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DATE(MMIDDIYYYY) <br /> ACo CERTIFICATE OF LIABILITY INSURANCE 7125/2022 <br /> !, 11 6 E RIGHTS UPON H CERTIFICATE HOLDER.THIS <br /> provisions <br /> THIS CERTIFICATE IS ISSUED AS A MATTEROR NEGATIVELYOAMENDYEXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> CERTIFICATE DOES NOT AFFIRMATIVELY <br /> be endorsed. <br /> BELOW. THIS CERTIFICATE OF INSURANCE <br /> THE CERTIF CAOT TE HO pE CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE <br /> REPRESENTATIVE OR PRODUCER,A Inust <br /> IMPORTANT: If the certificate hub subject tot a terms and ITIONALconditions of the lijiURED,the ipolicy,)certain hpolicies may Nep iris an endorsement A statement on <br /> If SUBROGATION IS WAIVED,s j <br /> this certificate does not confer rights to the certificate holder in lieu of suchcoNrncT Client Service Team <br /> PRODUCER PHONE 630-69413268 FAX R 630-694-4401 <br /> Arthur J.Gallagher Risk Management Services,Inc. EMAIL , select certificates a' .com <br /> 2850 Golf Road NAIcr <br /> Rolling Meadows IL 60008 INSURERS AFFORDING COVERAGE 13986 <br /> INSURERA:Frankenmuth Mutual Insurance Com an 36064 <br /> INSURERS:Hanover American Insurance Company... <br /> INSURED INSURER C <br /> Decatur Area Arts Council <br /> 125 N.Water INSURER D <br /> Decatur IL 62523 INSURERE: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:805845951 <br /> REVISION NUMBER: <br /> ITH RESPECT TO WHICH THIS <br /> HIS IS TO CERTIFY THAT THNG ANY REQUIREMEES OF INSURNTT,TERM OR CONDITION OFCE LISTED BELO'A HAYE BANY <br /> THE OLICIESOE OTHER <br /> DOCUMENT <br /> EN IS SUB ECT TO ALL HE TERMS, <br /> INDICATED. <br /> NOTWITHSTANDING <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,HE INSURANCE AFFORDED B MGUDY EFF POLICYDEXP uMITs <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED FF PAID CLAIMS. <br /> INSR POLCY NUMBER <br /> TYPEOFINSURANCE 411/2022 4/112023 EACHOCCURRENCE $1,000,000 <br /> 6620474 $300,000 <br /> A X COMMERCIAL GENERAL LIABILITY PREM SES Ea rr rwe <br /> CLAIMS-MADE FX—I OCCUR MED EXP(An one Person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/Op AGG $2.000,000 <br /> X POLICY JE LOC $ <br /> M IN IN LE UM $1,000,000 <br /> OTHER: 6620473 411/2022 4/112023 as dent <br /> A AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ <br /> ANY AUTO BODILY INJURY(per aorident) $ <br /> OWNED SCHEDULED PRO PERTYOAMAGE $ <br /> AUTOS ONLY AUTOS p r dent <br /> HNON-OWNED $ <br /> IRED <br /> X AUTOS ONLY X AUTOS ONLY <br /> 411/2022 4/1/2023 EACH or $1,000,000 <br /> A X UMBRELLAUAS X OCCUR 6620474 AGGREGATE $1,000,000 <br /> EXCESS UAB CLAIMS-MAD= $ <br /> DED X RETENTIONS 6620472 4/112022 4/1/2023 X STATl1TE ER <br /> A WORKERS COMPENSATION E.L.EACH ACCIDENT $500,000 <br /> AND EMPLOYERS'LIABILITY Y 1 N E.L.DISEASE-EA EMPLOYEE $500,000 <br /> ANYPROPRIETORIPARTNERIMCUTIVE N I A <br /> OFFICER/MEMBEREXCLUDED4 <br /> (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $500,00 <br /> It yes describe ender egate umit $1,000,000 <br /> DESCRIpTION OF OPERATIONS below 6620474 4/1/2022 4/1/2023 L�irnivr R.landon $1 MI$10,000 <br /> A Liquor Liability 4/1/2022 411!2023 UmiVRetention $1p4/$10,000 <br /> g Direotom&Officers Liability <br /> LHC44490631 <br /> Employment PrOd"s Liability <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Re10:00 a.m.to 5:00 p.m.each day.in Central Park <br /> marks Schedule,may be attached If mon span Is required) <br /> For Arts in Central Park,September 16 from 5:00 to T:00 p.m.and September 17&18,2022Decatur <br /> CANCELLATION <br /> CERTIFICATE HOLDER <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE <br /> ED NHEP RATION DTHEREOF, <br /> NOTICE <br /> WILL BE DELIVERED IN <br /> ACCO <br /> LICY <br /> For the City of Decatur <br /> #1 Gary K.Anderson Plaza AUTNORIZEO REPRESENTATIVE <br /> Decatur IL 625231988.2015 ACORD ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />