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<br /> aRo�uceK°� THIS CERTIFICATE IS ISSUED AS A MATTER OF IN A ION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> �^� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> `�������R�A�Y �'' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> �ZO'E�L&�C@�'I10PQ D�/Q I COMPANIES AFFORDING COVERAGE
<br /> �^„'Q�, !L �[7�J/ COMPANY
<br /> A 4?estern States Ins. Co.
<br /> INSURED
<br /> COMPANY
<br /> B
<br /> Friedman's Wallpap�r & Paint �CANY
<br /> 3040 South 6Th
<br /> S�ringfield, Il. 62704 �DANY
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<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST�D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE�FOR~THE.POLICY�PERIOD ����
<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 7ypE OF INSURANCE ' POLICY NUMBER �UCY EFFECTNE POLICY EXPIRATION LIMITS
<br /> LTR DATE(MMlDD/Yl� DATE(MNVDD/YY)
<br /> I�—GEN,ERAL LIABILITY GENERAL AGGREGATE S
<br /> � � � � COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG 5 �OOOOOO
<br /> � CLAIMSMADE a OCCUR ��?]��9-g38225/36 063095 063099 PERSONAL&ADVINJURY S lQ��O��
<br /> � OWNER'S 8 CONTRACTOR'S PROT EACH OCCURFENCE 5 (�
<br /> � i FIRE DAMAGE(Any one fire) S 1 lJD�Q�
<br /> �;
<br /> i 'i MED EXP(Any one person) S
<br /> AUTOMOBILE LIABILITY
<br /> COMB�NED SINGLE LIMIT 5
<br /> i ANY AUTO ]OOOQt�
<br /> � ; T ALLOWNEDAUTOS �Tjjs7�g3822rj�21 Q63098 063099 BODILYINJURY 5
<br /> �-1=,
<br /> �- I SCHEDULED AUTOS (Per person)
<br /> �. � HIRED AUTOS
<br /> BODILV INJURY S
<br /> I NON-OWNED AUTOS (Per accident)
<br /> PROPERTY DAMAGE S
<br /> I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
<br /> I ! ANY AUTO OTHER THAN AUTO ONLY: __-
<br /> I�� EACH ACCIDENT S
<br /> j AGGREGATE S
<br /> EXCESS LIABILITY EACH OCCURRENCE S
<br /> � I UMBRELLAFOFiM �G3-838225/62 063098 063099 AGGFEGATE 5
<br /> j OTHER THAN UMBRELLA FORM S
<br /> WORKERS COMPENSATION AND � �
<br /> I EMPLOYERS'UABILITY TORY LIMITS ER E�:';
<br /> EL EACH ACCIDENT S
<br /> THEPROPRIETOR/ INCL j�jD01�83822rj�rja 063Q98 063099 ELDISEASE-POLICYLIMIT . 5
<br /> A PARTNERS/EXECUTIVE
<br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE 5 n n
<br /> OTHER
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<br /> DESCRIPTION OF OPERATIONS/LOCATONSNEHICLESISPECIAL IiEMS
<br /> City of Decat�r is held harmless for the date of 10-31-5'8
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<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> C].ty of Decatur �P�RATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br /> Decatur, Illinois �_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br /> BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
<br /> OF ANY KIND UPON THE OMPANY, ITS AGENTS OR REPFiESENTATIVES.
<br /> AUTHOR D R ENT VE
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