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" PHILADELPHIA One Bata Plaza,Suite 100 <br /> Bala Cynwyd,Pennsylvania 19004 <br /> INSURANCE COiyIPANIES 610.617.7900 Fax 610.617.7940 <br /> .\'Ar:nl.•r of 1hc'Ir.ks..>tanne S�rnul, PHLY.com <br /> Philadelphia Indemnity Insurance Company <br /> COMMON POLICY DECLARATIONS <br /> Policy Number: <br /> EV140945 <br /> Named Insured and Mailing Address: Producer: <br /> Decatur Area Convention&Visitors Bureau 23656 <br /> 202 E.North St. First Mid Insurance Group <br /> Decatur, IL 62523 1520 Charleston Ave <br /> Mattoon,IL 619383933 <br /> 217-2346428 <br /> Policy Period From:06/22/2024 To:06/23/2024 at 1201 A.M.Standard Time at your <br /> mailing address shown above. <br /> Business Description:Special Events Underwriter:Kelly Kronbar <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY,WE AGREE WITH <br /> YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.THIS PREMIUM <br /> MAY BE SUBJECT TO ADJUSTMENT. <br /> PREMIUM <br /> Commercial Property Coverage Part <br /> Commercial General Liability Coverage Part $175.00 <br /> Commercial Crime Coverage Part <br /> Commercial Inland Marine Coverage Part <br /> Commercial Auto Coverage Part <br /> Businessowners <br /> $250.00 <br /> Workers Compensation <br /> Liquor Liability <br /> Total:$426.00 <br /> Total Includes Federal Terrorism Risk Insurance Act Coverage $1.00 <br /> FORM(S)AND ENDORSEMENT(S)MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br /> Refer To Forms Schedule <br /> "Omits applicable Forms and Endorsements if shown in specific Coverage Part/Coverage Form Declarations <br /> CPD-RIC(06/14) - <br /> Secretary Authorized Representative <br />