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0 DATE(MM/DD/YYYY)
<br /> AC�
<br /> � CERTIFICATE OF LIABILITY INSURANCE 09/01/2023
<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 1-800-527-9049 CONTNAME: Audrey McNeill
<br /> Holmes Murphy & Associates - IL PHONE FAX
<br /> IC
<br /> No Ext: 309-282-3907 ac No): 866-501-3945
<br /> E-MAIL amcneill@holmesmu h com
<br /> 6035 N. Knoxville ADDRESS: rP Y•
<br /> Suite 103A INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Peoria, IL 61614 INSURERA: EMPLOYERS MUT CAS CO 21415
<br /> INSURED INSURER B: TRAVELERS PROP CAS CO OF AMER 25674
<br /> Crawford, Murphy & Tilly, Inc. INSURER CCOLONY INS CO 39993
<br /> CMT North America, Inc.
<br /> 2750 West Washington INSURER D: XL SPECIALTY INS CO 37885
<br /> INSURER E:
<br /> Springfield, IL 62702 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 69544529 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 EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY i5D57480 01/01/23 01/01/24 EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO CLAIMS-MADE � OCCUR PREMISES Ea occurrence) $ 1,000,000
<br /> X Sev of Int MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY�JECTPRO [:] LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> PRO-
<br /> OTHER: Valuable Papers $ 1,000,000
<br /> SE57480 01/01/23 01/01/24 COMBINED SINGLE LIMIT
<br /> A AUTOMOBILE LIABILITY $ 1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A X UMBRELLA LIAB X OCCUR 5J57480 01/01/23 01/01/24 EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000
<br /> DEDX RETENTION$ 101000 $
<br /> A WORKERS COMPENSATIONSM57480 (FL) 01/01/23 01/01/24 X STATUTE EORH
<br /> AND EMPLOYERS'LIABILITY
<br /> A ANYPROPRIETOR/PARTNER/EXECUTIVE N/A 5H57480 01/01/23 01/01/24 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBEREXCLUDED? 01/01/24 1,000,000
<br /> B (Mandatory in NH) 6JUB6R19963 (IL) 01/01/23 E.L.DISEASE-EA EMPLOYEE $
<br /> A describe under
<br /> DESCRIPTION OF OPERATIONS below 5T57480 (NJ) 01/01/23 01/01/24 E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> DES
<br /> C Pollution Liability CSP4223613 01/01/23 01/01/24 Claim / Aggregate 2,000,000
<br /> D Professional Liability DPR5006413 01/01/23 01/01/24 Each Claim 5,000,000
<br /> Each Claim lAggregate 7,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> THE CITY OF DECATUR IS NAMED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY, AUTO LIABILITY, AND
<br /> UMBRELLA LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT, PER POLICY TERMS AND CONDITIONS.
<br /> A 30 DAY NOTICE OF CANCELLATION APPLIES TO THE GENERAL LIABILITY, AUTO LIABILITY, UMBRELLA LIABILITY,
<br /> AND WORKERS COMPENSATION POLICIES AS REQUIRED BY WRITTEN CONTRACT, PER POLICY TERMS AND CONDITIONS.
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1 GARY K ANDERSON PLAZA AUTHORIZED REPRESENTATIVE
<br /> DECATUR, IL 62523
<br /> USA
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> AR070002
<br /> 69544529
<br />
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