R2013-07 AUTHORIZING CITY MANAGER TO ENTER INTO A LEASE PURCHASE NINE 2012 CHEVROLET IMPALA POLICE PURSUIT VEHICLES

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A" 02/05/2CERTIFICATE OF LIABILITY INSURANCE DATE05/2/Y0133 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 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 1-630-773-3800 CONTACT NAME: Don Smolinski Arthur J. Gallagher Risk Management Services, Inc. PHONE 630-694-5196 FAX 630-285-4062 PNP Division A/ No: Two Pierce Place EMAIL 3- donald smolinski@ajg.com ADDRESS: 7 Itasca, IL 60143 INSURERS AFFORDING COVERAGE NAIC# INSURER A: PRINCETON EXCESS & SURPLUS LINES INS 10786 INSURED INSURERS: City of Decatur INSURER C: One Gary K. Anderson Plaza INSURER D: Decatur, IL 62523 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 31882912 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DDNYYY MM/DDIYYYY A GENERAL LIABILITY 64A3EX000004301 10/01/1 10/01/13 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $1,000,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ X Liquor Liability1,000,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP IOPAGG $ 1,000,000 X POLICY PRO LOC Is A AUTOMOBILE LIABILITY 64A3EX000004301 10/01/12 10/01 1 COMBINED SINGLE LIMIT 1,000,000 Ey . X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident S A UMBRELLA LIAB X OCCUR 64A3FF000002801 10/01/1 10/01/13 EACH OCCURRENCE S 9,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE 5 9,000,000 DED I I RETENTION$ s WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 107,Additional Remarks Schedule,if more space is required) RE: Lease Agreement: #55163945-10845 Busey Bank is listed as Additional Insured and Loss Payee with regards to 9 Police Pursuit Vehicles-2012 Chevrolet Impalas, Cost $203,411.00.; Deductibles, $25,000; Collision; $25,000 comprehensive. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Busey Bank THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: John Waddack 130 North Water Street AUTHORIZED REPRESENTATIVE /j f.,� /`�{�_ Decatur IL 62523 [ 04"� VI.f/i'�„ � USA `� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD mohanpup 31882912