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DUNNCOM-01 HSCHOREY <br /> ACORO� CERTIFICATE OF LIABILITY INSURANCE EDATE(MM/DD/YYYY) <br /> 7/30/2024 <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 NOME CT Holli Schorey <br /> First Mid Insurance Group PHONE FAX <br /> 1090 South Route 51 (A/C,No,Ext): (217) 859-7047 (A/c,No):(217) 877-0795 <br /> Forsyth, IL 62535 ADDRIE :hschorey@firstmid.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:West Bend Insurance Company 15350 <br /> INSURED INSURER B <br /> Dunn Company,a Division of Tyrolt Inc INSURER C <br /> 724 North Mercer INSURER D <br /> Decatur,IL 62522 <br /> INSURER E <br /> INSURER F: 1191 <br /> COVERAGES CERTIFICATE NUMBER: 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 /> WSR ADDL SUER POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> LTR INSD WVD MM/DD/YYYY MM/OD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY 1,000,000 <br /> EACH OCCURRENCE $ <br /> CLAIMS-MADE I TEOCCUR X A210838 1/1/2024 1/1/2025 PREMIISES(Ea oAMAGE TO ccur ence) $ 500'000 <br /> MED EXP(Any oneperson) $ 10'000 <br /> ' PERSONAL&ADV INJURY $ 1'000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 <br /> POLICY❑X JE FX LOC PRODUCTS-COMP/OP AGG $ 2'000'000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> X ANY AUTO A210838 1/1/2024 1/1/2025 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 10'000'000 <br /> EXCESS LIAB CLAIMS-MADE A210838 1/1/2024 1/1/2025 AGGREGATE $ 10'000'000 <br /> DED I X I RETENTION$ 0 $ <br /> A WORKERS COMPENSATIONX PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N 8210843 1/1/2024 1/1/2025 TAT TE ER - 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EN—] N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) 1,000,000 <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Rented Equipment A210838 1/1/2024 1/1/2025 Limit 1,100,000 <br /> A Installation Floater A210838 1/1/2024 1/1/2025 Limit 35,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:City Project 2024 State Motor Fuel Tax Street Improvement-Various Streets-Macon County-Street Restoration,Section No.24-00408-00-FP <br /> City of Decatur and City Project 2024 State Motor Fuel Tax Street Improvement,its officers and employees are named as additional insured under the General <br /> Liability;subject to written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Ci of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1 Gary Anderson Plaza <br /> Decatur,IL 62523 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />