R2012-96 AUTHORIZING AN AGREEMENT WITH BAINBRIDGE, GEE, MILANSKI AND ASSOCIATES, INC.

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AC CERTIFICATE OF LIABILITY INSURANCE FA /08'°°IY2011E(MM1 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 pollcy(les) 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 1-800-527-9049 CONTACT Holmes Murphy and Associates NAME:PHONE FAX - Peoria (AIC, o Ext): A/C No 311 S.W. Water Street E-MAIL ADDRESS: Suite 211 Peoria, IL 61602-4108 INSURERS AFFORDING COVERAGE NAIC# Paula Dixon INSURERA: CHARTER OAK FIRE INS CO 25615 INSURED INSURER B: TRAVELERS IND CO 25658 Bainbridge, Gee, Milanski & Associates INSURER CTRAVELERS CAS & SURETY CO 19038 1670 Taylorville Road INSURER D: Decatur, IL 62521 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 22223598 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 ADDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DONYYV LIMITS A GENERAL LIABILITY 680274SL565 07/09/1 07/09/12 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $1,000,000 CLAIMS-MADE PEI OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2.000,000 GEN'LAGGREGATE LIMIT.APPLIESPER: PRODUCTS-COMP/OPAGG $ 2.000,000 POLICY X PEOCT X LOC $ B AUTOMOBILE LIABILITY BA274BL332 07/09/13 07/09/12 COMBINEDSINGLELIMIT 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident B X UMBRELLA LIAB X OCCUR CUP6745Y549 07/09/1 07/09/12 EACH OCCURRENCE $ 11000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$10,000 $ B WORKERS COMPENSATION UB674SY353 07/09/1 07/09/12 X WC LIMIT OEH- AND EMPLOYERS'LIABILITY Y/NTORY ANY PRO PRI ETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? FN] N I A (Mandatory In NH) E.L,DISEASE-EA EMPLOYE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liability 105304894 07/09/1 07/09/12 Each Claim 2,000,000 Claims Made Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Richard G. Marley #1 Gary K Anderson Plaza AUTHORIZED REPRESENTATIVE Decatur, IL 62523 USA ©1988-2010 ACORD CORPORATION, All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD tstoeckeril 7722RS9A