Laserfiche WebLink
A�!�o� CERTIFICATE OF LIABILITY INSURANCE ai2sr�o�Ns�� <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder fs an AQDITIONAL INSURED,the policy(fes)must be endorsed. if SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement s. <br /> PRODUCER CONTAC7 <br /> NAME: <br /> Arthur J. Galiagher Risk Management Services,Inc. PHowE ,630-595-5300 F"" .630-694-4401 <br /> 101 S. Main Street,Suite 200 E�AAAIL <br /> Decatur IL 62523 .certrequests@ajg.com <br /> INSURE S AFPORDING COVERAGE NAIC p <br /> u,suReen:Frankenmuth Mutual insurance Com an 13986 <br /> INSUREO INSURER B• <br /> Decatur Area A�ts Council x�sur�R c: <br /> 125 N.Water <br /> Decatur IL 62523 INSURERD: <br /> INSURER E• <br /> �ISURER F• <br /> COVERAGES CERTIFICATE NUMBER: 1642684415 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE iNSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NONNTHSTANDING 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 AFFORDEO 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 /> 1NSR POLICY EFF POLICY EXP <br /> �7R TYPE OF INSURANCE INSD VWU POLICY NUMBER MMIppryYYY MM/ppryyyy UM�TS <br /> A X COMMERqAL GENERAL LtABIUTY CPP6217831 4/1/2016 4H/2017 E,qCH OCCURRENCE 51,000,000 <br /> CIAIMS-MADE X❑OCCUR � <br /> PREMISES Ea occutrence S <br /> MED EXP(My one person) E5,000 <br /> PERSONAL&AOVINJURY 31,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 <br /> x POLICY�Ea �LOC PRODUCTS-COMP/OPAGG 52.000,000 <br /> OTHER: S <br /> A AUTOMOe1LELiAeILI7Y gqgp��gg� 4l1/2016 4/1/2017 Eaacddent 51,000,000 <br /> ANY AUTO BODILY INJURY(Per person) 3 <br /> AU70S�ED A�OESDULED BODILY INJURY(Per accident) $ <br /> X HIREDAUTOS X q���E� Pef�� A S <br /> S <br /> A X UMBRELLA LIAB X ��R CPP6217831 4!1l2016 Mt/2017 �H OCCURRENCE 5�.000,000 <br /> ���s�6 CLAIMS�-MADE AGGREGATE 51.000,000 <br /> DED X RETENTIONSD y <br /> q WORKERS COMPENSATION WC6217831 4/1/2016 4/t/2017 PER OTH- <br /> AND EAAPLOYERS WIBILRY Y�N X STATUTE ER <br /> ANY PROPRIETORlPARTNERlEXECUTIVE ❑N/A E.L.EACH ACCIDENT 5500,000 <br /> OFFICER/MEMBER EXCLUDED'� � <br /> (MandaWry la NN) E.L.DISEASE-EA EMPLOYE 5500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS 6ebw E.L OISEASE-POUCY UMIT 5500,000 <br /> A Liquor Liability CPP8217831 Mt/2016 4H/2017 Occ&Agg 1,0OO,ODO ' <br /> DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,AddMional Remarks Schedule,may be aMaehed N mon apace Is requirod) �'� <br /> City of Decatur is named as additional insured for the liability evidenced above rising from the operations of the named insured for Arts in � <br /> Central Park: <br /> Friday, September 16th,2016-Noon to 7:30pm <br /> Saturday,September 17th,2016-9:OOam-6:OQpm � <br /> Sunday,September 18th,2016-9:OOam-6:OOpm I, <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Decatur SHOULD ANY OF TME ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1 Gary K.Anderson Plaza ACCORDANCE WITH THE POIICY PROVtS10NS. <br /> DecaturlL 62523 <br /> AUTHORIZED REPRESENTATNE <br /> � z�'-�� <br /> OO 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />