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qC„4C>RA:X NORTCOM-01 CRYSTALL <br /> `� CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE <br /> 8//16/216/2021 <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(les)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 endorsements. <br /> PRODUCER R'%1ACT <br /> I11 East <br /> Incorporated PHONE i FAX No:(217)428-8767 <br /> 111 East Decatur St. (ac,No,Ext):(217)423-3311 <br /> Decatur,IL 62521 crystall@dansig.com <br /> INSURER(S)AFFORDING COVERAGE NAIC <br /> INSURER A:Cincinnati Insurance Company 10677 <br /> INSURED INSURER S:Markel Insurance Company <br /> Northeast Community Fund INSURER C: <br /> 839 N Martin Luther King Jr.Dr. INSURER D: <br /> Decatur,IL 62521 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PbLICY 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 /> ILTR NSR TYPE OF INSURANCE JU2 ADDL3UB POLICY EFF POLICY EXP <br /> POLICY NUMBER (MWDDD= DNYYYILIMITS <br /> A X COMMERCIAL GENERAL LIABILnY EACH OCCURRENCE 500,000 <br /> CLAIMS-MADE [X]OCCUR X ENP 0144033 5/19/2021 5/19/2024 DAMAGEISETO RENTED 100,000 <br /> MED EXP(Any one ison <br /> PERSONAL$ADV INJURY 500,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 500,000 <br /> X POLICY j LOC <br /> �� � PRODUCTS-COMP/OP AGG 500,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY Ea a8�NE�DISINGLE LIMIT $ <br /> ANYAUTO BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS <br /> SSyy Ep BODILY INJURY Per accident $ <br /> AIRS ONLY AUT03 ONNLY �te08 ERNdentGE <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIARL]CLAIMS-MADE <br /> AGGREGATE $ <br /> DED RETENTION$ <br /> B AND EMPLO ERS LIABILITY X PER OTH- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N MWC0180930-10 2/12/2021 2/12/2022 E.L.EACH ACCIDENT $ 100,000 <br /> �AandFFICER/MEMW EXCLUDED? ❑ N/A 100'6_0_0 <br /> alory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB S 500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additlonal Remarks Schedule may be attached N mora space is requlred <br /> The City of Decatur is listed as Additional Insured in regards to the General Liability per written agreement for the Farm to Fund Event to be held on Saturday, <br /> September 18th,2021 from 6 pm to 10 pm In the 100 block <br /> of North Merchant Street,Decatur IL. <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 /> AUTHORIZED REPRESENTATIVE <br /> IDlecatur.IL 62523 f��) <br /> 1 Gary K Anderson Plaza �`�_ <br /> ACORD 25(2016/03) m 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />