R2013-60 AUTHORIZING AN AGREEMENT WITH TELE SCAN, INC.

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Exhibit E "MI-2000 OP ID:TM CERTIFICATE OF LIABILITY INSURANCE oar07102/ 2 07!02/12 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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). PRODUCERCONTACT J.L.Hubbard Insurance&Bonds 217-877-3344 NAMMtae NAM Myers 1090 South Route 51,PO Box 14 217'877-0785 a/c o 217-877-3344 I AICFAXNo:217-877-0795 Forsyth,IL 62535-0014 EMAIL Kevin J.Breheny ADDRESS tmyersIhubbard.com INSURER(S)AFFORDING COVERAGE NAIC 9 INSURERA:United Fire 8 CaBuai Compan 13021 INSURED Tele Scan,Inc INSURER B:Berkley Net Underwriters 6275 E Rt 36 Decatur,IL 62521 INSURER C 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. LTR TYPE OF INSURANCE t 1 POLICY NUMBER M IDD/YYYY !MM/DDIYYYY POLICY EFF LIMITS LGE NERAL LIABILITY EACH OCCURRENCE s 1,000,000 DAMAGETORFNTOi A FT COMMERCIAL GENERAL LIABILITY X 160349383 07/01112 07/01/13 PREMISES(Ea ocaven— s 100,00 j CLAIMS-MADE I A]OCCUR 1 I i MED EXP(Any on.Person) IS 5,000 I I PERSONALSADV INJURY s 1,000,001 I GENERAL AGGREGATE S 2,000,00 GEN•L AGGREGATE LIMIT APPLIES PERPRODUCTS-COMPICIP AGG 1$ 2,000,10 !POLICY X PR(- 7.Loc JErno Ben. 1 a 1 m1112 In AUTOMOBILE LIABILITY 1 1 COMBINED SINGLE LIMIT 1,000.00 Ea ecaaent A ANYAUTC X 80348383 07/01/12 17/01/13 BODILY INJURY(Por Person) 1 S ALL OWNED SCHEDULED BODILY INJURY(Pcr it—oent)I S C^ r AUTI MON OWNED I PROPERTY DAMAGE S _HIRED AUTOS i AUTOS Per accident UMBRELLA LAB 1 X OCCUR I EACH OCCURRENCE S 2,000,000 A I EXCESS UAB 0349383 160349383 ' 07/01/12 ; 07/01113 AGGREGATE S 2,000,00 DED f X I RETENTIONS 10,1001 s 'WORKERS COMPENSATION ( X 1WCSTATU- IOTH- AND EMPLOYERS'LIAB1UTYI. B IANYPROPRIETOR/PARTNER/EXECUTIVEY/N IBNUWC0120793 07/01/12 07/01/13 EL.EACH ACCIDENT $ 1,000,01 OFFICERIMEMBER EXCLUDED' ❑ N/A (Mandatory in NHI EL DISEASE-EA EMPLOYEE S 1,000,00 d yes,aoscnoe u roe DESCRIPTION O OPERATION$below E.L.DISEASE-POLICY LIMIT'S 1,011,01 I I I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addilionat Remarks Schedule,It more space is required) City of Decatur is named as additional insured under the general liability and automobile liability,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 City of Decatur ACCORDANCE WITH THE POLICY PROVISIONS. #1 Gary K.Anderson Plaza Decatur,IL 62523 Kevin J. IIreheaENTATNE ' Kevin J.Breheny ©1 8 O ACOFfD CORPORATION. ghts reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD E-1