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7 ® DATE(MM/DD/YYYY)
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCEF
<br /> 3/26/2018
<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 is an ADDITIONAL INSURED,the pollcy(ies) 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 CONTACT
<br /> Ansay&Associates, LLC. PHONE Susan Simoneau FAX
<br /> 702 N. High Point Road •800-643-6133 AC,
<br /> c No):608-831-4777
<br /> Suite 201 ADDRESS: sue.simoneau@ansay.com
<br /> Madison WI 53717 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:CNA Insurance Companies 35289
<br /> INSURED STRAASS-01
<br /> INSURERB:
<br /> Strand Associates, Inc
<br /> 910 W.Wingra Drive INSURER C:
<br /> Madison WI 53715 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 135456679 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. NOTWITHSTANDING 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 AFFORDED 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 /> INSR TYPE OF INSURANCE ADDL BR POLICY NUMBER MMD
<br /> POLICY EXP
<br /> LTR /L YW D
<br /> MM D/YYYY LIMITS
<br /> A GENERAL LIABILITY Y 5099170076 1/1/2018 1/1/2019 EACH OCCURRENCE $1,000,000
<br /> 4701
<br /> DA A T R NTEMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $900,000
<br /> CLAIMS-MADE LKOCCUR MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> X Blkt.Contractua GENERAL AGGREGATE $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
<br /> POLICY21 PRO- LOC $
<br /> A AUTOMOBILE LIABILITY Y 5099170062 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT
<br /> Ea accident $1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS PROPERTY DAMAGE $
<br /> IX HIRED AUTOS IX
<br /> AUTOS ED Per accident
<br /> A X UMBRELLA LIAB X OCCUR Y 5099170059 1/1/2018 1/1/2019 EACH OCCURRENCE $2,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000
<br /> DED I X I RETENTION$10,000 $
<br /> A WORKERS COMPENSATION WC595126844 1/1/2018 1/1/2019 1 TORY WC STIMITS I OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Professional Liability AEH113974097 7/11/2017 7/11/2018 Each Claim 2,000,000
<br /> Full Prior Acts A regale 2,000,000
<br /> Full Prior Acts
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> PROJECT: Water System Modeling and Chlorine Residual Maintenance Plan
<br /> PROJECT* P180.136
<br /> The City of Decatur and its officers and employees are named as additional insureds
<br /> on a primary and non-contributory basis as per written agreement.
<br /> Thirty(30)days written notice of any material change,cancellation or non-renewal,except in the
<br /> case of cancellation for non-payment of premium,in which case will be ten(10)days,will be given
<br /> to the Certificate Holder.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Decatur
<br /> #1 Gary K.Anderson Plaza AUTHORIZED REPRESENTATIVE
<br /> Decatur IL 62523-1196
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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