Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE OP ID CJ DATE(MMIDDIYYYY) <br /> CHAST-1 07/25/11 <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 8' Mitlaest Employers Casualty Co. <br /> Homer L Chastain & Associates I INSURER <br /> 5 No. Country Club Rd. PINSURER D <br /> Decatur IL 62521-4129 URER 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 CLAIMS, <br /> POLICY NUMBER <br /> POLICY IVE Y TION LIMITS <br /> TZi NSR TYPE OF INSURANCE DATE MM/DDIYYYY DATE MMIDDlYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY EPP0055385 01/01/11 01/01/12 PRMVsES(Eaoccurence) $ 100,00_0 <br /> CLAIMS MADE a OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE ls2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY 11 PRO LOC <br /> JECT El <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X (X ANY AUTO EBA0055385 01/01/11 01/01/12 (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> � I <br /> X HIRED AUTOS ( I 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 AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $2,000,000 <br /> A rX OCCUR CCLAIMSMADE EPP0055385 01/01/11 01/01/12 AGGREGATE _ $2,000,000 <br /> I g <br /> DEDUCTIBLE ! S <br /> RETENTION S f$ <br /> WORKERS COMPENSATION X I - <br /> AND EMPLOYERS'LIABILITY <br /> TORY LIMITS i ER <br /> B ANY PROPRIETOR/PARTNERIEXECUTIVE� BNUWC0115399 01/01/11 01/01/12 EL EACH ACCIDENT $ $500,000_ <br /> OFFICER/MEMBER EXCLUDED <br /> (Mandatory in NH) i 'E L DISEASE-EA EMPLOYEE $ $500,000 <br /> It yes describe under <br /> SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT $ $500,000 <br /> OTHER <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> RE: Garfield Bridge over 22nd St. , Project #5729, The City of Decatur and <br /> its officers and employees are named as additional insured on general and <br /> auto liaibity on a primary and non-contributory basis. <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 DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIN UPON THE INSURER,ITS AGENTS OR <br /> CITY OF DECATUR REPRESEJNN'TT SHAD CO PA <br /> #1 GARY ANDERSON PLAZA AUTHORIZEDREOR NAT <br /> DECATUR IL 62523 William P - <br /> gv <br /> ACORD 25(2009/01) ©1988-2009 l rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />