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<br /> ::::: ACORD ::::::::::::......................:::.:::::::::::::::::............................:.::::::::::::::::::::::::...................:::::::::::.::::::::::....................::::::::::::::::::::......................... 09 11/2000 »
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<br /> PRODUCER� �Z17)423-2345 F� (217)428-0865
<br /> ehnke & Company, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
<br /> 225 South Mai n Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> P. 0. BOx 140 COMPANIES AFFORDING COVERAGE
<br /> Decatur, IL F)ZSZS COMPANY Indiana Insurance Company
<br /> Attn: Ext: A
<br /> INSURED COMPANY St. Paul Insurance Company
<br /> Richland Community College B
<br /> Attn: Mr. David Holtfreter
<br /> One College Park cornPnr,v
<br /> C
<br /> Decatur, IL 62521
<br /> COMPANY
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<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P L
<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 /> CO ' POLICY EFFECTIVE POUCY EXPIRATION i LIMITS
<br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) :
<br /> GENERAL LIABILITY GENERAL AGGREGATE $ 2�OOO�OOO
<br /> : ...................
<br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ Z�OOO�OOO
<br /> i'ti:ii CLAIMS MADE . X ;OCCUR PERSONAL&ADV INJURY $ 1�OOO�OOO I
<br /> A ::>:::::>:.......
<br /> tBP9241877 07/O1/2000 07/O1 20 .
<br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE S 1�OOO�OOO
<br /> FIRE DAMAGE(Any one fire) $ 100�QQD
<br /> : ..............................................'..........
<br /> .......................... ..... MED EXP(Any one Person) $ 5 ���
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> .....
<br /> X ANY AUTO
<br />' ALL OWNED AUTOS BODILY INJURY $
<br /> X SCHEDULED AUTOS (Per person)
<br /> q BA9172635 ' 07/O1/2000 07/O1/2001 ;
<br />' X HIRED AUTOS BODILY INJURY $
<br /> (Per accide�t)
<br /> X NON-OWNED AUTOS
<br /> ..........................................
<br /> PROPERTY DAMAGE $
<br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
<br /> .....................................:::::::::::::::::.::::::::.::::::::::::
<br /> ; :::::::::.::::::::::::::::.:
<br /> OTHERTHANAUTOONLY: ti::i:�`;:;:;:;:;;:.::;:;:;:;:;:`:;:;:;:;
<br /> ........ ANY AUTO ::::::.::::::::::.::::::::::
<br /> .
<br /> EACH ACCIDENT $
<br /> ....................................................
<br /> AGGREGATE $
<br /> EXCESS LIABILITY : EACH OCCURRENCE 3 ZOOOOOOO
<br /> .....................................................
<br /> ...
<br /> A X UMBRELLAFORM CU9172935 : 07/O1/2000 O7�OZ�ZOO1 ;AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM $ ZOOOOOOO
<br /> WORKERS COMPENSATION AND '
<br /> 'TORY LIMITS. ER '<:;Ei22E;';"i;`i:E i E';E E`?E`?"`?;E'E i�;?ii:<
<br /> EMPLOYERS'LIABILITY :
<br /> EL EACH ACCIDENT $ SOOOOO
<br /> q WC9320593 � 07/01/20�0 07/O1/2001 :
<br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ SOOOOO
<br /> PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ SOOOOO
<br /> OFFICERSARE: EXCL',
<br /> OTHER $1,OOO,OOO
<br /> Medical Professional
<br /> g FM06600221 07/O1/2000 07/O1/2001
<br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
<br /> E: Contract with City of Decatur for Burn Trainer.
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<br /> ..................................................................:...............................................................................
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br /> ��DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br /> Ci ty Of Decatu r BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br /> % Steve Jones
<br /> 1 Gary Anderson Plaza OFANYKINDUP.ON ECOMPANY ITSAG T ORREPRESENTATIVES.
<br /> Decatur IL 62523 AUTHORIZE�RE _ •t •,j
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