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,����� DECASMO-61 IIM SSEY <br /> '`��R'�j CERTIFICATE OF LIABILITY INSURANCE DA4126I2U19 � <br /> THIS CERTIFICAT� 13 ISSUED AS A MATTER OF INFORMATION ONLYAND CONF�RS NO RIGH'FS UPON THE CER7'IF1CA'fE HOLDER.THIS <br /> CERTIFICATE ddES NQT A�FIRiVIATl1/ELY Oit NEGATIVELY A{VIEND, EXTEND OR ALFER THE COVERAGE AF�ORI��D BY THE POf.ICIES <br /> BHI.aW. THIS CEi2TIFICATE OF iPESURANCE DO�S NOT CONSTITU7E A CONTRACT BE7WEEN THE ISSUING INSURERtS},AUTHORIZED <br /> REPRESENTAFIVE OF2 Pi20DtiCER,AtJb TIiE CERTIFfCATE HOLDER. <br /> 1MPORTAIVT: If the certificate holder is an ADDt710NAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsecl. <br /> If SUBROGATION IS WAIVER, subject to the terms and conditions nf the poilcy,certain poiicies may repuire an endorsement A statement on <br /> thls certiflcats does not confer ri hts to the cert�cate hoEder in liau of such endorsement s. <br /> PaoouceR c r,rncr Mackenzie Massey <br /> J.L.Hubbard Insurance and Bonds rHONe �ax <br /> 1090 8outh Route 51 1arc,r�o,�t:(217 877-3344 nrc,No}:(217)877-0795 <br /> �orsyth,IL 62535 A� .mmassey 'Ihubhard.com <br /> INSURE S AFFORDING COVERAGE NAIC# <br /> wsuREaa:West Send Mutual Insurance Com an 16350 <br /> INSURED 1NSURER B: <br /> Deca#ur's Smokin'6BQ Festival INSURERC: <br /> 2O2 E 1+IOf[h St INSURER D: <br /> Decatur,IL 62523 <br /> INSURER E: <br /> INSUR2R F: <br /> COVERAGES CERTIFICATE NUMBE • REVISION NUNEBER: <br /> TFiiS IS TO CERTIFY THAT 7HE POI.ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR 7HE POLICY PERfOD <br /> INDICATED. NO7WITFESTANDING ANY RE4UiREMEN7, TERM OR CONDITIpN OF ANY CONTRAC7 OR OTHER DOCUMEN7 WiTH RE5PECT TO WHICH THIS <br /> CERTIFlCATE MAY BE ISSUED Oi{ MAY PERTAIN, 7HE INSURANGE AFFORDED BY THE POLICIES DESCRIBED HEREM IS SUBJECT FOALL THE TEftMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCIi POLIC{ES.LIMlTS SHQWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TypE OF INSURAMCE A���'S�B AOLICY NUMSER P��CY EFF POUGY EXP LIMtTS <br /> A X COMMERCIAL GENERAL L1ABILITY 'I,OQO�OOO <br /> 1 EACH OCCURRENCE $ <br /> clainns-nn�t� �X occuR � X A589719 M1l2Q19 9/17/2019 pA�'G�70REN7£D $ 160,000 <br /> ' E i <br /> MED EXP A ne rson <br /> � ; 1,0OO,OQO <br /> P£RSONAL&AbV INJURY S <br /> GEN'LAGGREGATELIMiTAPP ESPER; i ENEf2ALAGGREGATE $ Z�OOO,UOO <br /> POLIGY�j�� �LOC 4 PRODUCTS-COMP! P �g z,O0O,000 <br /> E <br /> OTHER: E i s <br /> AUTOMOBII.E LIA81LiTY ! 0 e91NED SINGLE LIMI7 �$ <br /> ANY AUTO � BOOILY INJURY Per asan <br /> OWNED SC ELIULED <br /> AUTOS ONIY AU OS 3 BORDILY 1NJURY FeraccideM 5 <br /> A��S ONLY AUTOS ONE� € PPe�acEcident�AMAGE � <br /> i <br /> , 4 g <br /> UMBRELLA LIAB OCCUR j EACH OCCURRENCE 3 <br /> F�(CESS UAB � CLAIPAS-MADE � ACiGRE S <br /> I <br /> DED RETENT30N S + <br /> WORKER$GOMpENSATIOIV f S7 TUT R� <br /> AND EMPLOYERS'LIASILITY �,!� <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACHACCIDENT S <br /> OFFICERIMF�7�R EXCIUDED? ' N r A <br /> (Nfandatory in ) E.L.DISEASE-EA EMPL Y $ <br /> If yes desc�be under <br /> DESGRIPTIO OPERAT30NSbebw E.I.DISEP.SE-P011 LIMIT E <br /> q Liquar Liability 588732 4/1/2019 91�i7l2019 JLimlt 1,000,000 <br /> I <br /> 1 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 107,AddfEional Remarks 9chedule,may be atinchad if more space fs re nlred� <br /> Re:5peciai Event-Central Park,Decatur Civic Center Parking Lot,NoRh Street from Jackson Street to Gary�.Anderson Plaza,Gary K.Anderson Piaza, <br /> South Park 5treet-North Parking Spots Ortly(Friday Only),South Park Street from Pranklin Street to Water,Water Streef 4rom Main Street to William Street, <br /> North Park StreeE from Franklln Street to Water Street,Prairie 5treet from Alley to Water Street,Wiliiam Street frum Water to Frar�kEin 5treet and North Street <br /> from Water io Franklin Street. <br /> City of Decatur is named as additionat insured underthe Geoeral Liabitity;subject to written contract. <br /> CERTIFICA E O DER CANCELLATION <br /> SHOULD ANY OF t'H�A60VE DHSGRIBED POLlC1ES SE CANCELL6D BEFORE <br /> City of Decatur ACCORDAN E W TH T�HE POLICY P OVISIpN3CE WiLL 8E DELIV�I2ED tN <br /> 1 Gary K Anderson Plaza <br /> DecaCur,IL 62523 <br /> AUTH0121TED REPRBSE{QTATNE <br /> ��'��' •—`� <br /> ACORD 25{2046I03) O 1988-2015 ACORD CORPORATlON. A!I rPghts reserved. <br /> The ACORD name and Eogo are registered marks of ACORD <br />