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.4400REN CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 1 05/31/2011 <br /> THIS CERTIFICATE IS ISSUED ASA 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. N 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 /> PRODUCER CONTACT <br /> NAMF- <br /> Willis Insurance Services of California, Inc. PHONE 877_945-7378 FAX $$ -467-2378 <br /> 26 Century Blvd. -MAIL <br /> P. O. Box 305191 certificates9wil11 oak <br /> Nashville, TN 37230-5191 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:National Union Fire Ins Co of Pittsburgh 19445-100 <br /> INSURED <br /> URS Corporation INSURERS: Zurich American Insurance Company 16535-100 <br /> 600 Montgomery Street, 26th Floor INSURERC: Illinois National Insurance Co. 23817-001 <br /> San Francisco, CA 94111 <br /> INSURER D: Insurance Company of the Stats of PA 19429-100 <br /> INSURERS: Lexington Insurance Company 19437-000 <br /> INSURERF: Lloyd's of London i British Companies 15792-004 <br /> COVERAGES CERTIFICATE NUMBER:16024347 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 TYPEOFINSURANCE IY SUB POLICY NUMBER POLICY EFF POLICYEXPJXL LIMITS <br /> A GENERAL LIABILITY Y GL4870829 5/1/2011 6/1/2012 EACHOCCURRENCE j 2,000.000 <br /> ][ COMMERCIAL GENERAL L44BILITYGE TO RENTED <br /> P MISES Eaoccuronoe $ 11000,000 <br /> CLAIMS-MADEa OCCUR MED EXP(Any one person) j 10,000 <br /> X XCU, BFPD PERSONAL BADV INJURY j 2,000,000 <br /> X Contractual Liability GENERAL AGGREGATE j 2.000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> POLICY PRO LOC j <br /> B AUTOMOBILE LIABILITY Y BAP939521502 5/1/2011 6/1/2012 0 BIKED)SINGLE LIMIT j 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per sccident) $ <br /> HIRED AUTOS NON-OWNED <br /> AUTOS raccident) j <br /> j <br /> UMBRELLA LIAB OCCUR EACHOCCURRENCE j <br /> EXCESS LIAR CLAIMS-MADE AGGREGATEEj <br /> DED I RETENTION$ j <br /> C WORKERS COMPENSATION NC20635052 1/1/2011 1/1/2012 X <br /> AND EMPLOYERS'LIABILITY <br /> A ANY P <br /> ROPRIETOR/PARTNER/EXECUTIVEa N/A NC20635051 1/1/2011 1/1/2012 E.L.EACH ACCIDENT j 2,000,000 <br /> C (O�FnldatorynNHREXCLUDED7 NC20635053 1/1/2011 1/1/2012 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> ffyyeea,describe un�er <br /> D DESCRIPTIONOFOPERATIONS below WC20635054/WC20635055 1/1/2011 1/1/2012 E.L.DISEASE-POLICY LIMIT 13 2,000,000 <br /> E 015438088 5/l/2011 6 1 2012 <br /> F Professional Liability PE1105150/PR1105490 5/1/2011 6/1/2012 $1,000,000 Bach Claim <br /> a/Limited Contractual - $1,000,000 Aggregate <br /> Claims Made Policy <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101.Addltonal Remarks schedule,Nmore space N required) <br /> Contract/Job Number: TBD. <br /> The Workers' Compensation coverage shown above does not apply in monopolistic states. In the <br /> States of ND, OH, NA and NY, Workers' Compensation coverage is provided by the State Fund. In <br /> those States, the above-referenced policies provide Stop-dap Employers' Liability only. <br /> SEE ATTACHED <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> City of Decatur <br /> One Gary X. Anderson Plaza M' <br /> Decatur, IL 62523-1196 e1r� <br /> Coll t 3375135 Tpl t 1260635 Cart:160 4347 019N-2010ACORD ORPORATION.All rights reserved. <br /> ACORD 25(2010!05) The ACORD name and logo aro registered marks of ACORD <br />