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5 +� <br /> / ® DATE(MM/DD/YYYY) <br /> �►`�o CERTIFICATE OF LIABILITY INSURANCE CHAST 1 02/18/14 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Bennett & Shade Company HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P 0 Box 858 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Decatur IL 62525-0858 <br /> Phone: 217-428-3411 Fax:217-428-5029 INSURERS AFFORDING COVERAGE i NAIC# <br /> INSURED INSURER A. Cincinnati Insurance Company <br /> INSURER Employers Casualty <br /> Chastain & Associates LLC INSURER <br /> 5 No. Country Club Rd. I INSURER D <br /> Decatur IL 62521-4129 <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN POLICY NUMBER P LI Y E POLICY E PIRA LIMITS <br /> LTR INSR TYPE OF INSURANCE DATE MMIDD/YYYY DATE MM/DD/YYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> _VAVAGE7U_R1EM EU <br /> A X X COMMERCIAL GENERAL LIABILITY EPP0055385 01/01/14 01/01/15 PREMISES(Ea occurence) $ 100,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 <br /> POLICY PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X X ANY AUTO EBA0055385 01/01/14 01/01/15 (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY(Per accident) $ <br /> X <br /> NON-OWNED AUTOS <br /> X Comp $250 DEDUCTIBLE PROPERTY DAMAGE $ <br /> X Collision $1000 DEDUCTIBLE (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> A X OCCUR � CLAIMSMADE EPP0055385 01/01/14 01/01/15 AGGREGATE $2,000,000 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATIONX=TORY I <br /> AND EMPLOYERS'LIABILITY Y/N UER <br /> B ANY PRO PRIETOR/PARTNER/EXECUTIVE❑ BNUWC0115399 01/01/14 01/01/15 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes.describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> The City of Decatur and its officers and employees are named as Additional <br /> Insured on General and Auto Liaiblity. General Liability is Primary and <br /> Non-Contributory. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITYOFD DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> CITY OF DECATUR REPRESENTATIVES. <br /> #1 GARY ANDERSON PLAZA AUTHORIZED REPRESENTATIVE <br /> DECATUR IL 62523 Jeffrey L Shade <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> r -#1 <br />