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E3 <br /> DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE CHAST -1 03/09/11 <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 insurance company <br /> INSURER B: Midwest Employers 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 POLICY EXPI <br /> LTRINSRO TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD LIMITS <br /> GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY EPP0055385 01/01/11 01/01/12 PREMISES Eaoccurence) $ 100,000 <br /> CLAIMS MADE Fx_1 OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT PRO- <br /> APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 <br /> POLICY PRO LOC <br /> P <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X X ANY AUTO EBA0055385 01/01/11 01/01/12 (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> X 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 I UMBRELLA LIABILITY EACH OCCURRENCE$2,0 0 0,0 0 0 <br /> A X OCCUR CLAIMSMADE EPP0055385 01/01/11 01/01/12 AGGREGATE $ 2,000,000 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATIONOTH- <br /> X TORY LIMITS ER <br /> AND EMPLOYERS'LIABILITY YIN <br /> B ANY OFFICEOPRIET ER EXCLUDED?ECUTIVrBNUWC 0115 3 9 9 01/01/11 01/01/12 E.L.EACH ACCIDENT s $500,000 <br /> (Mandatory in NH) L—1 E.L.DISEASE-EA EMPLOYEE $ $500,000 <br /> Ifyes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ $500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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 EXPIRATION <br /> CITYOFD DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> CITY OF DECATUR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> ATTN: MATT NEWELL REPRESENTATIVES. <br /> #1 GARY ANDERSON PLAZA AUTHORIZED REPRESENTATIVE <br /> DECATUR IL 62523 William P Shade III <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />