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ACCO CERTIFICATE OF LIABILITY INSURANCE °oa25/2"II�°°'m"' <br /> THIS CERTIFICATE IS ISSUED AS A 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(les)must be endorsed. If 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 /> NAME: <br /> *'MARSH USA,INC. <br /> 44 WHIPPANY ROAD PHONE AIC No): <br /> PO BOX 1966 ar <br /> MORRISTOWN,NJ 07962 ADDRESS' <br /> PRODUCER <br /> Attn:Morristown.m"uest@Mamh.caNFax:212-948-0979 CUSTOMER ID <br /> 100055-USG GAW-11-12 INSURER <br /> S AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:Travelers Prop.Casualty Co.Of America 25674 <br /> UTILITY SERVICE CO.,INC. <br /> P.O.BOX 1350 INSURER 8: <br /> WA WA <br /> PERRY,GA 31069 INSURER C:Travelers Indemnity Co 25658 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: NYC-005331089-02 REVISION NUMBER:2 <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 TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLIDD%YYYYY FF POLICY DDfYYY LIMITS <br /> EXP <br /> LTR <br /> A GENERAL LIABILITY TC2J-GLSA-650G2458-11 03/01/2011 03/01/2012 EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TO 4cl <br /> EIT- <br /> MMERCIAL GENERAL LIABILITY PR I S a o hence $ 2,000,000 <br /> CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> JECT <br /> M POLICY PRO- LOC $ <br /> A AUTOMOBILE LIABILITY TC2J-CAP-752G2989-TIL-11 03/01/2011 03101/2012 COMBINED SINGLE LIMIT $ 2,000,000 <br /> X (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LI/AB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> A WORKERS COMPENSATION TC2J-UB-116D8243 TIL-11(AOS) 03/01/2011 03/01/2012 X W�SLIMIT o IR <br /> AND EMPLOYERS'LIABILITY <br /> C ANY PROPRIETOR/PARTNER/EXECU IVE-1 N/A TRJ-UB•116D8255-IND-11(WI) 03/01/2011 03/01/2012 E.L.EACH ACCIDENT $ 2,000,000 <br /> OFFICER/MEMBER EXCLUDED? 2000 000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> Iiyes,describe under 2,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Addltlonal Remarks Schedule,if more space is required) <br /> THE CITY OF DECATUR AND ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED(EXCEPT WORKERS COMPENSATION)WHERE REQUIRED BY WRITTEN CONTRACT. THIS <br /> INSURANCE IS PRIMARY AND NON-CONTRIBUTORY OVER ANY EXISTING INSURANCE AND LIMITED TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED AND WHERE REQUIRED BY <br /> WRITTEN CONTRACT. WAIVER OF SUBROGATION PROVIDED IN FAVOR OF ADDITIONAL INSURED UNDER THE GENERAL LIABILITY,AUTO LIABILITY AND WORKERS COMPENSATION <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CITY OF DECATUR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ATTN:MATT NEWELL,CITY ENGINEER ACCORDANCE WITH THE POLICY PROVISIONS. <br /> #1 GARY ANDERSON PLAZA <br /> DECATUR,IL 62523 AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Donna Clampitt <br /> ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />