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' 'ACORD �CERTIFICATE OF LIABILITY INSURANCE OPID RT DATE(MM/DD/YYYY) <br /> AGR1000 05 12 09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFtCATE <br /> J.L.Hubbard Insurance & Bonds HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1090 South Route 51, PO Box 14 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Forsyth IL 62535-0014 <br /> Phone:217-877-3344 Fax:217-877-0795 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED <br /> INSURER A: United Fire S Casualty Company <br /> Agricultural Watershed �NSURER B: <br /> Ins titute INSURER C: <br /> 4004 College Park Road INSURERD: <br /> Decatur IL 62521 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTR NSR TYPE OF INSURANCE POUCY NUMBER DATE MM/DD DATE MMPDD � N LIMITS <br /> GENERAL LWBIUTY <br /> EACH OCCURRENCE $1,OOO�OOO <br /> A X COMMERCIALGENERALLIABILITY 60335894 06/09/08 06/09/09 PREMISES(Eaoccurence) $ 1�����0 <br /> CLAIMS MADE �occuR MED EXP(My one person) s 5,000 <br /> PERSONAL&ADV INJURY $1�OOO�OOO <br /> GENERAL AGGREGATE $2�OOO�OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2�OOO�OOO <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE�IABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO $ <br /> (Ea accident) <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY $ <br /> (Perperson) <br /> HIRED AUTOS <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per acadent) <br /> GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN �ACC $ <br /> -- - --------- <br /> AUTO ONLY: pGG $ <br /> EXCESS/UMBRELIA LIABILITY EACH OCCURRENCE $ <br /> OCCUR � CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ <br /> $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> A EMPLOYERS'LIABILITY <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE 60335894 06/09/08 06/09/09 E.L.EACHACCIDENT $ ],Q��OQ� <br /> OFFICER/MEMBER EXCLUDED? <br /> If yes,describe under <br /> � E.L.DISEASE-EA EMPLOYEE $ ],OO�OOO <br /> SPECIAL PROV�SIONS below E.L.DISEASE-POLICY LIMIT $ rj OO�OOO <br /> OTNER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Re: All Work <br /> CERTIFICATE HOLDER CANCELLATION <br /> AWI OOOZ SHOULD ANY OF THE ABOVE DESCRIBED POlIC1ES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL 3O DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Cl ty of Decatur IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 1 Gary K Anderson Plaza REPRESENTATNES. <br /> Decatur IL 62523 AUTHORIZED REPRESENTATIVE � <br /> Kevin J. Brehen ���� A d <br /> ACORD 25(2001108) O ACORD CORP ION 1988 <br />