R2014-95 AGREEMENT WITH TELE SCAN, INC.

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�.� Exhibit E TEL2000 OP ID: HS 6. �� CERTIFICATE OF LIABILITY INSURANCE DAT06/20114(MMIDDIYYYY) 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(les)must 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). CONTPRODUCER 217-877-3344 NAMEACT Holli Schore J.L.Hubbard Insurance&Bonds 217-877-0795 PHONN t.217-877-3344 a/c No):217-877-0795 1090 South Route 51,PO Box 14 E-AAAIL Forsyth,IL 62535-0014 ADDRESS:hschorey@jlhubbard.com Kevin J.Breheny INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:United Fire&Casualty Company 13021 INSURED Tele Scan,Inc INSURER B:Berkley Net Underwriters 6275 E Rt 36 INSURER C Decatur,IL 62521 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE INSR AVIA SWVEJ POLICY NUMBER MM/DDS MMD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 60349383 07/01/14 07/01/15 PREMISES Ee occurrence $ 100,00 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2.000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000.00 POLICY FX PRO- LOC Emp Ben. $ IM/2 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000 OO Ea accident $ A X ANY AUTO X 60349383 07/01/14 07/01/15 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Pareccideni X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5.000;00 A EXCESS LIAR CLAIMS-MADE 60349383 07/01114 07/01/15 AGGREGATE $ 5,000700 DED X I RETENTION$ 10,000 $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY 11 ER B ANY PROPRIETOR/PARTNER/EXECUTIVEY/N BNUWC0120793 07/01/14 07101115 E.LEACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Addidonal Remarks Schedule,if more space is required) RE: All Work City of Decatur is named as additional insured on a primary basis under the General Liability and Automobile, subject to written contract. CERTIFICATE HOLDER CANCELLATION TEL2007 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 Plaza AUTHORIZED REPRESENTATIVE Decatur,IL 62523 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD E-1