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AC Ro o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> `'.----- 1/5/2026
<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
<br /> NAME: Audrey McNeill
<br /> 2727 Grand Prairie Parkway (ac No.Exti:309-282-3907 FAX
<br /> No):
<br /> Waukee IA 50263 E-MAIL
<br /> ADDRESS: amcneill@holmesmurphy.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Employers Mutual Casualty Company 21415
<br /> INSURED CRAMURPC INSURER B:Aspen Specialty Insurance Company 10717
<br /> Crawford,Murphy&Tilly, Inc.
<br /> CMT North America, Inc. INSURER C:XL Specialty ty Insurance Company 37885
<br /> 2750 West Washington INSURER D:
<br /> Springfield IL 62702 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1284041185 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 SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER
<br /> IMM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 5D57480 1/1/2026 1/1/2027 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED
<br /> 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 X JECT LOC
<br /> PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 5E57480 1/1/2026 1/1/2027 COMBINED SINGLE LIMIT $1,000,000
<br /> (Ea accident) _
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED ā
<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 LIAB I X OCCUR 5J57480 1/1/2026 1/1/2027 EACH OCCURRENCE _ $10,000,000 _
<br /> EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $10,000,000
<br /> DED X RETENTION$1rLDnn
<br /> A WORKERS COMPENSATION 5T57480(NJ) $
<br /> 1/1/2026 1/1/2027 X
<br /> OTH-
<br /> ER AND EMPLOYERS'LIABILITY Y/N 5M57480(FL) 1/1/2026 1/1/2027
<br /> STATUTE ER
<br /> A ANYPROPRIETOR/PARTNER/EXECUTIVE N 5H57480 1/1/2026 1/1/2027 E.L.EACH ACCIDENT
<br /> OFFICER/MEMBER EXCLUDED? N/A $1,000,000
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 _
<br /> B Pollution Liability EROOYEL26 1/1/2026 1/1/2027 Claim/Aggregate 2,000,000
<br /> C Professional Liability DPR5051712 Each Cli
<br /> Each Claim 1/1/2026 1/1/2027 5,000,000
<br /> Aggregate 7,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Project Reference:City Prot'.No.2017-02-2026 Copy
<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 V
<br /> -n A.t_. CDci-_A ,
<br /> Iā
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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