R2021-118 Resolution Accepting the Bid and Authorizing the Execution of a Contract with Dunn Company, A Division of Tyrolt, Inc. for Annual Street Restoration, City Project 2021-08

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DUNNCOM-01 MMASSE .ACORC7" CERTIFICATE OF LIABILITY INSURANCE DALE /YYYY) 6/44120120 21 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 NMT EACT Randy Taylor First Mid Insurance Group 1090 (217 859-7033 FAx ( 17)877-0795 1090 South Route 51 AIC,No:2 Forsyth,IL 62535 1016st rtayfor@_firstmid.com INSURER(Sl AFFORDING COVERAGE NAIC# INSURERA•West Bend Mutual Insurance Company 15350 INSURED I INSURER B• Dunn Company,a Division of Tyroit Inc INSURER C 724 North Mercer INSURER D: Decatur,IL 62522 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY1,000,000 EACH OCCURRENCE�S CLAIMS-MADE o OCCUR X A210838 1/112021 1/1/2022 DAMAGET.ORENTED ense) s 500,000 MED EXP Any oneperson) 10,000 t PERSONAL&ADV INJURY 1,000,000 nGEINL AGGREGATE LIMpIIT APPLIES PER: GENERAL AGGREGATE S 2'000.000 POLICY LX JEC7 L_^J L� PRODUCTS-COMPoOPAGG 2,000,000 OTHER: I I S COMBINEDSINGLELIMIT S 1,000,000 A AUTOMOBILE LIABILITY� F.�1�lU I�'ANY AUTO A210838 1/1/2021 1/1/2022 eOOILY INJURY Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY p BODILY INJURY Per accident S I I AUTOS ONLY AUTI ONLY �2MOaER�Y,DAMAGE ��S I S A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 10,000,000 EXCESS LIAR �'CLAIMS-MADE A210838 111/2021 1/1/2022 AGGREGATE !S 10,000,000 DED I X I RETENTIONS 0 Is A WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY YIN STA 11TF i ERS ANY PROPRIETORIPARTNERIEXECUTIVE 210843 1/1/2021 1!112022 E.L.EACH DENT 1,000,000 O�FFICERIMEEM%gVfl,EXCLUDED? L� N J A �� (Mandatory In NH) E.L�OtSEaSE�EA EMPLored 5 1,000,000 It yes.describe under I1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A Rented EquipA210838 1/1/2021 1H12022 Limit 690,000 A Installation Floater I 210838 1/1/2021 111/2022 Limit 35,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached V more space Is required) RE:City of Decatur Project 2021-08,Various Streets,Macon County,Section 21-00108-00-FP City of Decatur and City of Decatur Project 2021-08 are named as additional insureds under the General Liability;subject to written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NOTIC City of Decatur THE WITH THE POLICYATE OVIS ONS.E WILL BE DELIVERED IN 1 Gary K Anderson Plaza Decatur,It.62523 AUTHORIZED REPRESENTATIVE �_g 'put- ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD