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� � Certificate t�f Covera e
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<br /> Name and Address of Agency ' Name and Address of Member
<br /> Park District Risk Management Agency Decatur Park District
<br /> 2033 Burlington Avenue 620 E. Riverside Drive
<br /> Lisle, IL 60532-1646 Decatur, IL 62521
<br /> (630)769-0332
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<br /> The Park District Risk Management Agency(PDRMA)is an intergovemmental self-insurance and risk management pool estabiished
<br /> under the Constitution and the statutes of the State of Illinois to provide coverege for its members against certain claims and�osses.
<br /> Each member of PDRMA is entiUed to the scope and amounts of coverage set forth below. In addition,PDRMA may extend the same
<br /> scope of coverage to non-members. However,any coverage extended to a non-member is subject to ali of the ierms,conditions,
<br /> exclusions,and amendments which are appiicable to the members.
<br /> The above named entity is a member in good standing of the Park District Risk Management Agency. The scope of coverage provided
<br /> by the Agency may,however,be revised at any time by the actions of PDRMA's goveming body. As of the date this certificate is issued,
<br /> the information set out below accurately reflects the scope of coverage established for the current coverage year.
<br /> Scope of Coverage Coverage Document Coverage Dates Limits Each Occurrence�
<br /> General Liability Bodily injury and Property �
<br /> x commercial general liability Lo1o116 01/oil2076- Damage Combined � $1,000,000
<br /> x occurrenCe 12/31l2016
<br /> x liquor liability '
<br /> i Personal tnjury ! 5�,000,000
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<br /> Automobile Liability Lo1o116 01/o1/2016- Bodily Injury and Property ; $�,o00,0�0
<br /> x any auto �?J31/2016 Damage Combined i
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<br /> Workers'Compensation WC010116 01l01/2016- Statuto
<br /> 12/31/2016 ! ry
<br /> Emptoyef's Liability WC010116 01l01/2016- � $3,000,000
<br /> 12/31/2016
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<br /> Property '
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<br /> P0700115 01/01/2016- !
<br /> 12131/2016
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<br /> Other _ i_._ _--------____
<br /> 01/ol/2ots- �
<br /> 12l31/2016 �
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<br /> r�� ,ra��3 e�cr�f�' ��of��e��,��$���'��,,���} E�.ic ",.�5���c������ ���r�`�:���x��
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<br /> City of Decatur is/are additionally insured for Decatur Park District's Staley Firecrecker Road Run/Walk,July 4, 2016. ,
<br /> Coverage is for general liability with respect to the operations of the Decatur Park District. Additional insured coverage shall i
<br /> not apply to any liability resu�ting from the certificate holder's own negligence or the negligence of its servants, agents or �I
<br /> employees.
<br /> Certificate Holder Date Issued: 05/23/2016
<br /> City of Decatur ����,
<br /> One Gary K.Anderson Plaza
<br /> Decatur, IL 62523 Authorized Representative
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