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R2012-05 AUTHORIZING AGREEMENT WITH HANSON PROFESSIONAL SERVICES, INC.
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R2012-05 AUTHORIZING AGREEMENT WITH HANSON PROFESSIONAL SERVICES, INC.
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8/24/2015 8:51:43 AM
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8/24/2015 8:51:41 AM
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Resolution/Ordinance
Res Ord Num
R2012-05
Res Ord Title
AUTHORIZING AGREEMENT WITH HANSON PROFESSIONAL SERVICES, INC.
Department
Water
Approved Date
2/6/2012
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Exhibit E <br /> ' l DATE(MMIDUri <br /> fYY ) <br /> ACAs [Z CERTIFICATE OF LIABILITY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED.the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER NAMELor- Rupp FAX <br /> F. W. _`r"OXe_1 & :"Ompan-, PHONE �, .riT-3 .- 145 <br /> 214 Soutn Grand AJE West E-MAIL <br /> P .yI^ �"1--14_c (A/C.NO). _ <br /> P.C. Box ADDRESS: r p^pEI T+:CZG C 1 .O'1 <br /> S_Drinc ficld Ii 62 7 0•F INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Cjn Cil-a-.at:. InSu" a:1 ;:O.Rpan-" <br /> INSURED 26 80 INSURER B: <br /> Fanson Professional S=_rvl'ces, Inc. INSURER C: <br /> IS2-' Ouz:h Gth Street <br /> INSURER D <br /> Sprinatieid I:, -27C_ <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:194-506803-, REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> INSR TYPE OF INSURANCE ADDL:SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INS POLICY NUMBER MM/DU/YYYY MMIDD/VriY <br /> GENERAL LIABILITY OFP027003e 1: =CL 1', 201- EACH OCCURRENCE ._,30 C' C. <br /> DAMAG_TO RENTED <br /> ------COMMERCIAL GENERAL o. BIL'TY PREL`_Sf=S-(Ea occurrencz'-_-_al <br /> CLAIMS-MAD= " OCCUR ACED EYP,Any one person', 55,.i, <br /> PERSONAL&ArW INJJRV S J Dor i J? <br /> GENERALAGGREGATE _ OOD <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS,COMP10P AGC ,-Jv C'- <br /> PRO. <br /> OLICY ic,- LG' <br /> AUTOMOBILE LIABILITY rF:,,]g 7."�i3� 1:1 ::C1: 1'1:ZG1- i(Ea acadenq I — c-•-''^'•=')" <br /> ANY ACT^ t BOD;Ll IIIJURY(Per Persor, <br /> ALL OWNED SC-EDULE- BODILY INJURY±Per acooen!) S <br /> AUTOS AUTOS - <br /> NON 01MJED PROPERTY DAhAAGE 5 <br /> HARED P,UCOS ,� AUTOS (Pc�axiaent; <br /> s <br /> UMBRELLA LIAB OCCUR EAGr CCCURRcP:uE S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATI- __ 5 <br /> DEC; RETEUT!ONS <br /> WORKERS COMPENSATION iii C::1 S 4:+04 1/1:„u 1: 1,1 ::C 1.. X 14L STA71 OT-i-' <br /> AND EMPLOYERS LIABILITY ___.. OR'i LiMI,: __ -EF <br /> VIN <br /> ANI PR OPRIETORrPARTNFR/FXFCItTIVE❑ E EACH ACCiDEIJ- i,,101,11.00 <br /> OFFZERR.".EG+6ER EXCLUDEC NIA _ <br /> (Mandatory In NH) F: D•SEASE-FA EMP:+}Y=.F '_:_.!_ .OJ)_ <br /> It Yes describe unde- <br /> DESCRIPTION OF OPERATIONS below E_ SEAS=-POUCY t':'+9," <br /> Ue,r Jere•- & Ai,ak; 1/1 SC 11 1,'L 2C 1;. °J,4C <br /> Wrkerc --mpensaci_r r'O,GCJ Ea. fi`.r:F <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 7 VEHICLES(Attach ACORD 101,Additional Remarks Schedule.It more space is required) <br /> ILO142 - Cit,' cf Decatur, IL - Asian Carr Maraaemen- J TM <br /> `.T iI.- C ; o? Decatur ana _ts G°ficers and employees are aaditiora- insures: in respects to the uaneral <br /> ia�ility, ter k.,it"!en _cmtracz, s:zb ecT. tc, the tFr-ms and conditi^ns th= }c.:. c"'. <br /> CERTIFICATE HOLDER CANCELLATION3C <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br /> .._ Y <br /> of Decatur ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attr:: Mr. Matt Newel <br /> Cne Garp K. A:ldvrsor Plaza AUTHORIZED REPRESENTATIVE <br /> Decatur IL 5252: <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> E-1 <br />
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