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LA111V1t L <br /> ACO DATE(MM,DD;YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 8/7-2026 <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 PHONE Audrey McNeiu FAX <br /> 2727 Grand Prairie Parkway tart.No.Ext1: 309-282-3907 I(A1C.Nol: <br /> Waukee IA 50263 ADDRESS: amcneiIIi holmesmurphy.com <br /> INSURERS)AFFORDING COVERAGE NAIC N <br /> INSURER A: Twin City Fire Insurance Co 29459 <br /> INSURED CLADIEPC INSURER B:Hartford Accident and Indemnity Company 22357 <br /> Clark Dietz, Inc. INSURERC:XL Specialty Insurance Company 37885 <br /> 125 West Church Street <br /> Champaign IL 61820 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1464819456 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 /> IN SR TYPE OF INSURANCE ADDLTSUBR I POLICY EFF POLICY EXP/YLIMITS <br /> LTR IN SD WVD POLICY NUMBER (MM/DOYYY1 IMM/DD/YYYY) <br /> A X I COMMERCIAL GENERAL LIABILITY 84SBWAC5926 11/1/2025 11/1/2026 EACH OCCURRENCE $1,000,000 <br /> HEN I EU <br /> I CLAIMS-MADE X OCCUR PREM PRECit MISES occurrence) $1,000,000 <br /> MED EXP(Any one person) S 10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEM_AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE _ $2,000,000 <br /> POLICY X jE 0 n LOC <br /> PRODUCTS-COMP/OP AGG $2,000.000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY 84UEGZV4783 11.1/2025 11/1/2026 COMBINtDaaccident)SINGLE LIMIT $1,000,000 <br /> ---� (E <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> —1 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> $ <br /> A X UMBRELLA LIAB X OCCUR 84SBWAC5926 11/1/2025 11/1/2026 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE 5 10 000 000 <br /> DED j X RETENTIONS to r nn <br /> B WORKERS COMPENSATION 84WEGAJ1H5Z 11/1/2025 11/1/2026 X <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVEN E.L EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBEREXCLUDED? N/A ( <br /> (Mandatory in NH) EL 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 /> C Professional Liability DPR5049977 I 11/1/2025 11/1/2026 Per Claim 5,000.000 <br /> (Claims-Made Policy) Aggregate 5,000,000 <br /> I � <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Project Reference: Lead Contaminated Galvanized Water Service Line Replacement(City Project 2026-20) <br /> Should the above described General Liability,Automobile or Workers'Compensation policies be cancelled before the expiration date,30 Days written notice <br /> (10 Days for Non-Payment)will be delivered to the certificate holder. <br /> Should the above described General Liability,Automobile or Workers'Compensation policies be cancelled before the expiration date,30 Days written notice <br /> (10 Days for Non-Payment)will be delivered to the certificate holder. <br /> Additional Insured only if required by written contract with respect to General Liability,Automobile Liability and Umbrella/Excess Liability applies on a primary <br /> basis and the insurance of the additional insured shall be non-contributory:Certificate Holder,Project Owner and Others as required by written contract. <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 62523-1196 AUTHORIZED REPRESENTATIVE <br /> United States /' Co <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> F-1 <br />