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Exhibil <br /> --, WHKS&CO-01 CCRAW <br /> ACORO DATE(MMIDD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 8/22/2024 <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 C ST ACT <br /> Edwards-Brandt&Associates <br /> Pv"c°,,"N,Ext:(641)423-0675 A/c No):(641)423-2441 <br /> 2007 4th Street EML <br /> Mason City,IA 50401 DDRAIEss:cindy@edwards-brandt.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:The Travelers Indemnity Company of Connecticut 25682 <br /> INSURED INSURER B:The Phoenix Insurance Company 25623 <br /> WHKS&CO INSURER C:Travelers Property Casualty Company of America 25674 <br /> PO Box 1467 INSURER D: <br /> Mason City,IA 50402-1467 <br /> INSURER E <br /> INSURER F: <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> MM/DD MM DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE x '., OCCUR X 6807N901648 7/1/2024 7/1/2025 DAMAGE TO RENTED n $ 1,000,000 <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 <br /> POLICY n JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT 1,000,000 <br /> X ANY AUTO X BA913833000 7/1/2024 7/1/2025 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> AUTOS ONLY L - <br /> NON-OWNED <br /> ONLYY PPerOacEciRden1 AMAGE $ <br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 <br /> EXCESS LIAB .CLAIMS-MADE CUP7N908416 71/2024 7/1/2025 AGGREGATE 6,000,000 <br /> DED X RETENTION$ 10,000 <br /> B WORKERS COMPENSATION X PTR T ERH- <br /> AND EMPLOYERS'LIABILITY YN '•UB7N908059 7/1/2024 71/2025 11000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE NNIA A E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ' <br /> A Property 680714901648 7/1/2024 7/1/2025 Cyber 50,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Project: Garfield Ave(FAU 7369)over 22nd St <br /> Section No.20-00022-00-BR <br /> Decatur,Illinois <br /> Following forms added for additional insureds: CGD381 -General Liability Blanket Additional Insured Primary and Noncontributory;CAT474 Auto Additional <br /> insured primary and noncontributory; 30 day notice of cancellation is provided <br /> I � <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,IL ACCORDANCE WITH THE POLICY PROVISIONS. <br /> #1 Gary k.Anderson Plaza <br /> Decatur,IL 62523-1196 <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 />