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DATE(MM/DDIYYYY) <br /> �® CERTIFICATE OF LIABILITY INSURANCE CPPD i F 02/23/12 <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 0 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: Cincinnati Insurance Company <br /> INSURER B. Midwest Employers Casualty Co. <br /> Homer L Chastain & Associates INSURER C: <br /> 5 No. Count Club Rd. INSURER D. <br /> Decatur IL 6521-4129 — ---- <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 CLAIMSMSR_AUD'P_ POLICY. <br /> LTR NSR TYPE OF INSURANCE <br /> POLICY NUMBER DATE MM/DD/YYIYY DATE MM/DDS LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY EPP0055385 01/01/12 01/01/13 PR EMISEs(EaoccFur enca) $ 100,000__ <br /> CLAIMS MADE i-- 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 s2,000,000 <br /> POLICY PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X X ANY AUTO � EBA0055385 01/01/12 01/01/13 (Ea accident) $ 1,000,000— <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> X 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 AGO $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE s2,000,000 <br /> A X OCCUR ❑ CLAIMSMADE EPP0055385 01/01/12 01/01/13 AGGREGATE $2,000,000 <br /> DEDUCTIBLE ._ $ <br /> RETENTION $ $ <br /> I Ur <br /> WORKERS COMPENSATION - <br /> AND EMPLOYERS'LIABILITY YIN <br /> X TORY LIMITS ER <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE ] BNUWC0115399 01/01/12 01/01/13 E.L.EACH ACCIDENT $ $500,000 <br /> OFFICER/MEMBER EXCLUDED? u <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s $500,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s$500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> The City of Decatur and its officers and employees are named as Additional <br /> Insured on General and Auto Liaiblity. General Liability is Primary and <br /> Non-Contributor. <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 00 SO SHALL <br /> IMPOSE NO Q.8 I O L I I A Y PAOsN,THE INSURER,ITS AGENTS OR <br /> CITY OF DECATUR REPRESE�NrA M'A!V n <br /> #1 GARY ANDERSON PLAZA AUTHORIZED RE �� <br /> DECATUR IL 62523 Willi, i' P ,U <br /> ACORD 25(2009/01) ©1988- 009 CORPOF cTION..Alt rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />