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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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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 /> CERTIFICATE OF LIABILITY INSURANCE10/11/2011 <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 1-800-527-9049 NAME: <br /> Holmes Murphy and Associates PHONE FAX <br /> - Peoria E <br /> �NIAIL AIC Net! <br /> 311 S.W. Water Street ADDRESS: <br /> Suite 211 PRODUCER <br /> Peoria, IL 61602-4108 <br /> Paula Dixon INSURERS)AFFORDING COVERAGE MAIC A <br /> INSURED INSURERA' XL SPECIALTY INS CO 37885 <br /> Hanson Professional Services, Inc. INSURERS: <br /> 1525 South 6th Street INSURERC: <br /> INSURER D: <br /> Springfield, IL 62703 <br /> INSURERE: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 23582776 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 DL SUER POLICY NUMBER MMMIIDCS DY EFF MOEXP LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE O REN I ED <br /> COMMERCIAL GENERAL LIABILITY PRFMISES Ea occurrence) $ <br /> CLAIMS-MADE r]OCCUR MED EXP(Any one person) $ <br /> PERSONAL 8 ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ <br /> POLICY JEC LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Es accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> SCHEDULEDAUTOS PROPERTY DAMAGE <br /> $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS"AB HCLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION VdC STATUS r. OTHFIR <br /> - <br /> AND EMPLOYERS'LIABILITY <br /> YIN <br /> ANY PROPRIETORPARTNERIEXECUTIVE❑ E L EACH ACCIDENT $ <br /> OFFICERJMFMBFR EXCLUDED NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ <br /> A Pro ess>_ona Li i >_ty DPR9 89512 Eac aV ,UUQ <br /> (Claims Made) Aggregate 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) <br /> Hanson Project: 11LO142 - City of Decatur, IL - Asian Carp Management / JJT <br /> Policy Deductible: $150,000 <br /> Retroactive Date of Policy: 10/01/1954 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn: Mr. Matt Newell ACCORDANCE WITH THE POLICY PROVISIONS. <br /> One Gary R. Anderson Plaza <br /> AUTHORIZED REPRESENTATIVE <br /> Decatur, IL 62523 <br /> USA ,iL�•..<.t-..t�r f' <br /> ar183004 ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br /> 23582776 <br /> E-2 <br />
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