2014-41 AUTHORIZING CONSUMPTION OF ALCOHOLIC LIQUOR ON PUBLIC RIGHT-OF-WAY - DECATUR AREA ARTS COUNCIL 10TH ANNIVERSARY

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A� ® DATE(MMIDDIY YY) CC> CERTIFICATE OF LIABILITY INSURANCE 17/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SU ROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT NAME:ACT Deb Raine Arthur J. Gallagher Risk Management Services, Inc. PHONE 217-423-2345 FAX 217-428-0865 101 S. Main Street, Suite 200 E-MAIL Decatur IL 62523 Deb_Rainey@ajg.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Frankenmuth Mutual Insurance Com an 13986 INSURED INSURER B: Decatur Area Arts Council INSURER C: 125 N.Water Decatur, IL 62523 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:2130080639 REVIE ION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAN IED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HER IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR IND WVD POLICY NUMBER MWDD/YYYY MWDD/YYYY A COMMERCIAL GENERAL LIABILITY CPP6217831 /1/2014 /1/2015 EACH OCCURRENCE $1000000 CLAIMS-MADE FIOCCUR PREMI ES Ea occu encs $ MED E CP(Any one person) $5000 PERS NAL&ADVINJURY $1000000 GEN'L AGGREGATE LIMIT APPLIES PER GENE AL AGGREGATE $2000000 POLICY D PRO JECT F7LOC PROD CTS-COMP/OP AGG $2000000 OTHER: $ A AUTOMOBILE LIABILITY BA6217831 /112014 /1/2015 COMBI 4ED SINGLE LIMIT Ea ac ident) em $1000000 ANY AUTO BODILI INJURY(Per person) $ ALL OWNED SCHEDULED BODIL INJURY(Per accident) $ HIREDAUTOS X AUTOS NON-OWNED PROP RTYDAMAGE $ AUTOS Per a ident X A UMBRELLA LIAB I X OCCUR CPP6217831 /1/2014 /1/2015 EACH CCURRENCE $1000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I X I RETENTION$0 Aggrest. $1000000 A WORKERS COMPENSATION C6217831 /1/2014 /1/2015 AND EMPLOYERS'LIABILITY Y/N S ATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.E CH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DI EASE-EA EMPLOYE $500000 If yes,describe under DESCRIPTION OF OPERATIONS below I I EL DI EASE-POLICY LIMIT $500000 A Business Owners Pack CPP6217831 /1/2014 /1/2015 Occ&kgg 1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addrdonal Remarks Schedule,may be attached If more space Is required) The City of Decatur is shown as additional insured solely with respect to general liability coverage as evidenced herein as required by written contract with respect to The Decatur Arts Treasures Gallery Opening being held on August 8,2014 from 5-6 pm at 125 N Water St., Decatur, IL performed by the named insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI13ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN City of Decatur ACCORDANCE WITH THE POLICY PRC VISIONS. #1 Gary K Anderson Plaza Decatur IL 62523 USA AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD