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R2021-148 Resolution to Approve Professional Services Agreement with ADS Environmental Services to Perform the Water Distribution Leak Detection Survey Project, City Project 2021-39
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R2021-148 Resolution to Approve Professional Services Agreement with ADS Environmental Services to Perform the Water Distribution Leak Detection Survey Project, City Project 2021-39
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8/18/2021 9:28:22 AM
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8/18/2021 9:28:18 AM
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Resolution/Ordinance
Res Ord Num
R2021-148
Res Ord Title
R2021-148 Resolution to Approve Professional Services Agreement with ADS Environmental Services to Perform the Water Distribution Leak Detection Survey Project, City Project 2021-39
Department
Public Works
Approved Date
8/16/2021
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ACOORDO CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DDNYYY) <br /> 16.� 08/05/2021 <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 CONTA <br /> MARSH USA INC. NAME: <br /> 540 W.MADISON PHONE FAX <br /> No <br /> CHICAGO,IL 60661 L <br /> ac <br /> EMAI <br /> Attn:Chicago.CertRequest@marsh.com FAX 212 948.0770 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Liberty Mutual Fire Insurance Company 23035 <br /> INSURED <br /> ADS LLC INSURER 13:XL Specialty Company 37885 <br /> 340 The Bridge Street,Suite 204 INSURER C:Liberty Insurance Corporation 42404 <br /> Huntsville,AL 35806 <br /> INSURER o:Indian Harbor Insurance Company 36940 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CHI-009888142-01 REVISION NUMBER: 5 <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 /> /NSR A S POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER M DD MM/DD LIMITS <br /> X COMMERCIAL GENER <br /> A AL LIABILITY T82-681-004088.041 01/01/2021 01/01/2022 EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS MADE OCCURPREMISES Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL 8 ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY 0ECT 7 LOC <br /> PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILELIABILITY A82-681-004088.031 01/01/2021 01/01/2022 COMBINED SINGLE <br /> XLIMIT $ 2,000,0000 <br /> OWNED cddent <br /> X Ea a <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> X <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED X NON-OWNEDPROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY SCHEDULED Per accident $ <br /> $ <br /> X UMBRELLA LIAR X OCCUR US0008789OL121A 01101/2021 01101!2022 <br /> EACH OCCURRENCE $ 2.0 ,000 <br /> EXCESS LIAR CWMS-MADE <br /> AGGREGATE $ 2,000,000 <br /> DED I X I RETENTION$10 000 $ <br /> C WORKERS COMPENSATION WA7.68 004088-511(A ) 1/2022X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> C ANYPROPRIETOR/PARTNER/EXECUTIVE YIN WC7-681-004088.011(WI,OR) 01/01/2021 01/01/2022 2.000,000 <br /> OFFICER/MEMBEREXCLUDED? NI NIA E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> Use describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 <br /> D Professional and Contractors PECO02263314 12131020 12/31/2021 Each Claim/Aggregate 1,000,000 <br /> Pollution Liability Retro Date:04101007 SIR 100,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks schedule,may be attached if more space is required) <br /> RE:Water System Leak Detection Services <br /> City of Decatur and its officers and employees are included as Additional Insured with respect to General and Automobile Liability coverages as required by written contract,subject to policy terms and conditions. <br /> 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. Waiver of Subrogation <br /> is applicable where required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Decatur SHOULD ANY OF THE ABOVE DESCRIBED POLICIF-S BE CANCELLED BEFORE <br /> 1 Gary K.Anderson Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Decatur,IL 62523 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> APTHORIZED REPRESENTATIVE <br /> �12wcal 215 �alcc. <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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