R2024-29 Resolution Accepting the Bid and Authorizing the Execution of a Contract with Reyhan Bros., Inc. dba Sangamo Construction Company and Appropriating Motor Fuel Tax Funds for the West Mound Road Bridge over Stevens Creek

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SANGCON-01 HSCHOREY '4�oRo CERTIFICATE OF LIABILITY INSURANCE El/24/2024 ATE(MYYY) ' 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 NAME CT Holli Schorey First Mid Insurance Group PHONE FAX 1090 South Route 51 (A/C,No,Ext):(217)859-7047 (A/C,No):(217)877-0795 Forsyth,IL 62535 AADMDRESS:hschorey@firstmid.com INSURERS AFFORDING COVERAGE NAIC# ' INSURER A:BITCO General Insurance Corporation 20095 INSURED INSURER B:Travelers Property&Casualty Company of America 255674 Sangamo Construction Company INSURER C: ' 2100 East Moffat Avenue INSURER D: Springfield,IL 62702 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. ILIR NSR TYPE OF INSURANCE ADDL SUBR_ SD WVDPOLICY NUMBER POLICY EFF POLICY EXP S. / D / /YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE iX OCCUR X CLP3738153 12/31/2023 12/31/2024 DAMAGE AMA SETO(Ea ENCU RED $ 300,000 MED EXP(Any oneperson) $ 10,000 ' PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2°000,000 POLICY❑X PE f [:] LOC PRODUCTS-COMP/OP AGG $ 2,000,000 ' OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO CAP3738154 12/31/2023 12/31/2024 Ea accident) $ OWNED SCHEDULED BODILY INJURY(Perperson) $ AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000,000 ' EXCESS LIAB CLAIMS-MADE CUP3738157 12/31/2023 12/31/2024 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN WC3738155 12/31/2023 12/31/2024 X STATUTE ER ' ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? �Y N/A 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below FE.DISEASE-POLICY LIMIT $ 1,000,000 B Rented Equipment QT660477111118038 12/31/2023 12/31/2024 ILimit 1,200,000 1 B Installation Floater QT660477M8038 12/31/2023 12/31/2024 Limit 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) EXCLUDED FROM WORKERS COMPENSATION:Matt Reyhan and Allan Reyhan Jr RE:City Project 2019-33 Mound Road over Stevens Creek(FAU7359)Section No.19-00935-00-BR City of Decatur is named as additional insured under the General Liability;subject to written contract. ' 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 #1 Gary K Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. ' 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