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Exhibit G WHKS&CO-01 CCRAW <br /> '`.. ® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) <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(ies)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 CONTACT <br /> Edwards-Brandt&Associatesac N o,Ext):(641)423-0675 ac,No:(641)423-2441 <br /> 2007 4th Street <br /> Mason City,IA 50401 Eo ARES ,cindy@edwards-brandt.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Charter Oak Fire Insurance Company 25615 <br /> INSURED INSURER B:Travelers Property Casualty Company of America 25674 <br /> WHKS&CO INSURER C: <br /> PO Box 1467 INSURER D: <br /> Mason City,IA 50402-1467 <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 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 LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY1,000,000 <br /> EACH OCCURRENCE <br /> CLAIMS-MADE X OCCUR 6$0]N90164$ 7/1/2021 ](1/2022 DAMAGE TO RENTED 1,000,000 <br /> X RMI =a occurrence) �___ <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 <br /> POLICY❑PRO ❑ LOC PRODUCTS-COMP/OP AGG 2'000,000 <br /> JECT <br /> OTHER: <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> X ANY AUTO X BA9P833000 7/1/2021 7/1/2022 BODILY INJURY Perperson) <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident <br /> AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE <br /> Per accident $ <br /> $ <br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6'000'000 <br /> EXCESS LIAB <br /> CLAIMS-MADE CUP7N908416 7/1/2021 7/1/2022 AGGREGATE 6'000'000 <br /> DED X RETENTION$ 10,000 <br /> A WORKERS COMPENSATION X PTR OTH- <br /> AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT UB7N908059 7/1/2021 7/112022 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> 1 FFICER/MEnBE EXCLUDED? ® N/A <br /> Mandato 1,000,000 <br /> E.L.DISEASE-EA EMPLOYE <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Cyber Liability 6807N901648 7/1/2021 7/1/2022 Cyber 50,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> Project: Grove Road over Sand Creek Arm of Lake Decatur(FAU 7401) <br /> Section NO.: 19-00934-00-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 /> Cit Of Decatur,IL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> #1 Gary k.Anderson Plaza <br /> Decatur,IL 62523-1196 <br /> AUTHORIZED REPRESENTATIVE <br /> I <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />