R91-82 AUTHORIZING AGREEMENT - SOULES BIRD REPELLENT COMPANY

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�a1:1i�rII� �� ;]�� ISSUE DATE(MM/DD/YY) 6-11-91 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE BENNETT & SHADE COMPANY DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 146 S. WATER P P. 0. BOX 829 COMPANIES AFFORDING COVERAGE DECATUR,ILLINOIS 62525 COMPANY A LETfER THE TRAVELERS INDIINNITY C0. OF ILLINOIS COMPANY B INSURED LETTER HARTFORD ACCIDENT AND INDEMNITY COMPANY COMPANY J. L. SOULES AND J.G. SOULES LETTEfi C DBA BIRD REPELLENT COMPANY COMPANY 214 EAST MOUND ROAD LETTER � DECATUR, ILLINOIS 62521 COMPANY E LETTER �oy��a�s THIS IS TO CERTIFY THAT THE POIICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL IIABILITY GENERAL AGGAEGATE $ ].�OOO�OOO X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1�OOO�OOO CLAIMS MADE X occua. 660-278A660-9—TRI-91 1-1-91 1-1-92 PERSONAL 8 ADV.INJURY $ 1�Q�� A OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE $ 1�OOO�OOO FIRE DAMAGE(Any one fire) $ rj0�OQQ MED.EXPENSE(My one person) $ 5 �� AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ 1�OOO�OOO A AlL OWNED AUTOS 660-278A6609—TRI-91 1-1-91 1-1-92 BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON•OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS EACH ACCIDENT $ IOO�OOO B AND 83WZ653860 3-22-91 3-22-92 DISEASE—POLICY LIMIT $ 5�� EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $ IOO OOO OTHER DESCRIPTION OF OPERATIONSlLOCATIONS/VEHICLES/SPECIAL ITEMS THIS CERTIFICATE EXPIRES AT 12:01 AM ON 1-1-92 - FUMIGATING - 43860 CERTE�iCATE HOLDEA CA�LLATiON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF DECATUR EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ��1 CIVIC CENTER PLAZA MAIL l� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE DECATUR, IL 62523 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE N S��E COMPANY BY: aCQRd 25-5 190 �At�#t�CQRP4RATIQP119�i1