R2012-33 AUTHORIZING AGREEMENT WITH LAYNE CHRISTENSEN COMPANY

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DATE(MM/DD/YYYY) ;4�rte• CERTIFICATE OF LIABILITY INSURANCE 5/1/2012 113/2012 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 INSORER(S),AUTHORIZED i REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(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 Ileu of such endorsement(s). PRODUCER Lockton Companies,LLC 1 Kansas City 444 W.47th Street,Suite 900 ruC Nn Ext):NE A/c No): Kansas Cityy MO 64112-1906 E-MAIL (816)960-9000 ADD INSURER(SlAFFORDING COVERAGE NAIC 9 INSURER A: OItl Re ublic Insurance Com anY 24147 f INSURED LAYNE CHRISTENSEN COMPANY INSURER 6: 26 229 WEST INDIANA AVENUE INSURER C: BEECHER IL 60401 INSURER D: INSURER E: FF URERF• ,, f COVERAGES LAYIN01 FTC CERTIFICATE NUMBER: 11594709. REVISION NUMBER: XXXXXXX 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. ADDL SUER PO CY E F POLICY EXP IN TYPE OF INSURANCE POLICY NUMBER / LIMITS r A GENERAL LIABILITY y 11 MWZY 59151 5/1/2011 5/1/2012 EACH OCCURRENCE 2,000 000 f X COMMERCIAL GENERAL LIABILITY PA AI ESORo�TED 500,000 CLAIMS-MADE OCCUR MED EXP An one arson 10,000 X CONTRACTUAL PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 5,000,000 X POLICY7 POLICYJERC OC $ A AUTOMOBILE LIABILITY j�j, N MWTB 21277' 5/1/2011 5/1/2012 EO CCideDntSINGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) S XXXXXXX AUTOW NED SACHEDULED BODILY INJURY(Per accident S XXXXXXX 1 X HIRED AUTOS X AUTOWNED PROPERTY DAMAGE $ XXXXXXX Per ecctd nl $ XXXXXXX [ UMBRELLA LIABOCCUR EACH OCCURRENCE $ XXXXXXX ' EXCESS LIAB HCLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- 0TH- A AND EMPLOYERS'LIABILITY N MWC 11701600 5/1/2011 5/1/2012 X T R IT A ANY PROPRIETORlPARTNERlEXECUTIVE Y/N STOPGAP(ND,OH,WA,WV,WY) EL EACH ACCIDENT $ 5.000.000 l OFFICEPJMEMBEP.EXCLUDED? N NIA (Mandatory In NH) E,L.DISEASE-EA EMPLOYEE M5,000,000 CRIPTION OF OPERATIONS below .L.DISEASE-POLICY LIMBC 5,000 DDD I i DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) URED GENERAL RESPECTS RE:CISCO LIABIL TELL NO. Y COVERAMP GE,ONLYAIR TPIATT AS REQUIREDTB'Y CONTISCO RACT,SUBJECT TO HE.CITY OF DECATUR IS TE MS AND CONDIADDITIONAL TIONS OF THE POLICY. r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11594709 AUTHORIZED REPRESENTATIVE CITY OF DECATUR #1 GARY K ANDERSON PLAZA DECATUR IL 62523 f I ACORD 25(2010/05) --@49 8-2010 AC D ORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD