R2024-313 Resolution Authorizing a Professional Services Agreement with Clark Dietz, Inc. to Provide Design Engineering Services for the South Taylorville Road Water Main Replacement Project, City Project 2024-16

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EX111b1t t DATE(MMIDD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 8/20/2024 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 CONTACT NAME: Audrey McNeil Holmes Murphy&Associates PHcONN Ext): 309-282-3907 FAX No 2727 Grand Prairie Parkway E-MAIL Waukee IA 50263 ADDRESS: amcneill@holmesmurphy.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Twin City Fire Insurance Co 29459 INSURED CLADIEPC INSURER B: Hartford Accident and Indemnity Company 22357 Clark Dietz, Inc. 125 West Church Street INSURER c: Sentinel Insurance Company Ltd 11000 Champaign IL 61820 INSURER D:XL Specialty Insurance 37885 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1865625858 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 ADDLJSUBR� POLICTYPE OF INSURANCE IVSD WVD POLICY NUMBER MM DDY EFF POLICY EXP LTR /YYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 84SBWAC5926 11/1/2023 11/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PE LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 84UEGZV4783 11/1/2023 11/1/2024 COMBINED SINGLE LIMIT $1,000,000 (Ea, cien aacient X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIREDX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR 84SBWAC5926 11/1/2023 11/1/2024 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DEDTX RETENTION$ $ C WORKERS COMPENSATION 84WEGAJIH5Z 11/1/2023 11/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y� N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional Liability DP 5020366 11/1/2023 11/1/2024 Per Claim 5,000,000 (Claims-Made Policy) Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Reference:2024-16 Taylorville Road Water Main Replacement Additional Insured only if required by written contract with respect to General Liability,Automobile Liability and Umbrella/Excess Liability applies on a primary basis and the insurance of the additional insured shall be non-contributory:Certificate Holder,Project Owner and Others as required by written contract. Should the above described General Liability,Automobile or Workers'Compensation policies be cancelled before the expiration date,30 Days written notice (10 Days for Non-Payment)will be delivered to the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Decatur 1 Gary K.Anderson Place AUTHORIZED REPRESENTATIVE Decatur IL 62523 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD F_1