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' R�3 CERTIFICATE OF LIABILITY INSURANCE OP CRA <br /> CJST-I7TE(MMIDDIYYY03 09 11) <br /> HP, 1 <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 z"Urance Commy <br /> INSURER B: Kideest enployera Casualty Co. <br /> Homer L Chastain & Associates INSURER C: <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 /> POLICY EFFECTIVE PO <br /> LTR rNLSKQ TYPE OF INSURANCE POLICY NUMBER DATE DA LIMITS <br /> GENERALLIA9ILITY EACH OCCURRENCE $ 1,000, <br /> OOO <br /> A X TOMM ERCIALGENERALLIABILITY EPPOO55385 01/01/11 01/01/12 PREMISES Encowrence $100,000 <br /> CLAIMS MADE a OCCUR M ED EXP(Any ane Person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS-CX)MPIOPAGG s2,000,000 <br /> POLICY J RO LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X X ANY AUTO MA0055385 01/01/11 01/01/12 (Eaaoddem) $ 1,000,000 <br /> ALLOWNEDAUTOS BODILY INJURY <br /> SCHEDULED AUTOS <br /> (Per Person) $ <br /> X HIRED AUTOS BODILY <br /> $ <br /> X NON-OWNED AUTOS d� <br /> PROPERTY DAMAGE $ <br /> (Per ecddo t) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE s2,000,000 <br /> A X OCCUR F—I CLAIMSMADE EPPOOSS385 01/01/11 01/01/12 AGGREGATE s2,000,000 <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ S <br /> COMPENSATION <br /> P SATION X TORY LIMITS ER <br /> AND EMPLOYERS'LtASFLJTY <br /> wow <br /> YIN <br /> B ANFIPROM'ERSEM�PARTNERI ECUTIV4 I BM WC0115399 01/01/11 01/01/12 E.L.EACH ACCIDENT $$500,000 <br /> (Mandatory In NH) E.L.DISEASE-EA EMOLOYEE S$500,000 <br /> if yyes,desafbe urdw <br /> SPEGAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I$ 50 0,0 0 0 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> RE: PROJECT 5679, THE CITY OF DECATUR AND ITS OFFICERS AND EMPLOYEES ARE <br /> NAMED AS ADDITIONAL INSURED ON GENERAL AND AUTO LIABILITY ON A PRIMARY AND <br /> NON-CONTRIBUTORY BASIS. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E)anRATION <br /> CITYOFD DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO OO SO SHALL <br /> CITY OF DECATUR Ir1POSE NO OBLMTION OR LIABIL WY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> ATTN: MATT NEWELL <br /> REPRESENTATIVES.#1 GARY ANDERSON PLAZA <br /> DECATUR IL 62523 <br /> L'AUTHORV"REPRESENTATIVE <br /> lliam P Shade III <br /> ACORD 25(2008101) ®9988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />