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�--� EXHIBIT C ARCHEXP-01 MERSA1 <br /> CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) <br /> 3//14/214/2023 <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 NON ERCT Sabrana Merriman <br /> First Mid Insurance Group PHONE FAX <br /> 1090 South Route 51 (Arc,No,Ext): (A/c,No): <br /> Forsyth,IL 62535 noDRIESS:smerriman@firstmid.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Accident Fund Insurance Co. 10166 <br /> INSURED INSURER B: <br /> Architectural Expressions,LLP INSURERC: <br /> 113111ini Drive INSURER D: <br /> Forsyth,IL 62535 - <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS 1S 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 <br /> D LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE E]OCCUR DAMAGML <br /> E_SE ERENTED <br /> n <br /> MED EXP(Any oneperson) <br /> PERSONAL&ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY El jECOT 171 LOC PRODUCTS-COMPrOP AGG <br /> OTHER: <br /> AUTOMOBILE LIABILITY Ea MBI EDitSINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS ONLY AUTOS � <br /> AUTOS ONLY AUTO ONEY PPeoacEclde^t AMAGE $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION$ <br /> A WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y 81089 1/1/2023 1/1/2024 STATUTE <br /> WCP1000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1+���+��� <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) 1,000,000If yes,describe under E.L.DISEASE-EA EMPLOYEE <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000+000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> EXCLUDED OFFICERS UNDER WORKERS COMPENSATION:Jim Fouse,Lawrence Livergood,Brian Kesler,J Ryan Anderson and Patrick Corrigan <br /> RE:All Work <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Matt Newell ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1 Gary K Anderson Plaza <br /> Decatur,IL 62523 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 />