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____--", BODIELE-03 ABENNETT
<br /> AC'CP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDVVVV)
<br /> 1/13/2026
<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 Holli Schorey
<br /> NAME:
<br /> First Mid Insurance Group PHONE FAX
<br /> 1520 Charleston Ave (A/C,No,Ext):(217)859-7047 I(A/c.Noy(217)877-0795
<br /> Mattoon,IL 61938 E-MAILDRESS:hschorey@firstmid.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:West Bend Insurance Company 15350
<br /> INSURED INSURER B:Tokio Marine Specialty Insurance Services,Inc.
<br /> Electrical Service Co, a division of Rathje Enterprises Inc INSURER C:
<br /> PO Box 976 INSURER D:
<br /> Decatur,IL 62526
<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 /> LTRINSR WVD ,IMM/DD/YYYY) IMM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY 1,000,000
<br /> EACH OCCURRENCE $
<br /> CLAIMS-MADE X OCCUR X B135253 03 5/1/2025 5/1/2026 PREM AMAGE SES Ea occurrTO ence) S 1,000,000
<br /> X Contractual LiabMED EXP(Any one person) $ 10,000
<br /> X X C U IncludedPERSONAL 8 ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X PECO' 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 B135253 03 5/1/2025 5/1/2026 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) S
<br /> X AUTOS ONLY X AUOTOS ONLYY (Perr accidenDAMAGE $
<br /> A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAB --� CLAIMS-MADE B135253 03 5/1/2025 5/1/2026 AGGREGATE $ 3'000'000
<br /> DED X RETENTION$ 0 l $
<br />' A WORKERS COMPENSATION X I PER STATUTEEI ETH
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A A575063 06 5/1/2025 5/1/2026 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> II yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Installation Floater B135253 03 5/1/2025 5/1/2026 Limit 1,000,000
<br /> B Prof/Pollution Liab PPK2680864 5/1/2025 5/1/2026 Limit 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required)
<br /> RE:Bid#PUR2025-11/Electrical Upgrade 1170 Orchard St.,Decatur,IL
<br /> City of Decatur,its officers and employees are named as additional insured under the General Liability;subject to written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1 Gary K Anderson Plaza
<br /> Decatur,IL 62523
<br /> AUTHORIZED REPRESENTATIVE
<br /> f lr I>,. 7:::-.4 e� , ,s-t
<br /> I
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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