R2017-94 Professional Engineering Services Agreement Chastain & Associates, LLC to Complete Design of the McKinley Sewer Rehabilitation Project CP 2017-22

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CHAS&AS-01 HSCHOREY ,4CORO° CERTIFICATE OF LIABILITY INSURANCE PATE(MMIDD/YYYY) 07/27/2017 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(ies)must have ADDITIONAL INSURED provisions or 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 Holli Schorey NAME: J.L.Hubbard Insurance and Bonds PHONE FAX 1090 South Route 51 A/C,No,Ext):(217)877-3344 3244 (AIC,No:(217)877-0795 Forsyth,IL 62535 nI oR1E s:hschorey@jihubbard.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:The Cincinnati Insurance Company 10677 INSURED INSURER B:Accident Fund Insurance CO. 10166 Chastain&Associates LLC _INSURERC: 5 N Country Club Rd INSURER D: Decatur,IL 62521 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUREPP0291693 01/01/2017 01/01/2018 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY FX En F] LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY EOMBINEDISINGLE LIMIT $ 110001000 cd.nX ANY AUTO EBA0291693 01/01/2017 01/01/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIREDX NON OWNED PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS-MADE EPP0291693 01/01/2017 01/01/2018 AGGREGATE $ 6'000'000 DED I X I RETENTION$ 0 B WORKERS COMPENSATIONX PER OTH- AND EMPLOYERS'LIABILITY Y/N WCV6107018 01/01/2017 01/01/201$ STATUTE I I ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ WFICER/MEMBER EXCLUDED? N 1 A andatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT A Rented Equipment EPP0291693 01/01/2017 01/01/2018 Limit 25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: McKinley Ave Project City of Decatur and its Officers and Employees are named as additional insureds under the General Liability on a primary and non-contributory basis;subject to written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit Of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 1 Gary K Anderson Plaza Decatur,IL 62523 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 'LJ / ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD