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A� CERTIFICATE OF LIABILITY INSURANCE DATE/2021 mYY) <br /> 06/09/2021 <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(les)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 James Vogel <br /> Marsh Risk&Insurance Services <br /> CA License#0437153 ac Nr o Ext): 213-346-5098 WC No): 212-948-0533 <br /> 633 W.Fifth Street,Suite 1200 E-MAIL James.l.vo el marsh.com <br /> Los Angeles,CA 90071 ADDRESS: g @ <br /> Attn:LosAngeles.CertRequest@Marsh.Com INSURERS AFFORDING COVERAGE NAIC# <br /> CN1 01 348564-STND-GAUE-21-22 06 2023 INSURER A:ACE American Insurance Company 22667 <br /> INSURED INSURER B:N/A N/A <br /> AECOM <br /> AECOM Technical Services,Inc. INSURER C:Illinois Union Insurance Co 27960 <br /> 303 East Wacker Drive,Suite 1400 INSURER D:SEE ACORD 101 <br /> Chicago,IL 60601 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: LOS-002549723-01 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR IN POLICYNUMBER MM/DD/YYYY MM/DDIYYYY <br /> A X COMMERCIAL GENERAL LIABILITY HDOG72486304 04/01/2021 04/01/2022 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO 1,000,000 <br /> PREMISESS(Ea occurrence $ <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 ❑ LOC <br /> PRO- <br /> JECT PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY ISA H25549211 04/01/2021 04/01/2022 COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <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 ac.2t $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> D WORKERS COMPENSATION SEE ACORD 101 1 02 04/01/2022 XPER oTH- <br /> AND EMPLOYERS'LIABILITY STATUTEI ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N 2,000,000 <br /> OFFICE R/MEMBEREXCLUDE D7 ❑N NIA E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> If yes,describe under 2,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C ARCHITECTS&ENG. LION G21654693 005 04/01/2021 04/01/2022 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:Basin 5&6 Sewer Separation Study-Oakland and Grand Area-City Project 2021-01 <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 <br /> @ 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />