R2011-65 AUTHORIZING AGREEMENT WITH AGRICULTURAL WATERSHED INSTITUTE

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE OP ID RT DATE(MMMOMYYY) 06/09/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 1 certificate o r Is an ADDITIONAL INSURED,the po Icy les must be endorsed. If SUBROGATION IS WAIVE05-usioto the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Raindy Taylor J.L.Hubbard Insurance & Bonds Arc N Ext: 217-877-3344 ac,No: 217-877-079 1090 South Route 51, PO Box 14 ADDRESS: rtaylor@jlhubbard.com Forsyth IL 62535-0014 CUSTOMERIOp AGR1000 Phone:217-877-3344 Fax:217-877-0795 INSURER(S)AFFORDING COVERAGE MAIC/ INSURED INSURERA: United Fire &Casualty Company Agricultural Watershed INSURERS: Institute 4004 College Park Road INSURERC: Decatur IL 62521 INSURER D INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A XCOMMERCIALGENERAL LIABILITY 60335894 06/09/10 06/09/11 PREMISES Eaoccrsrence $100,000 CLAIMS-MADE ❑X OCCUR MED EXP(Any one Person) $5,000 X PERSONAL&ADV INJURY $2,000,000 lr-- GENERAL AGGREGATE s2,000,000 GEN•L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG s2,000,000 POLICY JECT F LOC $ AUTOMOBILE LIABILITY COMBINED INGLE LIMB accident) $1,000,000 A ANYAUTO 60335894 06/09/10 06/09/11 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ E UMBRELLA I" 7�OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAUAS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION 06/09/10 06/09/11 X1 WC OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE /A E.L.EACH ACCIDENT $100,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHI:LFB(Attach ACORD 101,Additional Remarks Schedule,N more space is required) Re: All Work City of Decatur is named as additional insured under the General Liability; subject to written contract. CERTIFICATE HOLDER CANCELLATION AWI O OO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS. City of Decatur E AUTHORD REPRESENTATIVE 00, 1 Gary K Anderson Plaza Kevin J. Breheny ecatur IL 62523 ®1988-2009 ACORD CORPORATION. All rights redWed. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD