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ice• '� CHRIFOL-01 HSCHOREY <br /> ,a►coRr� <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(M <br /> 3/27//20242024Yf] <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 /> H 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 c ^cT Holli Schorey <br /> First Mid Insurance Group Nc°NN,Fd):(217)859-7047 FAX N.):(217)877-0795 <br /> 1090 South Route 51 <br /> Forsyth,IL 62535 hschorey@firstmid.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> _ INSURERA:The Cincinnati Insurance Com ny 10677 <br /> INSURED INSURER s:Safety National Casualty Corporation 15105 <br /> Christy Foltz Inc INSURER C:Travelers Property&Casualty Company of America 25674 <br /> 740 S Main St INSURER D: <br /> Decatur,IL 62521-2654 --— <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 /> (NSR !ADDL SUER; POLICY EFF POLICY EXP <br /> LTRTYPE OF INSURANCE ! POLICY NUMBER j LIMITS <br /> A X COMMERCIAL GENERAL LIABILnY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE ❑X OCCUR EPP/EBA0189074 3/31/2024 3/31/2025 DAMAGE TO RENTED 500,000 <br /> Ea occurrence) <br /> X !X,C,U Included MED EXP(Any one arson $ 10,000 <br /> Contractual LiabPERSONAL&ADV INJURY $ 1'000'000 <br /> GENL AGGREGATE LIMIT APPLIES PER: ` GENERAL AGGREGATE $ 2'000'000 <br /> 1 POLICY❑X JE �X LOC PRODUCTS-COMP/OP AGG $ 2'000'000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO EPP/EBA0189074 i 3/31/2024 3/31/2025 BODILY INJURY(Per person $ --- <br /> OWNED I SCHEDULED <br /> AUTOS ONLY L. ASUTNOS ED BODILY INJURY Per accident $ _ <br /> X A'R ONLY 1 X AUTOS ONLY PeOr a�itlentDAMAGE $ <br /> A X EACH OCCURRENCE $ <br /> 5,000,000 <br /> UMBRELLA LIAB X OCCUR r _ <br /> EXCESSLWB CLAIMS-MADE EPP/EBA0189074 3/31/2024 ��i 3/31/2025 AGGREGATE _ $ 5,000,000 <br /> DED X RETENTION$ 0 <br /> B WORKERS COMPENSATION �( PTRT OTH- <br /> AND EMPLOYERS'LIABILITY IER <br /> YIN AGC4067508 111/26/2023 11/26/2024 1,000,000 <br /> ANY PROPRIETORIPARTNEWEXECUTIVE !NIA <br /> A E.L.EACH ACCIDENT $ <br /> _ <br /> WFICERIMEMBEER EXCLUDED? 1,000,000 <br /> andatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $ <br /> C Rented Equipment QT6609F334468TIL24 3/31/2024 3/31/2025 (Limit 300,000 <br /> C ;Installation FloaterQT6609F334468TIL24 3/31/2024 3/3112025 Limit 500,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached M more space is required) <br /> SAMPLE FOR PROOF OF COVERAGE <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE Christy Foltz,Inc. ACCORDANCE WITH THE PO CYREOFP OVISIONSCE WILL BE DELIVERED IN <br /> 740 S Main St <br /> Decatur,IL <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />