERTY prrolud'ing loeation) <br /> CUSTOMER tD: <br /> INSt1RED AND MAILING AD6RES5 Location Dawntown Decatur,Event Dates 10/65H8 to 10l07/78 <br /> Decaturs Smokin'BBQ Festival,Inc. <br /> 202 E North St <br /> Decatur,IL 62523 <br /> COV A T <br /> TYPE OFINSURANCE COVERAGElFORMS DEDUC716LE COINS% AMOUNT <br /> PROPERTY Cp,USES OF LOSS <br /> 6A51C �BROAD�S?EG <br /> GENERaI UABIu7Y EACH OCCURR CE $ 1,000.00 <br /> DAMAGETO <br /> COMMERCIAL GENERAL UA9IUTY $ <br /> CIAIMS MADE �OCCUR X A One fso� _ <br /> X liquor liability PERSONAlB ADV INJ RY 5 <br /> �v k.n A 6REGaTE 1,OOO,D80 <br /> F MA PROD TS-COMP PA <br /> VEHICLE UABILrtY CAM IN WGLE UMIT S .....__. <br /> ANY AUTO BODIIY I Y P oa S <br /> ALL OWNEO AUTOS BDDILY INJURY r accitlent S <br /> SCHEDUlE0AU70S PROP DAMA 5 <br /> HIREbAUTOS MEOICAIPAYMENTS S <br /> NON-QWNEO AUTQS PERSONAL INJURY PROT 5 <br /> UN� U O M TORIST S <br /> VEHICIE PM'5ICAL OAMAGE DED ALL VEHICLES SCHEDULED VEHICLES A T A H V U <br /> COLU510N: T AM MT S <br /> T R 7 AN <br /> GARAGE UA8ILITY AUi ON Y„�,�-'�A A"1 'NT 5 _ <br /> ANYAUTO OTH�RTHAN_AU'f0 N Y;,_„ <br /> H <br /> T <br /> EXCE55 UABIL.iTY URREM1iCE S <br /> UMBREL�AFORM AGGREGA 8 <br /> TH R THAN UMBRELL4 FORM T TE FOR M MA • <br /> ER STAjUTE <br /> WORKER'5 COMPENSATipN E.L EACH RC'tDENT 5 <br /> ANO <br /> EMPLOYER'S LUlB1UTY E.L.DIS E- EMP OYEE 5 <br /> E.L.DISEAS -P Y R <br /> SPECfA� "Per the terms and candifions quoted by West Bend Mutuat insurance far the term of 4/03t18 to FEES <br /> cpraomoNs�ifl�07l18 <br /> on+erx T s <br /> covEw+c�s <br /> EST�MATED TOTAL PREMIUM 5 <br /> NA D ESS <br /> MORTGAGEE A�DITIONAL INSURE� <br /> ' 0 PAY E <br /> City of Decatur IOANik <br /> '1 Gary K Anderson Plaza AU7HORIZEO KEPRESENTAIT/E <br /> Decatur,IL 62523 (� <br /> �.7�'�v T'' Y�i�� <br /> Page 1 of 2 O 1993-2013 ACORQ CORPORATION. All righis reserved. <br /> ACdRD 75(2013i09) The ACflRD name and bgo are registered marks of ACORD <br />