R2015-110 AUTHORIZING AN AGREEMENT WITH AECOM TECHNICAL SERVICES, INC.

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/ ' � DATE(MMIDDIYYYY) A`�� CERTIFICATE OF LIABILITY INSURANCE OB/2412015 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy�ies) must be endorsed. If SUBROGATION IS WAIVED,subject to 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 CONTACT NAM E: Marsh Risk&Insurance Services Fnx PHONE CA License#0437153 ic No E • A/C No: 777 South Figueroa Street AD RIESS: Los Angeles,CA 90017 Attn:LosAngeles.CertRequest@Marsh.Com INSURER S AFFORDING COVERAGE NAIC# 06510-AECOM--15-16 Chicag GLALP 04 2017 iNsuaeR n:Zurich American Insurance Company 16535 INSURED INSURER B:N�A N/A AECOM Technical Services,Inc. 303 E.Wacker Dr,Suite 1400 iNsuRea c:Illinois Union Insurance Co 27960 Chicago,IL 60601 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: �OS-001971243-01 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, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE ADDL SUBR pOLICY NUMBER M�DY/YYYY MMIDDY/YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY GLO 5965891 07 O4IO1/2015 O4/O1I2O16 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES EaEoccurrence $ 1,000,000 , MED EXP(Any one person) $ 5,000 � PERSONAL&ADV INJURY $ 1,000,000 ' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 ' X POLICY❑ PR� � LOC PRODUCTS-COMP/OPAGG $ 1,000,000 JECT $ OTHER � A AUTOMOBILE LIABILITY BAP 5965893 07 �4/0112015 04101/2016 COMBINED SINGLE LIMIT g 1,000,�00 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peracadent) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y�N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N�A E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C ARCHITECTS&ENG. EON G21654693 1010812014 04/0112016 Per Claim/Agg $1,000,000 PROFESSIONAL LIAB. "'"CLAIMS MADE""' Defense Included DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 701,Additional Remarks Schedule,may be attached if more space is required) RE:Professional Engineering Services Agreement. City of Decatur and its officers and employees are named as additional insured for GL&AL coverages,but only as respects work performed by or on behaK of the named insured. If the insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium,the insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract. This 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 written contract with respect to ihe GL 8 AL coverages. CERTIFICATE HOLDER CANCELLATION City of Decatur,Illinois SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE #1 GARY K.ANDERSON PLAZA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DECATUR,IL 62523 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk 8 Insurance Services David Denihan ,�js,�,��tj`j�M O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD