Laserfiche WebLink
,4`�oma® CERTIFICATE OF LIABILITY INSURANCE DATE/2021 /YYYY) <br /> 01/29/2021 <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 CONTACT <br /> Marsh Risk&Insurance Services NAME: <br /> CA License#0437153 PHC No. <br /> o Ext), ac No: <br /> 633 W.Fifth Street,Suite 1200 E-MAIL <br /> Los Angeles,CA 90071 ADDRESS: <br /> Attn:LosAngeles.CertRequest@Marsh.Com INSURER(S)AFFORDING COVERAGE NAIC# <br /> CN101348564-STND-GAUE-20-21 01 2023 INSURER A:ACE American Insurance Company 22667 <br /> INSURED AECOM INSURER B:N/A N/A <br /> AECOM Technical Services,Inc. INSURER C:Illinois Union Insurance Co 27960 <br /> 303 E.Wacker Drive,Suite 1400 INSURER D:SEE ACORD 101 <br /> Chicago,IL 60601 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: LOS-002533847-01 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 POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE ADDL SWvp UBR POLICY NUMBER MM DDIIYYYY MM DD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY HDOG7123311A 04/01/2020 04/01/2021 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE M OCCUR PREM ES(RENTED <br /> PREMISES Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY JECOT- F—]LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY ISA H25301730 04/01/2020 04/01/2021 COMBINED SINGLE LIMIT <br /> Ea accident $ 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB Id CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> D WORKERS COMPENSATION SEE ACORD 101 04/01/2021 X PEROTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N 100,000 <br /> OFFICER/MEMBEREXCLUDED? N/A E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under 100,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C ARCHITECTS&ENG. EON G21654693 005 04/01/2020 04/01/2021 Per Claim/Agg 1,000,000 <br /> PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Re:ELLEN AND DIVISION-INFLOW AND INFILTRATION(1&1)PROGRAM-PHASE 2 CITY PROJECT 2018-01 <br /> The City of Decatur and its officers and employees are named as additional insured for GL&AL coverages,but only as respects work performed by or on behalf of the named insured and where required by written <br /> contract.This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to <br /> the GL&AL coverages. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Decatur Public Works Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> #1 Gary K.Anderson Plaza-3rd Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Decatur,IL 62523 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh Risk&Insurance Services <br /> James L.Vogel y ^rte_ <br /> @ 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />