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JE!?F �® CERTIFICATE OF LIABILITY INSURANCE OP ID CJ DATE(MMlDD/YYYY) <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 B: Midwest Employers Casualty Co. <br /> Homer L Chastain & Associates INSURER <br /> 5 No. Country Club Rd. INSURER D <br /> Decatur IL 62521-4129 --- <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 CLAIMS <br /> INSR POLICY F ECTIVPOLICY N <br /> LTR NSR TYPE OF INSURANCE DATE MM/DD/YYYY DATE MM/DD/YYYY LIMITS <br /> POLICY NUMBER <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY EPP0055385 01/01/11 01/01/12 PREMISES(Ea occurence) $ 100,000 <br /> CLAIMS MADE 5711 OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY S 1,000,000 <br /> GENERAL AGGREGATE S 2,000,OOO <br /> GENT 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 01/01/11 01/01/12 (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person)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/UMBRELLA LIABILITY ! EACH OCCURRENCE $2,000,000 <br /> A X OCCUR � CLAIMSMADE EPP0055385 01/01/11 01/01/12 AGGREGATE s2,000,000 <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION S STATU_ $ <br /> WORKERS COMPENSATION X TORY LIMITS ER <br /> AND EMPLOYERS'LIABILITY Y I N <br /> B I ANY PROPRIETOR/PARTNER/EXECUTIVBNUWC 0115 3 99 01/'01/11 01/01/12 E.L.EACH ACCIDENT s $500,000 <br /> OFFICER/MEMBER EXCLUDED' LJ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ $500,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below ' EL DISEASE-POLICY LIMIT $ $5001000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I 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 <br /> OR LIABILITY OF ANY KIN UPON THE INSURER,ITS AGENTS OR <br /> CITY OF DECATUR REPREs4ENK'I.p 4-IISHADE 00 PA <br /> #1 GARY ANDERSON PLAZA AUTHORIZED REPRO NAT <br /> DECATUR IL 62523 William P <br /> gv <br /> ke <br /> ACORD 25(2009/01) All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />