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r <br /> A� 08/27/2a133 <br /> CERTIFICATE OF LIABILITY INSURANCE DATElDD1YYYY <br /> 08/27 <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 be endorsed. if EBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER 1-800-527-9049 CONTACT <br /> Holmes Murphy and Associates ME: <br /> - Peoria PHONE AIC No): <br /> 311 S.W. Water Street EMAIL <br /> Suite 211 ESS: <br /> Peoria, IL 61602-4108 INSURERSAFFORDINr COVERAGE NAIL <br /> Paula Dixon INSURER A: XL SPECIALTY INS CO 37885 <br /> INSURED INSURER B; <br /> Chastain & Associates, LLC <br /> INSURER C: <br /> 5 N. Country Club Rd. INSURER D: <br /> Decatur, IL 62521 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 35350460 RE ISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOgUMENT 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 EFF POLICY EXP <br /> LTR POLICY NUMBER MMIDDIYYYYI (MMfDDIYYYYI LIMITS <br /> GENERAL LIABILITY EAPH OCCURRENCE <br /> E <br /> T <br /> MMERCIAL GENERAL LIABILITY A F I RENTED <br /> PR occurrence) $ <br /> CLAIMS-MADE 17 OCCUR M EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PR DUCTS-COMP/OP AGG $ <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITYBINEb SINGLE LIMIT <br /> Eaccident <br /> ANY AUTO BODILY fNJURY(Per person) $ <br /> ALLOWNED SCHEDULED <br /> AUTOS AUTOS B ILYINJURY(Peraccldenl) $ <br /> HIRED AUTOS NON-OWNED PR PERTYDAMAGE $ <br /> AUTOS (PJr accident <br /> J L I $ <br /> UMBRELLA LIAR OCCUR EAPH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE <br /> AO REGATE $ <br /> OED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN L ITS E <br /> ANY PROPRIETORMARTNERIEXECUTIV£❑ N!A E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDE 07 <br /> (Mandatory In NH) E,I..DISEASE-EA EMPLOYE $ <br /> If es,describe under <br /> DESCRIPTION OF OPERATIONS below E. .DISEASE-POLICY LIMIT $ <br /> A Professional Liability DPR9703864 04/13/1 04/13/14 Each claim 2,000,000 <br /> (Claims Made) Aggregate 21000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESORIBED POLICIES BE CANCELLED BEFORE <br /> City of Decatur THE EXPIRATION DATE THEREIOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> Attn: Matthew C. Newell, P.E. <br /> #1 Gary Anderson Plaza <br /> AUTHORIZED REPRESENTATIVE <br /> Decatur, IL 62523 <br /> USA <br /> ©1988-2010 ACORb CORPORATION, All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> lbomaritoil <br /> 35350460 E-2 <br />