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x.--44 EXHIBIT C ARCHEXP-01 MERSA1 <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE P <br /> ATE(MM/DD/YYYY) <br /> 3/14/2023 <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 CONTACT Sabrana Merriman <br /> NAME: <br /> First Mid Insurance Group PHONE FAX <br /> 1090 South Route 51 (A/C,No,Ext): (A/c,No): <br /> Forsyth,IL 62535 ADDRIESS:smerriman@firstmid.com <br /> INSURERS AFFORDING COVERAGE NAIC S <br /> INSURER A:Accident Fund Insurance Co. 10166 <br /> INSURED INSURER B: <br /> Architectural Expressions,LLP INSURER C: <br /> 113 Illini Drive INSURER D: <br /> Forsyth,IL 62535 <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 ADD,SUBR POLICY NUMBER MPOLICY EFF POLICY EXPLTR LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMI ESE r $_. <br /> MED EXP(Any one rson <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> JECOT- LOC PRODUCTS-COMP/OP AGG <br /> POLICY F1 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY Per person $ <br /> OWNED L SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> AUTOS ONLY AUTOS ONLY PPeOracEciRdent AMAGE $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED I I RETENTION$ <br /> A WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY WCP100081089 111/2023 1/1/2024 TAT TE R 11000,000 <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? � N/A <br /> (Mandatory in NH) E.L.DISEASE_-EA EMPLOYE $ 1'000'000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) III <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 /> Cit Of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Matt Newell <br /> 1 Gary K Anderson Plaza <br /> Decatur,IL 62523 AUTHORIZED_REPyRyES�ENN�TATIVE <br /> I� <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />