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STJOH-1 OP ID:00 <br /> �►C�oRNO` CERTIFICATE 4F LIABILITY INSURANCE DATTI(MM7DDIYYYY) <br /> 04128/2014 <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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsemen s. <br /> CONTACT <br /> PRODUCER NAYS: <br /> Whitacre-McNamara Insurance PHONE 217-375-2127 <br /> 2828 N Main Street,Suite 105 E-MAIL <br /> Decatur,IL 62526 DRESS: <br /> INSURER 3 AFFORDING COVERAGE NAIL 0 <br /> INSURERA:Cincinnati Insurance Company 10677 <br /> INSURED St John's Lutheran Church INSURER e: <br /> David Vanskike INSURERC: <br /> 2727 N.Union <br /> Decatur,IL 62525 INSURER D <br /> INSURER E: <br /> INSURER P; <br /> COVERAGES <br /> - <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 /> INSR1 ADUL TYPE OF INSURANCE NUMBER MMM POILICYFF MMlDC;X LTRLIMITS IC <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE a 11000, <br /> 0001 <br /> CLAIMSA%M Q OCCUR X CHU1408269 12!0112013 12101/2014 MIs S ?&1M ero s 1,000,00 <br /> MED EXP tjhny one ) a 5,00 <br /> PERSONAL 6 ADV INJURY S 11000,0 <br /> GENERAL AGGREGATE a 31000100 <br /> GEML AGGREGATE LIMIT APPLES PER; <br /> a 1,000,00 <br /> POLICY ECT �LOC PRODUCTS-CONw�OP AGG <br /> a <br /> OTHER: <br /> AUTOMOBILE LIABILITY Fa COMBINED <br /> cmd t I L LIMIT <br /> a <br /> ANY AUTO BODILY INJURY(Per peon) S <br /> ALLOWNED SCTEEDULED BODILY INJURY(P.r soco") S <br /> AUTOS <br /> HIRED AUTOS SO D (Per aocbenl AMAGE a <br /> i <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br /> EXCESS LJAB CWMS MADE AGGREGATE $ <br /> DED I I RETENTI H. $ <br /> WORKERS COMPENSATION STATUTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORIPARTNERIMCUiIVE YF N I A E.L.EACH ACCIDENT S <br /> OFFICERINEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE a <br /> E dssCA'N under E.L.D4SEASE-POLICY LIMIT a <br /> RIPTION OF OPERATIONS Below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addidoftl Roach Schodul%may be aftchad K mss specs Is rsquUsd) <br /> St Johns Lutheran Church 3K Run/Walk June 7th 2014: The Certificate Holders <br /> shall be additional insured in accordance with the terms, conditions i <br /> Limitations of the policy and then only with respect to liability casused by <br /> the negligent acts or omissions of the named insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> DECCITY <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO IN <br /> City of Decatur ACCORDANCE WITH THE POLICY PROVISIONS. <br /> and State of Illinois <br /> Linda SwartzAt�jliaRfDR ENJJ -` <br /> 01 Gary K.Anderson Plaza <br /> Decatur,IL 62521 <br /> ®1988-20 CORPORATION. All rights reserved. <br /> ACORD 25(2014191) The ACORD name and logo are registered marks of ACORD <br />