R2024-274 Resolution Authorizing a Professional Services Agreement with Paul’s Machine and Welding Corp., to Provide Engineering, Labor and Material to Rebuild the Sluice Gate Hoist Machinery Frame for the Lake Decatur Dam North Sluice Gate

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r° A�RLO CERTIFICATE OF LIABILITY INSURANCE DATE{M07/255/202/202YYYj 4 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 T` CONTACT NAME: Terry Reno GTPS Insurance PHONE 2173599000 FAX 1311 S.Neil St. ArC No Ext): arc No): Champaign,IL 618206558 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Western National 15377 INSURED Paul's Machine&Welding Corp INSURER B: Lloyd's 32727 650 N Sycamore St INSURER C: Villa Grove,IL 61956 INSURER D INSURER 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 I TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MWDD MWDD A '.�/ COMMERCIAL GENERAL LIABILITY CPP 1045060 08116/2023 08/16/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS-MADE 6/ OCCUR PREM SES Ea ocouenre $ 100,000 MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ✓ POLICY JE O LOG PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPP 1045060 1 08/16/2023 08/16/2024 COMBINED SINGLE LIMIT $ _1.000,000 1 Ea accident) ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident I I $ A UMBRELLA UAB i/ OCCUR CPP 1045060 08/16/2023 08116/2024 EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE j AGGREGATE $ 5,000,000 DED ✓ RETENTION$-CLAIMS-MADE' -10000.00 1 $ A WORKERS COMPENSATION CPP 1045060 08/16/2023 08/1612024 V PER OTH- ,ANDEMPLOYERS'LIABILrrY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B professional liability PLC-01458-00 08/16/2023 08116/2024 prof.liab 1 1,000,000 A leased/rented equipment CPPI045061 08/16/2023 08/16/2024 equipment I 300;000 A riggers liability j CPPI045061 08/16/2023 08/16/2024 riggers liab. 500.000 DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Decatur ACCORDANCE WITH THE POLICY PROVISIONS. #1 Gary Anderson Court g Decatur,IL 62523 AUTHORIZED REPRESENTATIVE t O 1888-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD