2017-13 Consumption of Alcoholic Liquor in Central Park Decatur Area Arts Council

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ACC>R©® CERTIFICATE OF LIABILITY INSURANCE 2/10i2017 DmYY) 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 ADDITIONAL INSURED,the policy(les)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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Arthur J. Gallagher Risk Management Services,Inc. PHONE 630-595-5300 FAX 630-694-4401 101 S.Main Street,Suite 200 E-MAIL Decatur IL 62523 certrequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC N INSURERA:Frankenmuth Mutual Insurance Com an 13986 INSURED INSURER B: Decatur Area Arts Council INSURER C: 125 N.Water INSURER D Decatur IL 62523 INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER:750961024 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES 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. 1L7ft TYPE OF INSURANCE INSD tWD POLICY NUMBER POLICYEFF MWDDIYY Y LIMITS A X COMMERCIAL GENERAL LIABILITY CPP6217831 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X PREMDAMOCCUR ET RET D REMI ES Ea occurrence $ MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO LOC [PRODUCTS-COMP/OP AGG $2.000,000 JECT OTHER: $ A AUTOMOBILE LIABILITYINFOINGLE LIMIT BA6217831 4/1/2016 4/1/2017 Eaacctdant $1,000,000 ANY AUTO BODILY INJURY(Per person) $ AALLOOS OWN SCHEDULED SSCCHEEAUTOSDULED BODILY INJURY(Per accident) $ Ix HIREDAUTOS X NONONMED P PERT DA A E $ AUTOS Per accident $ A X UMBRELLALIABX OCCUR CPP6217831 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $1,000,000 DED X I RETENTIONSO 5 A WORKERS COMPENSATION WC6217831 4/1/2016 4/1/2017X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETORIPARTNEWEXECUTIVE ❑NIA E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatary in NH) E.L.DISEASE-EA EMPLOYE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000 A Liquor Liability CPP6217831 4/1/2016 4/1/2017 Occ&Agg 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Decatur is named as additional insured for the liability evidenced above rising from the operations of the named insured for Arts in Central Park to be held in Central Park, 260 N. Water, Decatur, IL 62523 on: Friday, September 15th Saturday, September 16th Sunday, September 17th CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL 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 26(2014101) The ACORD name and logo are registered marks of ACORD