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,4CCPR O® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYY1)05/20/2026 <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 /> GTPS Insurance NAME: T <br /> erry Reno <br /> 1311 S.Neil St. (NC. o. Ext): 2173599000 FAX <br /> No): <br /> Champaign,IL 618206558 ADDRESS: treno@gtpsinsurance.com <br /> INSURER(S)AFFORDING COVERAGE NAIC A <br /> INSURER A: Western National 15377 <br /> INSURED Paul's Machine&Welding Corp INSURER B: Lloyd's 15792 <br /> 650 N Sycamore St INSURER C: <br /> Villa Grove,IL 61956 - - <br /> INSURER D: <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.SUB POLICY EFF POLICY EXP <br /> LTR INSD WVD, POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY CPP1045060 08/16/2025 08/16/2026 <br /> A I/I EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE V OCCUR PRMTO RENTED <br /> PREMDAMAGE GE ISES(Ea occurrence) $ 100,000 <br /> MED EXP(Any one person) $ <br /> 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> V POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: <br /> A AUTOMOBILE LIABILITY CPP1042670 08/16/2025 08/16/2026 COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> pe ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> $ e <br /> A ✓ UMBRELLA LIAB ✓ OCCUR UMB1007430 08/16/2025 08/16/2026 EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> _ DED V RETENTION$ 10000 _ $ <br /> A WORKERS COMPENSATION WCV 1005486 08/16/2025 08/16/2026 V STATUTE OTH- <br /> ER <br /> AND EMPLOYERS'LIABILITY <br /> Y/N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBEREXCLUDED? NIA <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 professional liability PLC-01458-02 08/16/2025 08/16/2026 prof liab 1,000,000 <br /> A leased/rented equipment CPP1045060 08/16/2025 08/16/2026 equiipment 300,000 <br /> A riggers liability CPP1045060 08/16/2025 08/16/2026 riggers liab 500,000 <br /> DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <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 /> 1155 S.Martin Luther King Jr.Drive <br /> Decatur,IL 62523 AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />