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,,.,---•y �sgo�-� <br /> '"�'c""�R� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/�DIYYW) <br /> �..l---' osrl stao�� <br /> THIS CERTIFiCATE IS ISSUED AS A MATTER OF INFORMA'170N ONLY AND CONFERS NO RIGH7S UPON THE CER7IFICATE NQLDER.TH15 <br /> CERTIFICATE DOES NOT APFIRMATIVELY OR NEGATIVEM.Y AMEND, EXTEND OR AL`fER THE COVERAGE AFFORDED BY THE POLICIES <br /> BEl.OW. TH{S CERTIFIGATE OF INSURANCE D�ES NOT C4N3TITUTE A CQNTRACT BETVYEEN TNE iSSU1NG IPtSURER{S}, �1UTHpRIZEO <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFIGATE HOLDER. <br /> IMPORTANT: If the certlflcate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If StlBRt3GAT10N IS WAiVED,subject#o the terms a�d condifians of the policy,certain poltciss may require an endotseme�t. A s#atemeni on <br /> this certificate does not confer ri hts to the certificate holder in Ileu of such endorsement s. <br /> PRODUCER Z�7-S4�-.��I37 CON AC7 <br /> 5�9�Sou h Vine Streetncy t�r�o,�t:217-543-3737 i�,No 217-643-3748 <br /> P,O.Box 18 <br /> Arthur,Il 61911 <br /> �111ld1Yf W.Singer INSURE S APFOR�NG Ct1VERA E NAIC# <br /> INSURERA:� cial RiskafAmerica <br /> � a IN URER B: <br /> � �ne �npc, <br /> t�29 S Oa�a6 521 iNSUReR c: <br /> ecatur, <br /> INSURER D: <br /> IN5UREJ2 E� <br /> INSURER F: <br /> C4VERAGES CERTIFICATE NU BER: REV SION MBER: <br /> THiS IS T{i CERTtFY TNAT THE POl.ICiES OF iNSURANGE LIS'tED BELOW HAVE BEEN 3SSUED TO THE iN5URED NAMED ABOVE FOR THE PKil1CY PERIOD <br /> INDICATED. NfJTWITHSTANDiNG ANY REQUIREAAENT,TERM OR CONDITIpN OF ANY COIVTRACT OR OTHER DOGUMENT WI7N RESPECT TO WHICH THIS <br /> CERTIFtCATE MAY BE ISSUED OR MAY PER7AIN, THE INSURANCE AFFORDED BY THE POUGIE$ DESCRIBED HEFtE1N IS SUBJEC7 TO A4L THE 1ERMS, <br /> EXCIUSIONS ANd GONDI'f}ONS OF SUCH POIICIES.LIMITS 3H4WN NL4Y HAVE BEEN REQUCEd BY PAID GL0.1MS. <br /> ��'�R TYPE OF INSURANCE DD� UBR ppV�Y NUMBER pOI.ICY EFF POUCY EXP ��� <br /> A X COMMERCIAL GENERA�LIABIUTY EACM OCCURRENCE g "I,QOO,OOO <br /> cv�iras-MnoE �X occuR 14-2012-4601 12128120'{8 1Zf28/2819 °AMnce�roREm�o $ �aa,i}OQ <br /> x MEC1 EXP M one on S 1,000 <br /> FER NAC&ADV(NJURY g �•�4�,084 <br /> GEN'L AGGR ATE URMpI7.APPUES PER; GE.NERAL AGCaREGAT ZwapO,OOO <br /> PULICY�J£GT ��� PRdD T - P14PA $ �,OOO,OOO <br /> OTNER: S <br /> AUTpMOBILE UABIUTY CqM81N�ED SINGLE LIMIT $ <br /> ANY AUTp 80011Y 9NJURY Per n S -,� <br /> OWNED SCHEDULED � <br /> AUTOS ONI.Y AU705 90DILY INJURY Per accident 3 <br /> AUT4S 6N�Y A�TOS GiMLY �„C7�PE�Ra�t AMAGE $ <br /> $ <br /> UMBRELIJI UAB OCCUR EACH OCCURRENCE S <br /> EXCESSI.tAB CLAIMS-dAA6E AGGREfiskTE S <br /> DED RETEN7�pN$ <br /> WORKERS COMP£NSA714N PER OTH- <br /> ANO EMPL4YERS'IJFtBIItTY Y 1 N <br /> ApF�FIPER�fl�NEMg��EAXCIUDERp ECUTIVE ❑ N/A E. . A FiAC iC}EM1tT S .�_.__� <br /> (man�atory tn N� ? <br /> 1 E.L. ISFA E-EA EMPLOYE S <br /> tf yes,descdtse under <br /> DESCRIPFIQN QF 4AERA7ION5 beiow E.l.OlSEASf- tSCY tMiT <br /> A �iquor Liability 14-2011-226 12/2$l2018 12/28J2019 Liquo� 1,088,000 <br /> Liability <br /> DE5CRIP7'ION�OPERATONS J LOCAT1QN51 YEHICLES(ACORD 101,pddWonal Ramarks$ehadule,map be atfached H rtwre spaee Ic twqWred) <br /> Coverage fo�Bike Might on the fallawing date:612012499 fn the 104 Block of <br /> South Oaktand Avenue. <br /> CE TIF ATE H LDE C CEI.L.ATION <br /> CIDE001 <br /> SHOULD A#Y 4P THE A60VE OESCRIBEd POI.ICIES 8E GANCEI.lED BEFOt2E <br /> City Of Deeatur CCORDANCE W THTH PCIL CY PROVIS ONSE Wll»L BE pELIVEItEb IN <br /> 1 Gary K.Andsrson Piaza <br /> Decatur,IL.62528-1196 <br /> aunao�n�Evrr,�serrrArne <br /> i��..K--- �---�-s`=..%-��- <br /> ACORD 25(2016/03) �198$-2015 ACORD CORPORATION. Ail rights reserved. <br /> The RCt?RD name and Iogo are�eg�stered marks of ACOitD <br />