R2012-101 AUTHORIZING AN AGREEMENT WITH ONSITE ENGINEERING, LLC

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Client#:64287 ONSITENGI Exhibit E DATE(MMIDDIYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0412412012 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 CONTACT NAME: Euclid Ins.Agencies, A&E PHONE 630 694-3700 FAX 6307734075 AlC,No Ext: A/C,No A USI Company E-MAIL ADDRESS: 234 Spring Lake Drive INSURER(S)AFFORDING COVERAGE NAIC# Itasca, IL 60143 INSURER A:Sentinel Insurance Company 11000 INSURED INSURER B:Hartford Insurance Co of IL 38288 Onsite Engineering, LLCINSURER c:Travelers Cas&Sur Co of Amer 31194 3028 Lake Bluff Drive INSURER D Decatur,IL 62521 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 CONTRACTOR 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 SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY Y Y 83SBMJZ1336 4/20/2012 04/20/2013 EACH OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $1,000,000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $107000 X Additional Insured- PERSONAL&ADV INJURY 32,000,000 Primary/Non-Contrib GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 POLICYF X JPEC LOC $ A AUTOMOBILE LIABILITY Y Y 83SBMJZ1336 4/20/2012 04/20/2013 ED a6 rhu,)SINGLE LIMIT $2,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS WC STA 0TH- $ Y' sB WORKERS COMPENSATION Y 83WECBL2733 4/20/2012 04/20/2013 XER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C Architects and 105432972 4/26/2012 04126/2014 $1,000,000 each claim/ Engineers $2,000,000 annual Professional Liab I aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Professional Liability is written on a'claims made'policy form. Blanket Additional Insured coverage is provided to City of Decatur with respect to General Liability provided that the named insured has agreed to provide this coverage because of a written contract or agreement via the provisions of SS 00 80 04 05. CERTIFICATE HOLDER CANCELLATION Cit of Decatur SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 Gary K Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Decatur, IL 62523 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S430744/M430741 NMA