2016-66 AUTHORIZING CONSUMPTION OF ALCOHOLIC LIQUOR ON PUBLIC RIGHTS-OF-WAY - DECATUR AREA ARTS COUNCIL BREW HA HA

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ACO� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �� 8/24/2016 �� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an AODITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rlghts to the certificate holder in Ileu of such endorsement s. PRODUCER CONTACT NAM : Arthur J.Gallagher Risk Management Senrices, inc. PHaNE .630-595-5300 Fi°'� .630-694-4401 101 S. Main Street,Suite 200 E-MAIL Decatur IL 62523 .certrequests@ajg.com INSURER S AFFORDING COVERAGE NA�C q iNsuRERn:Frankenmuth Mutual Insurance Com an 13986 INSURED INSURER 8: Decatur Area Arts Counci) INSURER C: 125 N.Water INSURER D: Decatur IL 62523 �NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:432579584 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEI�W HAVE BEEN ISSUED TO THE INSURED NAMEO 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. INSR POLICY EFF POLICY EXP lTR TYPE OP INSURANCE INSD WVD POLICY NUMBER MM/DDlYYYY MMlDD LIMITS A X COMMERCIALGENERALLIABILITY CPP6217831 4/1/2016 4/1/2077 EqCHOCCURRENCE 51,000,000 DAMA E T�t -D CLAIMS-MAOE X OCCUR PREMISES Ea occurrence $ MED EXP(My one person) 85,000 PERSONAL&ADV INJURY 51,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY�PR� �LOC PRODUCTS-COMP/OPAGG $2,000,000 JECT OTHER: 3 A AUTOMOBILELIABILITY BA6217831 4H/2016 4/1/2017 Eaaccident $1,000,000 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED � AUTOS AUTOS BODILY INJURY(Per amideM) $ X HIRED AUTOS X AUTOS�ED PR PERTY A E $ Per accide�t 3 A X UMBRELtA uae X OCCUR CPP6217831 4/1/2016 4/1/2017 EqCH OCCURRENCE $1,000,000 EXCESSiJA6 CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTIONSO $ q WORKERSCOMPENSATION WC8217831 4/1/2016 4/1/2017 PER OTH- AND EMPLOYERS'LIABIUTY Y�N X STATUTE ER ANY PROPRIETOR/PAR7NER/EXECUTIVE E.L EACH ACCIDENT $500,Q00 OFFICER/MEMBER EXCLUDED? � N�A �Mandatory in NH) E.L.DISEASE-EA EMPLOYE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS beiow E.L.OISEASE-POLICY LIM�T $500,000 A Liquor Liability CPP6217831 4/i/2016 4/1/2017 Occ&Agg 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 107,Additlo�a�Remarks Schodule,may be altached if more apace is requlred) City of Decatur is named as additional insured for the liability evidenced above rising from the operations of the named insured for Brew Ha Ha: Saturday, September 24th,2016, 125 N Water St., Decatur, IL 62523. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE Wll� BE DELIVERED IN 1 Gary K.Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Decatur IL 62523 AUTHORIZED REPRESENTATIVE � ��'�� �1988-2014 ACORD CORPORATION. All rights reserved. _ACORD 25(2014l01) The ACORD name and logo are registered marks of ACORD