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Fx . E <br /> A�V CERTIFICATE OF LIABILITY INSURANCE OP ID CJ DATE(MMIDD/YYYY) <br /> PWCCO-1 05/16/12 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Bennett & Shade Company HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P O Box 858 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Decatur IL 62525-0858 <br /> Phone: 217-428-3411 Fax:217-428-5029 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: State Auto Insurance <br /> INSURER B: <br /> PWC Consulting Engineer INSURER C: <br /> 5130 Hickory Poi.nt Frontage Rd INSURER D: <br /> Decatur IL b2523 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY NUMBER P Y EFFE TIVE POLICY EXPIRATION LIMITS <br /> LTR NSR TYPE OF INSURANCE DATE MMIDDIYYYY DATE MMIDDIYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A XCOMMERCIAL GENERAL LIABILITY BOP2432216 11/22/11 11/22/12 PREMISES(Ea occurence) $ 100,000 <br /> CLAIMS MADE X❑OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO- <br /> F-] <br /> RO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X ANY AUTO BAP2183520 11/22/11 11/22/12 (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> X SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X I OCCUR F] CLAIMSMADE CXS2083866 11/22/11 11/22/12 AGGREGATE $ 1,000,000 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION - - <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE--1 E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> The City of Decatur and its officers and employees are named as additional <br /> insured on general and auto liaiblity on a primary and non-contributory <br /> basis. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITYOFD DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> CITY OF DECATUR <br /> REPRESENTATIVES. <br /> #1 GARY ANDERSON PLAZA <br /> DECATUR IL 62523 AUTHORIZED REPRESENTATIVE <br /> Jeffrey L Shade <br /> ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />