R2013-96 AUTHORIZING AN AGREEMENT WITH HANSON PROFESSIONAL SERVICES, INC.

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MmIaNym AC40R V® CERTIFICATE OF LIABILITY INSURANCE 8/13/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOM 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(ies)must be endorsed. K SU ROGATION IS WANED,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). PRODUCER Lori Ruppel RN Troxell 8 Company =L .217-321-3145 FAx Npj.217-321-4145 214 South Grand Ave Nest Xg&..Iruppel@rwtroxell.com P.O. Box 3757 s AFFORDMC RACE NAIL# Springfield IL 62704 INSLIRERACincinnati Insur ce Company 0677 INSURED INSURER B: Hanson Professional Services, Inc. INSURERC: 1525 South 6th St INSURER o: -INSURER E: S rin field IL 62703-0000 INSURER F: COVERAGES CERTIFICATE NUMBERCL1342600304 REVION 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. LTR TYPE OF INSURANCE POLICY R POLICY EFF POLICY EXP Lorry GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 REMEI- X COMMERCIAL GENERAL LIABILITY PMRMEITOIFa occurrence $ 100,000 A CLAIMS-MADE aoCCUR CPP0870038 /1/2013 /1/2014 MED EXP("one person) S 5,000 PERS 8 ADV INJURY $ 1,000,000 GENE AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG S 2,000,000 17 POLICY X PRO- LOC $ CT F AUTOMOBILE LLABILm COMBRED ma4�1IIU .> 1,000,000 X .............._....._............... :..__ BODILY INJURY(Per person) S A ANY AUTO AL.LOOWNED SCHEDULED PA0870038 /1/2013 /1/2014 BODILY INJURY(Per accident) S AUTAUTOS XX NON-OWNED PR DAMAGE S HIRED AUTOS AUTOS Per ac nrobrrst $ UMBRELLA LIAR OCCUR EACH 222URRENCE $ EXCESS LIAR I CLAIMS-MADE AGGRE TE $ DEL) I I RETENTION S S A WORKERS COMPENSATION X I 11AY11AO AND EMPLOYERS'LYLBLRY Y I N ANY PROPRIETORIPARTNEMEXECUTIVE E I.EA H ACCIDENT S 1 000 000 OFFICERIMEMSER EXCLUDED? N I A (Mandatory in NH) RC2114904 /1/2013 /1/2014 E L. ASE-EA EMPLOYEE $ 1,000,000 If yes,descrft under 1920351 (NJ/AK/LA) /1/2013 /1/2014 DESCRIPTION OF OPERATIONS bebw E L E-POLICY LIMIT S 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD t0i,AddMonal Romarks Shcedule,N more epee Is rpuiveM Project: 08LO198D Lake Decatur Dam Repairs - Phase 2 Construction Administration / JJT Certificate Holder is additional insured in regards to general liability on a primary i non-contributory basis with a waiver of subrogation per written contract subject to the terms, conditions, and exclusions in the policy. The coverage and limits conform to the minimums required by the City of Decatur for Lake Decatur Dam Repairs Phase 2 Construction Administration. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Decatur ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Mr. Matt Nowell One Gary K. Anderson Plaza AUTHORIZED REPRESENTATIVE Decatur, IL 62523 chael Aiello/HEIDI ACORD 25(2010/05) ®1988-2010 ACORD CORPORATION. All rights reserved. IN4095 on+nmi nr Tlsa arnpn nama*not Innn aro raniat&mA marina of ar`f%0n