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�.-��""'1 DEGACEL-01 Y� R <br /> �"'��j`�` CERTlF1CATE QF LIABILlTY lNSURANCE �'ATE(MMIODlYYYY) <br /> +�•..---� s�2a�za�s <br /> THlS CER'FtFlGATE IS ISSUED AS A MATTEFt fl� INFORNfAT10N ONLY AND C4NFERS NO RIGHTS UPt3N THE CEi2TtFiCATE HOLDEit.THIS <br /> CERTIFICATE DQE5 NpT AFFIRMATIVELY OR NEGATIVEIY AMEND, EXTEND OR AL7EF2 THE COVERAGE AFFORDED BY THE POLlC4E3 <br /> BELOW. THtS CERTIFICATE tJF #NSURANCE DOES NOT GONSTtTUTE A CONTRACT BEIWEEN THE ISSUING INSURER(5),AUTHORIZED <br /> Ft�PFtESENTATIVE OR PRODUCER,AND THE CERTIFICATE kiQLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITlONAL lNSURED,the pvllcy(ies)must have ADDl710NA!INSURED provlslans ar be endorsed. <br /> I# SUBROGATION IS WAIVED, subject to the terms and eondittons of the palicy,certain policles may require an endorsement A statement on <br /> thls certificate does not confer rI hts to the certificate bol8er in tieu af such endarsamen s. <br /> I pRaouc�a c aracr�{andy Taylar <br /> J.L.Huhbard Insurance and Bands PHONE Fnx <br /> 1490 Sauth Route 51 ac.�o.�e:(217j 877'-3344 3249 n�c Ho:(217}877-0795 <br /> Forsyth,iL 62536 "' .rka lor firstmid.com <br /> INSURER S AFFORDING COVERAOE NAIG i! <br /> rr,su��n:West Bend Mutuai Insurance Cam an 15350 <br /> INSUItED �tsu�Ra:Libe Mu#ual Ins.Co. 22658 <br /> DecaturCelebration inc �sur�ac:Llo d's of London <br /> 16Q East Main Suite#200 INSURER D: <br /> Qecatur,tL 62525 <br /> INSURER E: � <br /> INSURER F• <br /> GOVERAGES CEftTIFIGATE NUMSER: REVISI{}N Nt3 BEit: <br /> THIS IS TO CERTlFY THA7 THE POLICIES OF INSURANCE lISTED BFI..OW HAVE B�EN lSSUED 70 TNE INSUREO NAMED A80VE FOR THE FOI.ICY PERiQD <br /> tNDiCATED. N07Vt9THSTANDING ANY REQUIREMENT, 'i'ERM f?R CONDITIQN OF ANY CONTRACT IJR QTHER DOCUMENT WITH RESPECT Tp WHICH THIS <br /> CERT1l�ICA7E NWY BE (SSUED OR MAY PERTA#N, 7tiE }N3URANCE APFQRQED SY TNE POtSClES DESCRIBED HEREtN IS SUSJECT TO AlL THE TERMS, <br /> EXCLGS1pNS AND GONDtTIONS OF SUCH POLiCIES.LIMITS 3HOWN MAY HAVE BEEN REDUCED BY PAfp CLAIMS. <br /> iNSR TYPE Qf INSURAHCE ODl SUBR POi.tCY NtlM6ER PG1LtCY EFF POIfiCY EXP LiMITS <br /> A )( GflMMERCIAL GENERAI.S.lAB!!tT'Y EACH OCCURRENCE $ �'�fl�'��� <br /> c�inns-MAoe �X occua X X 4711759 7t22l2U18 7122l2419 DAMAGE TO R�E���} $ '—"' 30Q,Q44 <br /> MEp�P � $ Excluded <br /> PERSONAL S ADV INJURY S �,OOO,OOO <br /> GEN'LAGGREGATE LIMIT APPLiES PER: GENERAL AGGRE ATE $ 2�dad,oaa <br /> Pfll}CY❑j�� �tOG PRODUCTS-C6MP/OP AGG S 2+��y��� <br /> QTHER: 5 <br /> A AUTQMOBILE I,IABtUTY COMBINED SINGLE LIMIT 5 "I,OQO,OOO <br /> ANYAUTO Q711�59 7/Y2l2078 7l22/2q19 p��YINJURY Pet on 5 �� <br /> OV4NED 5CHEDUtED _.—...�.—..'� <br /> AUT4�S ONLY AUTOS BOCNLY 1 JURY Per accWent 3 <br /> x AUFOSONIY X AUTO��Y PRQFER�t AMACaE a <br /> Per aca <br /> a <br /> A X unna�u.n uae X OCCUR � rt ocGU��Et�e� S 1,040,000 <br /> exC�SSLta6 CuaIMS-MADE 0711758 7/2212018 7/22/2019 qaGREGnTE � �����,��0 <br /> aeo X RErer�riorv s � � s ..--- <br /> S woa��s coanp�Nsnnor� x �� oirt- <br /> AND EN1Pt,OYERS'W161LJ7Y <br /> ANY PROPRIETgt?ERqtPARTN£RtEXECUTiVE Y/N C$�9$34$')60Q18 7/22/201$ 7/2212Q19 f.L.EACH A CIOEN7 5 $4�*�4� <br /> �ne�d���in NM)EXCLUDED4 Y� r�1 A 540,044 <br /> E.L.OSSEASE-EA EMPI.OYE S <br /> It yes desaibe smder 50(1�000 <br /> ESGRIPTION F OP RATIONS below E.L OIS�AS -Pf1UCY LIMIT S <br /> C Liquor t.iabttity X 236185 8/21201s 8t5120Ss Limit 1,OOq,OQO <br /> A Rented Equipment 71l758 7l22t2018 7122120f9 Limi# 128,80d <br /> pESCRIPTqN OF OPERA710NS 1 LOCATIONS/YEHICIES�taCORD 101,Addttlonai Remarka Schedule,mo 6e attaahed if mores�a ce is requlrodj <br /> EXC�UDED OFFICERS UNDER WORKERS COMPENSATION: Micheite O'Bryan,TJ,�acksom Kendait 6riscoe;Creg Spain <br /> Re:Decatur Cetebration 20i9 <br /> The City of Decaiur�s oamed as addltional insured nnder tfie General tiabtiity and l.iquor Liabitity;snbjecf to writteo contrac4 A WaFver afi Subragation is <br /> ewarded to the City of Decatur under the General 4iabiiity;subject to written cuntract <br /> CERTiFICATE NOLDER CANCELL.ATI N <br /> SHOULD ANY OF 7NE ll84VE DE&CR18ED PqClGIfS BE CANCE�f.ED BEFQRf <br /> Ci of Decatur 10011$7 THE EXPIRATION bATE TNEREOF, N0710E WILL BE DELNERED IN <br /> tY ACCORDANGE WiTN THE PO€.iCY PROVEStON3. <br /> Aftn: Barry Leonard <br /> #1 Gary K Anders�sre Pfaza <br /> Decatur,IL 62523 AUTHORIZED REPRESENTA'ftVE <br /> �i��C;-'' /""��"'�� <br /> ACORD ZS(2076l03} U 1988-2095 AGORD CORPflRATiON. AI{r�ghts reseroed, <br /> The ACaRD name and logo are regtstered masks of ACOFtD <br />