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I •• <br /> E,.cr1t8rt E <br /> DATE(MM/DD/YYYY) <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE 03/09/2011 <br /> PRODU`CEERR 1-800-527-9049 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Holmes Murphy and Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> - Peoria HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 311 S.W. water Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 211 <br /> Peoria, IL 61602-4108 INSURERS AFFORDING COVERAGE NAIC# <br /> Paula Dixon <br /> INSURED INSURERA:XL SPECIALTY INS CO 37885 <br /> Homer L. Chastain & Associates <br /> INSURER B: <br /> 5 N. Country Club Rd. INSURER C: <br /> Decatur, IL 62521 INSURERD: <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 /> INSRDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR DATE(MMIDDIYYYY) DATE(MMIDD/YYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMA E TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS MADE F—I OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRCT O LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> 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 $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- O R <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> Des describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> A Professional Liability DPR9619931 04/13/10 04/13/11 Each claim 2,000,000 <br /> (Claims Made) Aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS <br /> Re: Project 5679 - Decatur Streetscape <br /> Policy deductible: $50,000 each claim <br /> Professional Liability policy has been endorsed to provide a 30 day notice of cancellation in favor of <br /> the certificate holder. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> City of Decatur <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Attn: Matthew C. Newell, P.E. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> #1 Gary Anderson Plaza <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Decatur, IL 62523 <br /> USA Al JM f,/.U4 <br /> ACORD 25(2009/01)lbomaritoil ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> 20091538 The ACORD name and logo are registered marks of ACORD <br />