2015-46 AUTHORIZING CONSUMPTION OF ALCOHOLIC LIQUOR ON PUBLIC RIGHTS-OF-WAY - BREW HA HA

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A�R�� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIWYY) � 8/12/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATtON 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. TH1S 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to � the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the � certi£cate holder in lieu of such endorsement s. � PRODUCER �ryNjEA�T Rachael Kne er � Arthur J. Gallagher Risk Management Services,Inc. PHo�E .630-595-5300 F"'� •630-694-4531 101 S.Main Street,Suite 200 E-�A�� .rachael kne er a com E Decatur IL 62523 — pp °e 19� - INSURER S AFFORDING COVERAOE NAIC# � wsuR�en:Frankenmuth Mutuai Insurance Com an 13986 � INSURED MSURER B: ' Decatur Acea Arts Council �Nsu�c; � 125 N.Water Decatur IL 62523 _ _ wsuneR o: BJSURER E: � e - � -- �- ---- - -- -�- ---- - - - - - --- � - -INSURER-F-:- - � ---- --- -- -- --- - - COVERAGES CERTIFICATE NUMBER:1469073919 REVISION NUMBER: j THIS IS TO CERTIFY THAT THE POUCIES OF IIJSURANCE LISTE�BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD � INDICATED. N0TIMTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURAtJCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND C�NDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. k INSR POLICY EFF POGCY EXP � �� TYPE OF INSURANCE p POLICY NUMBER M ��M�TS A X COMMERCIAL GENERAL UABILITY CPP8217831 /1/2015 11/2016 EqCH OCCURRENCE 81,000,000 � � MA � ! CLAIMS•MADE ❑X OCCUR PREMISES Eaoccuisence $ MED EXP(Ar�y orre person) 55,000 � PERSONAL 8 ADV INJURY E'I,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52 000,000 [ PRO- � x POLICY❑�ECT �LOC PRODUCTS-CAMP/OPAGG S2,OD0,000 i OTHER: a A AUTOMOBILELIABILITY BA8217831 ��$ ��D18 Eeeccldenl §'I,000,000 ANYAUTO BODILYINJURY(Perpanan) 5 AUTOS�ED AUTOSu�D BODILY INJURY(Peraccident) S NON•OWNED par eccident $ � X HIREDAUTOS X q�pS � 5 A X UMBRELLA LIAB X OCCUR CPP6217831 /1/2015 /1I2016 EpCH OCCURRENCE 51,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE 51,000,000 DED X RETEN'fI0N5� � I q WORKERSCOMPENSATION WC6217831 /1l2015 /1/2016 X �qTUTE ERH AND EMPLOYERS'LJABIUTY ANYPROPRIETOR/PARTNER/DfECUTIVE Y� N�A E.L.EACHACCIDENT $500,000 QFFICER/MEMBER EXCLUDED? (Mandatary in NH) E.L.DISEASE-EA EMPLOYE 3500,000 Ifyes,desaibe under ... DESCRIPTION OF OPERATIONS below � ` EL.DISEASE-POLICY CIMIT $500,000 A Liquor Liehility CPP6217831 !7/2015 /1/2018 Occ&Agg 1,000,000 ! � DESCRIPTION OF OPERA710N5/LOCATIONS 1 VEHICLES(ACORD 101,Atldifional Rematks Schedula,may be atfaclwd if moro space Is required) The City of Decatur,is named as additional insured for the liability evidenced above rising from the operations of the named insured for Brew Ha Ha at 125 N.Water St., Decatur, IL 62523 on Saturday, September 28th,2015 from 5pm-12am. � �f f I � CERTIFICATE HOLDER CANCELLATION f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Cf�/Of D@CatUl' , ACCORDANCE WITH THE POLICY PROVISIONS. #1 Gary K.Anderson Plaza Decatur IL 62523 pU7{{ORIZED REPRESENTATIVE i . � ��'V' a� �O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACOR�name and logo are registered marks of ACORD i I