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DUNNCOM-01 MMA EY <br /> .44coRo CERTIFICATE OF LIABILITY INSURANCE DAT/1312D/Y1 <br /> 7/13/2021 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTWICATE 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 /> MF <br /> NTACT Randy Taylor <br /> PRODUCER NCAO <br /> First Mid Insurance 1090 South Route 5Group (A/c,No,Ext): <br /> ;(217)859-7033 (AAic,No):(217) 877-0795 <br /> Forsyth,IL 62535 e-M RIE :rtaylor@firstmid.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:West Bend Mutual Insurance Company 15350 <br /> ' INSURED INSURER B: <br /> Dunn Company,a Division of Tyrolt Inc INSURER C: <br /> 724 North Mercer INSURER D: <br /> ' Decatur,IL 62522 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS <br /> A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000°000 <br /> CLAIMS-MADE a OCCUR DAMAGE TO RENTED <br /> A210838 1/1/2021 1/1/2022 a occurrence $ 500,000 <br /> MED EXP(Any oneperson) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1'000'000 <br /> ' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY❑X PE� ❑X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> FFF OTHER: $ <br /> ' A AUTOMOBILE LIABILITY COMBINEDISINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO A210838 1/1/2021 1/1/2022 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> —� <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 <br /> ' EXCESS LIAB CLAIMS MADE A210838 1/1/2021 1/1/2022 AGGREGATE $ 10,000,000 <br /> DED I X RETENTION$ 0 $ <br /> A WORKERS COMPENSATION PER ETH- <br /> AND EMPLOYERS'LIABILITY �,/N X TAT TE R <br /> A210843 1/1/2021 1/1/2022 1,000 000 <br /> ' ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT $ _' <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Rented Equip A210838 1/1/2021 1/1/2022 Limit 690,000 <br /> ' A Installation Floater A210838 1/1/2021 1/1/2022 Limit 35,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:Country Club&Airport Road Reconstruction,Section#21-00133-00-PV,Macon County,Route FAU 7452 <br /> t <br /> CERTIFICATE HOLDER CANCELLATION <br /> ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Ci of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1 Gary K.Anderson Plaza <br /> ' Decatur,IL 62523 <br /> AUTHORIZED REPRESENTATIVE <br /> ' ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />