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ACORN DATE/2022 /YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> ��. 1o/os/2o22 <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 Marsh Risk&Insurance Services <br /> Marsh Risk&Insurance Services NAME: <br /> PHONE FAX <br /> CA License#0437153 A/c No ExtI: ('VC,No): <br /> 633 W.Fifth Street,Suite 1200 -ADDRESS: Newportbeach.CertRequest@marsh.com <br /> Los Angeles,CA 90071 <br /> Attn:LosAngeles.CertRequest@Marsh.Com INSURERS AFFORDING COVERAGE NAIC# <br /> CN 101 348564-STN D-GAUE-22-23 10 2022 INSURER A:ACE American Insurance Company 22667 <br /> INSUREDAECOM INSURER B:N/A N/A <br /> AECOM Technical Services,Inc. INSURER C:Illinois Union Insurance Co 27960 <br /> 303 E.Wacker Drive,Suite 1400 INSURER D:SEE ACORD 101 <br /> Chicago,IL 60601 <br /> INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: LOS-002641794-01 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 NUMBER MM <br /> LICY EFF POLICY EXP <br /> LTWVD R IDD/YYYY MMIDD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY HDOG72489974 04/01/2022 04/01/2023 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE �OCCUR PREMISES Eaocou ence $ 1,000,000 <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 1-1PRC JECT F-1LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> PRO- <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY ISA H25564959 04/01/2022 04/01/2023 COMBINEDINGLELIMIT <br /> Ea ccidentS $ 1,000,000 <br /> a <br /> X1ANY 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 Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> D WORKERS COMPENSATION SEE ACORD 101 / / 04/01/2023X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE I ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 <br /> OFFICER/MEMBER EXCLUDED? F N/A <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 I I I I E.L.DISEASE-POLICY LIMIT $ <br /> C ARCHITECTS&ENG. EON G216546"005 04/01/2022 04/01/2023 Per Claim/Agg 1,000,000 <br /> PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re:Ellen and Division Final Design Engineering Agreement CP 21-01 <br /> BASIN 5&6 SEWER SEPARATION FINAL DESIGN-OAKLAND AND GRAND AREA;CITY PROJECT 2021-01 <br /> CERTIFICATE HOLDER CANCELLATION <br /> The City of Decatur,Illinois SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Attn:Paul Caswell,City Engineer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1 Gary K.Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Decatur,IL 62523-1196 <br /> AUTHORIZED REPRESENTATIVE <br /> Ztn �'ia&&9�auna�ue Smcvieed <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />