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Exhibit E-1
<br /> ,AC6Ra CERTIFICATE 4F LIABILITY INSURANCE 6111/22012012 DATE DfYYYY}
<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 SUBROGATION 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 NAME'
<br /> R.W. Troxell &Company AHONNo Ext:217-321-3145 FAX
<br /> No: 17-321-4145
<br /> 214 South Grand Ave West E-MAIL
<br /> P.O. Box 3757 ADDRESs:lrU el rwtroxell.com _
<br /> Springfield IL 62708 INSURERS AFFORDING COVERAGE NAIC#
<br /> UR
<br /> A:�iiiCiiiiroti !risurarice COiitDan" 0677
<br /> INSURED 12680 INSURER B:
<br /> Hanson Professional Services, Inc. INSURER C:
<br /> 1525 South 6th Street INSURER D:
<br /> Springfield IL 62703
<br /> INSURER E: 1
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:957407744 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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 /> ADDL SUBR POLICY EFF POLICY EXP
<br /> INSR. TYPE OF INSURANCE LIMITS
<br /> LTR INSR D POLICY NUMBER MMlDD1YYY MMIDDlYYYY
<br /> A i GENERAL LIABILITY CPPOS70038 1/1/2012 /1/2013 I EACH OCCURRENCE $1,000,000
<br /> i -DAMAGE TO RENTED
<br /> X 00,000
<br /> CLAIMS-MADE OCCUR � PREMISES(Ea occurrence
<br /> COMMERC AL GENERAL (ABILITY �j ;MED EXP(Any one person) �$5,000 '..
<br /> X
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GENERAL AGGREGATE $2,000,000
<br /> I _
<br /> __GEN-L AGGREGATE LIMIT APPLIES PER. 1 f PRODUCTS-COMP/OP AGG�.$2,000.000
<br /> X POLICY JECT LOC i I '� $
<br /> A AUTOMOBILE LIABILITY CPA0870038 1,1/1/2012 /1!2013Eaaocldent) _1$1000000
<br /> X ANY AUTOBODILY INJURY(Per person) $
<br /> i
<br /> ALL OWNED `-,SCHEDULED i BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS PROPERTY DAMAGE $
<br /> X X NON-OWNED Per accident)
<br /> HIRED AUTOS AUTOS $
<br /> A X UMBRELLALIAB X OCCUR CPP0870038 11/1/2012 /1/2013 EACH OCCURRENCE $1,000,000
<br /> i EXCESS LIAB I CLAIM&MADE AGGREGATE $1,000,000
<br /> DEC) X I RETENTION$0 $
<br /> A WORKERS COMPENSATION VVC2114904 '1/1/2012 /1/2013 X WC STAT T- 0TH-
<br /> AND EMPLOYERS'LIABILITY Y 7 N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE (E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N f A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below (E.L.DISEASE-POLICY LIMP $1,000,000
<br /> A I New jersey&Alaska VVC1920351 NJ/AK 11/1/2012 /1/2013 1$1,000,000 Each Acc
<br /> I Workers Compensation i 1$1,000,000 Each Emp
<br /> �I
<br /> ;$1,000,000 Policy Limit
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more spacers required)
<br /> Project: 081-01 98B-City of Decatur, IL-Tailwater Dam Permit/JJT
<br /> The City of Decatur and its officers and employees are additional insured in respects to the general liability, per written contract, subject to the
<br /> terms and conditions of the policy.
<br /> CERTIFICATE HOLDER CANCELLATION30
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Decatur ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Mr. Matt Newell
<br /> One Gary K.Anderson Plaza AUTHORIZED REPRESENTATIVE
<br /> Decatur IL 62523 j
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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