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Exhibit G <br /> ACO® CERTIFICATE OF LIABILITY INSURANCE %29/1202""1"") <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 WANED,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 1-800-300-0325 CONTACT NAME: Leslie Babcock <br /> Holmes Murphy & Assoc - CR PHONE FAX <br /> 1-800-527-9049 A/C No): <br /> E-M <br /> 201 First Street BE, Suite 700 ADDAIL <br /> INSURERS AFFORDING COVERAGE NAIC 0 <br /> Cedar Rapids, IA 52401 INSURERA: XL SPECIALTY INS CO 37885 <br /> INSURED INSURER 8: <br /> WHIGS & Co. <br /> INSURER C: <br /> P.O. Box 1467 INSURER 0: <br /> INSURER E: <br /> Mason City, IA 50402-1467 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 63859692 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 ADDLSUBR <br /> LTR TYPE OF INSURANCE POUCY NUMBER POLICY EFF POLICY EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO RENTEff- <br /> _ <br /> CLAIMS-MADE D OCCUR PREMISES rre ce $ <br /> MED EXP(Any one $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY❑JEC ElLOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMeBIIN SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS — <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Par accident <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LU1B CLAIMS-MADE AGGREGATE S <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY STATUTE R <br /> ANYPROPRIETORMARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICERIMEMSEREXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below AE.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liability DPR9961719 07/29/21 07/29/22 Per Claim 2,000,000 <br /> (Claims-Made Policy) Aggregate 4,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks ScheduN,may be attached H more space is required) <br /> Project: Garfield Ave TAU 7369- Section No.: 20-00022-00-BR, Decatur, Illinois <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Decatur, IL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> #1 Gary R. Anderson Plaza AUTHORIZED REPRESENTATIVE <br /> Decatur , IL 62523-1196 ��/(� �jj��,-f, <br /> USA <br /> ®1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> MTrotterCR <br /> c2ococoo <br />