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� � <br /> ; •�i:11�:��. CERTIFICA� OF INSURANCE � �� ISSUEDATE(MM/Dp/YY) <br /> oRo�uceR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER.THIS CERTIFICATE <br /> �OES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFF�RDED BY TI1E <br /> BENNETT 6 SHADE COMPANY POLICIES BELOW. <br /> 146 S. WATER COMPANIES AFFORDING COVERAGE <br /> P. 0. BOZ 829 <br /> DECATIIR�ILLINOIS GZS�ZS COMPANY <br /> ��R A AETNA CASUALTY_�_SIlRET�COMPANY <br /> COMPANY B <br /> �NSURED ' �R CINCINNATI INSIIRBNCE_COMP�NY <br /> BLA21R, WESSELINR COOR � ASSOCIATES �"R"�'C <br /> ''633 E. PERSHIIdG ROAD - — <br /> ECATIIR, ILLINOIS .62526 �ER Y D ��. <br /> � COMPANY E <br /> LETTER <br />� COYERAGES _ . _ . _ _ ..-._ .� };;:_•.::� _-:� .._ <br /> . ,. . ,. • _ _ _ - <br /> . . .. . .� ..�L::�.a..r.���...��=..-�n.:�...�....i�...�_�� . ._ ,. -. . "M-.. .._.._�.��._..�..��4r:�'• - - .w.r��a.a.i_����'J�.iE'� l.r....���':w <br /> THIS IS TO CERTIFY THAT THE PpLICIES OF INSURANCE LISTED BELOW HAYE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED,NOTWITHSTANDING ANY REOUIREMENT,TERM OF CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSUFiANCE 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 /> •.--�-- ------------�--- -- - <br /> �� TYPE OF INSURANCE POLICY NUMBER pOLICY EFFECTIVE►OLICV EXVIRATION LIMITS <br /> TR OATE(MMfDD/YY) DATE(MM/DO/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE __ t SOO�OOO_ _ <br /> $ _COMMERCIAL C�ENERAL LIABILITV PRODUCTS-COMP/OP AGG_ t SOO�OOO _ . <br /> � cu�Ms M�e g xcuR. 51GL021432519 CCI ��i-91 �(r�92 PERSONAL i ADV.�WURY t �OO����__� <br /> OWNER'S E CONTRACTOR'S PROT. EACH OCCURRENCE__ _ i SOO�OOO_ <br /> ( FlRE DAMAGE(My ons finj s SO i��O_ <br /> --_..._._.__.._----- •�- <br /> MED.E�ENSE Wp'ons Dxaon) i <br /> AUTOMOBILE LIABIIITY COMBINED SINGLE <br /> g ANY AUTO lIM1T _ --- — = SOO�OOO <br /> �A ALL OWNED AUTOS 51FJ021432519 CCA 6-4-91 6-4-92 <br /> BODILY INJURY ; <br /> ` SCHEDULED AUTOS (P�r psnon) <br /> NIRED AUTOS BODI�Y INJURY <br /> ` NON-OWNED AUTOS (Per�eei0ent) : <br /> GARAGE LIABILITY ------ �-- — <br /> -- PROPERTY DAMAGE i <br /> _EXCESS LIABILiTY EACH OCCURRENCE S 1�OOO�OOO_ <br /> B g UMBREUA FpRM CCC 250 7509 V�4�91 �4-92 AGGpEGATE � ' i 1'000'o00_ <br /> OTMER THAN UMBRELLA FORM <br /> STATUTOAY UMITS <br /> WORKER'S COMPENSATION —.--.-.-.- —_.._ .__ _ <br /> A AND S1CO21432519 CCA 6-4-91 6-4-9Z �CHACCIDENT_ _ ^ t ,lOOiOOO_ <br /> DISEASE—POLICY LiMR = SOO�.UOO._ <br /> EMPLOYERS'LIABIUTY "---' '"'—"' <br /> � DISEASE—EACH EMPLOYEE S ](�� <br /> OTMER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> CERTIFICATE HOLDER - - � CANCELLATION - - � <br /> ': SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOAE THE <br /> =: EXPIRATION OATE TMEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> I CITY OF DECATIIR, �,LI,INOIS : MAIL�_DAYS WRIITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> �1 CIVIC CENTER PLAZA �eFr, BUT FAILURE TO MAIL SUCM NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> DECATUR� jLj,INOIS 62523 LIABILITY OF ANY KIND UPON T COMPANY,ITS AGENTS OR REPRESENTATIVES. <br /> AUTMORt2EDREP SENTATIVE.gE r� & SHADE OOI`SPANY <br /> / <br /> �v'- <br /> BY: G��....;� ��.�.;�.-.- <br /> ACORD 25-S (7/90) OACORD CORPORATION 1990 <br /> Section 9. Page 1 of 1 <br />