R2024-27 Resolution Accepting the Bid and Authorizing the Execution of a Contract with C-Hill Civil Contractors, Inc and Appropriating Motor Fuel Tax Rebuild Illinois (RBI) Funds for the Grove Road Bridge over Sand Creek Arm of Lake Decatur

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A C-HICIV-01 BDOYLE A��/?O CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 2/2/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME: Braden Doyle First Mid Insurance Group PHONE Fax 1090 South Route 51 (A/C,No,Ext):(217)859-7037 (AIC,No). Forsyth,IL 62535 ADDRIEss:bdoyle@firstmid.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:BITCO General Insurance Corporation 20095 INSURED INSURER B:Navigators Insurance Company 42307 C-Hill Civil Contractors,Inc INSURERC: 213 Dean St,PO Box 58 INSURER D: Campbell Hill,IL 62916 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS DYL A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE '• OCCUR CLP3735326 10/1/2023 10/1/2024 P=GETRENcEence $ 300,000 ISEStE.MED EXP(Any oneperson) $ 10,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY FX PRCOT- X� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 ' OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO CAP3735325 10/1/2023 10/1/2024 BODILY INJURY Perperson) $ OWNEDSCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED �( A r6S yNED PROPERTY AMAGE $ AUTOS ONLY AUTOS ONLY (Per accident B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE CH23EXCZOFBBMIC 10/1/2023 10/1/2024 AGGREGATE $ 5,000,000 DED RETENTION$ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N WC3735327 10/1/2023 10/1/2024 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [y] E.L.EACH ACCIDENT $ NSA W.FICER/MEMBER EXCLUDED? ndatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 11000,000 A Leased/Rented Equip CLP3735326 10/1/2023 10/1/2024 Limit 600,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) EXCLUDED OFFICERS UNDER WORKERS COMPENSATION:Stephen Brock and Matthew Rodewald RE:City Project 2019-33,Section 19-00934-00-BR,(FAU 7401)Grove Road over Sand Creek Arm Lake Decatur CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. #1 Gary K.Anderson Plaza Decatur,IL 62523 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD