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Exhibit G <br /> WHKS&CO-01 <br /> ACORO" CERTIFICATE OF LIABILITY INSURANCE DAT11512 DJYYYY) <br /> 1/5/2022 <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 endorsement(s). <br /> PRODUCER fiMACT <br /> Edwards-Brandt&Associates PHONE <br /> 2007 4th Street o, ; 641)423-0675 ,No: 641 423-2441 <br /> Mason City,IA 50401 AtWiss,.cindy@pdwards-brandt.com <br /> INSURERS AFFORDING COVERAGE MAIC# <br /> INSURER A:Charter Oak Fire Insurance Company 25615 <br /> INSURED INSURERS:TraVOIeni Property Casualty Company of America 25674 <br /> WHKS&CO INSURER C: <br /> PO Box 1467 INSURER D: <br /> Mason City,IA 50402-1467 <br /> IN8URER 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 POLICY 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMnS <br /> A X COMMERCIAL GENERAL LIABILITY1,000,000 <br /> EACH OCCURRENCE <br /> CLAIMS-MADE a OCCUR X 6807N901648 7/1/2021 7/1/2022 DAMAGE TO RENTED 11000,000 <br /> MED EXP(Any one tion 51000 <br /> PERSONAL&ADV INJURY 11000'000 <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000'000 <br /> POLICY 1-1 jE& F-1 LOC PRODUCTS-COMPIOP AGG 2,0001000 <br /> OTHER: <br /> A AUTOMOBILE LIABILrrY COMBINED SINGLE LIMIT 1,000,000 <br /> X ANY AUTO X BA912833000 7/112021 7/1/2022 BODILY INJURY Per arson <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUUT�OSS�N�p BODILY INJURY Per accident <br /> AUTOS ONLY AUTOS ONLY FReEGc dent AMAGE <br /> S X UMBRELLA LIABX OCCUR EACH OCCURRENCE B4O00/O00 <br /> EXCESS LIAB CLAIMS-MADE CUP7N908416 7/1/2021 7/1/2022 AGGREGATE _ 6'000'000 <br /> DED I X I RETENTION$ 10,000 <br /> A WORKERS COMPENSATION X I PER OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE YIN U87N908059 7/1/2021 7/1/2022 E.L.EACH ACCIDENT ER 1,000,000 <br /> (��FICE=,MW,EXCLUDED? F NIA 1 000/00O <br /> (Mandatory to nom► E.L.DISEASE-EA EMPLOYE ' <br /> If yes desaibeunder 1,000,000 <br /> DESCRIPTION OF OPERAT ONS below E.L.DISEASE-POLICY LIMIT <br /> A Cyber Liability 6807N901648 7/112021 7/1/2022 Cyber 50,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space is required) <br /> Project: Garfield Ave(FAU 7369- <br /> Section No.: 20-00022-00-BR <br /> Decatur,Illinois <br /> Following forms added for additional Insureds: CGD381-General Liability Blanket Additional Insured Primary and Noncontributory;CAT474 Auto Additional <br /> insured primary and noncontirbutory; 30 day notice of cancellation Is provided <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRAION DATE City of Decatur,IL ACCORDANNCCE WITH THE POLICY PROVISO SCE WILL BE DELIVERED IN <br /> #1 Gary k.Anderson Plaza <br /> Decatur,IL 62523.1196 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) ®1988 2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />