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�'� ����,. �'--�- �� <br /> . A�I�RD_ CERTIFICATE OF LIABILITY INSURANC� �SR SM DATF�MM/DD/YY) <br /> EOR226 03/03/04 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Coyle Insurance Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 4 921 N Glen Park Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Peoria lL 61614 <br /> Phone: 309-692-5522 Fax:309-692-5099 INSURERSAFFORDINGCOVERAGE <br /> INSURED INSURERA: Z11r1C1'1 I1IIl@r1CdI1 Insurance Co <br /> iNsuRERs: Steadfast Insurance Company <br /> Coulter Companies, Inc. ; INSURERC: <br /> PDC Laboratories, Inc. etal <br /> P. O. BOX 9071 INSURERD: <br /> Peoria lL 61612-9071 <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 CONTR4CT 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 /> INSR TYPE OF INSURANCE POLICY NUMBER P LI Y EF E TIVE POLI Y EXPIRATION LIMITS <br /> LTR DATE MM/DD/YY DATE MM/DD/YY <br /> GENERALLIABILITY EACHOCCURRENCE $ 2,OOO�OOO <br /> A X COMMERCIALGENERALLIABILIN GL05258390-01 12/31/03 12/31/04 FIREDAMAGE(Anyonefire) $ 5�,��� <br /> CLAIMS MADE � OCCUR MED EXP(Any one person) $ 5�0 0� <br /> PERSONAL&ADV lNJURY S ?,Q Q Q,Q Q O <br /> GENERAL AGGREGATE $ 2�O O O�O O O <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $2,O O O�O O O <br /> POLICY PR� LOC EYn Ben. 1,��0�00� <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2�OOO�OOO <br /> A X ANYAUTO BAP52588391-01 12/31/03 12/31/04 (Eaaccident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS <br /> BODI�Y INJURY $ <br /> }[ NON-OWNEDAUTOS (Peraccident) <br /> PROPERTY DAMAGE $ <br /> (Per accidenq <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN �ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ 19�O O O�O O O <br /> $ X OCCUR � CLAIMSMADE SE05258397-01 12/31/03 12/31/04 AGGREGATE $ 19�0������ <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 1 O�O O O $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> A EMPLOYERS'LIABILITY WC9308081-01 12/31/03 12/31/04 E.L.EACHACCIDENT $ l���Q�Q <br /> E.L.DISEASE-EA EMPLUYEE $ I O O G O O O <br /> E.L.DISEASE-POLICYLIMIT $ lOOOOOO <br /> OTHER <br /> B Professional Liab. PEC4911085-01 12/31/03 12/31/04 Per Loss $2,000,000 <br /> A re ate $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Limits shown are those in effect at policy inception. <br /> CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION <br /> DECAT-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL ��DAYS WRITTEN <br /> Cl ty O f Decatur NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Ke i th Alexander IMPOSE NO OBLIGATION OR LIABILITY OF A D UPON THE INSURER,ITS AGENTS OR <br /> #1 Gary K. Anderson Plaza <br /> Decatur IL 62523-1196 REPRESENTATIVES. �"��+ <br /> AUTHORIZED REPRESENTATIVE � / <br /> l�! <br /> Peter Co le <br /> ACORD 25-S(7/97) OO ACOR ORPORATION 1988 <br />