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AC Ro " CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) <br /> 1/25/2024 <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 <br /> Holmes Murphy&Associates PHONE Audre McNeil FAx <br /> 2727 Grand Prairie Parkway - 309-282 3907 A/c No): <br /> Waukee IA 50263 aooae s: amcneill@holmesmurphy.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A: Em to ers Mutual Casualty Company 21415 <br /> INSURED CRAMURPC INSURERS:Travelers Property Casualty Co.America 25674 <br /> Crawford, Murphy&Tilly, Inc. <br /> CMT North America, Inc. INSURER C:Aspen Specialty Insurance Company 10717 <br /> 2750 West Washington INSURER D:XL Specialty Insurance 37885 <br /> Springfield IL 62702 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1852463486 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 ADDL SUERPOLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY 5D57480 1/1/2024 1/1/2025 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 <br /> 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 <br /> PRO 7 [7] LOC <br /> PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 5E57480 1/1/2024 1/1/2025 EOa MBINED LIMIT $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS ONLY AUTOS ( 1 <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A X UMBRELLALIAS X OCCUR 5J57480 1/1/2024 1/1/2025 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAR CLAIMS-MADE ( AGGREGATE $10,000,000 <br /> DED X RETENTION$in nrlD $ <br /> A WORKERS COMPENSATION 5T57480(NJ) 1/1/2024 1/1/2025 X I PER OTH- <br /> B AND EMPLOYERS'LIABILITY Y/N 6JUB6R19963724(IL) 1/1/2024 1/1/2025 STAT <br /> UTE ER <br /> A ANYPROPRIETOR/PARTNER/EXECUTIVE 5M57480(FL) 1/1/2024 1/1/2025 E.L.EACH ACCIDENT $1,000,000 <br /> A OFFICER/MEMBEREXCLUDED? N N/A 5H57480 1/112024 1/1/2025 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $1,000,000 <br /> C Pollution Liability EROOYEL24 1/1/2024 111/2025 Claim/Aggregate 2,000,000 <br /> D Professional Liability DPR5022322 1/1/2024 1/1/2025 Each Claim 5,000,000 <br /> Each Claim Aggregate 7,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it 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 /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CITY OF DECATUR ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1 GARY K ANDERSON PLAZA <br /> DECATUR IL 62523 AUTHORIZED REPRESENTATIVE <br /> USA <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />