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Exhibit E <br /> A4 R�� CERTIFICATE OF LIABILITY INSURANCE 10/22/2020 y' <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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER 1-800-527-9049 CONTACT Linda Bomarito / Rachel Stein <br /> Holmes Murphy and Associates PHONE 309-282-3903 FAX 866-501-3945 <br /> - Peoria a E t• AIC No <br /> EMAIL lbomarito@holmesmurphy.com <br /> 311 S.W. Water Street ADDRESS: rp y•com <br /> Suite 212 INSURERS AFFORDING COVERAGE NAIC# <br /> Peoria, IL 61602-4108 INSURERA:TWIN CITY FIRE INS CO CO 29459 <br /> INSURED INSURER B:HARTFORD ACCIDENT & IND CO 22357 <br /> Clark Dietz, Inc. SENTINEL INS CO LTD <br /> INSURER C: 11000 <br /> 125 West Church Street INSURERD:XL SPECIALTY INS CO 37885 <br /> INSURER E: <br /> Champaign, IL 61820 <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:60543206 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 ADDL SUBR POLICY <br /> LTR TYPE OF INSURANCE POLICY NUMBER MM ODIIYYYY MMfDD EXP Limits <br /> A X COMMERCtALGENERAL LIABILITY 84SBWAC5926 11/01/20 11/01/21 EACH OCCURRENCE S 1,000,000 <br /> CLAIMS-MADE FIOCCUR PREMISES Ea occurrence S 1,000,000 <br /> MED EXP(Anyone person) S 10,000 <br /> PERSONAL&ADV INJURY S 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 <br /> POLICY Ifl PR LOC <br /> -PRODUCTS-COMPIOPAGG 5 2,000,000 <br /> OTHER: S <br /> B AUTOMOBILELIABIUrY 83UEGZV4783 11/01/20 11/01/21 COMBINED SINGLE LIMIT S <br /> Ea accident 1,000,000 <br /> Ix <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED BODILY INJURYAUTOS ONLYAUTOS (Per accident) S <br /> HIRED f <br /> NON-OWNED PROPERTYOAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> 5 <br /> A X UMBRELLALIAB X OCCUR 84SBWAC5926 11/01/20 11/01/21 EACH OCCURRENCE S 5,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S 5,000,000 <br /> DED X 1 RETENTIONS 1D,000 S <br /> C WORKERS COMPENSATION 84WEGAJ1H5Z 11/01/20 11/01/21 X STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y I N <br /> ANYPROPRIETORIPARTNERIEXECUTWEa N f A E.L.EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S 1,000,000 <br /> D Professional Liability DPR9968076 11/01/20 11/01/21 Each Claim 5,000,000 <br /> Claims Made Aggregate 5,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> Project: Engineering Services and Sewer Studies Project <br /> The City of Decatur and its officers and employees are named as additional insureds as it pertains <br /> to the General Liability Insurance policy on a primary and non-contributory basis. A 30-day <br /> notice of cancellation applies. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1 Gary R. Anderson Plaza AUTHORIZED REPRESENTATIVE <br /> Decatur, IL 62523 <br /> USA l�!/lrI.GC N�!ra <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> lbomaritoil <br /> cnce1eAc E-1 <br />