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���' CERTIFICATE OF LIABILtTY fNSURANCE OP ID RT OATE(MM/�DlYYYY} <br /> AGR1000 05/11/10 <br /> RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS WO RIGHTS UPON THE CERTIFICATE <br /> J.L.Hubbard Insurance & Bonds HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 10 90 South Route 51, PO Box 14 AITER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Forsyth IL 62535-0014 <br /> Phone: 217-B77-3344 Fax:217-877-0795 INSURERSAFFORDINGCOVERAGE NAIC# <br /> INSURED INSURERA Unitea Fire c Caeualty company <br /> INSURER B. <br /> Agricultural Watershed <br /> I n s ti tute INSURER C: <br /> 4004 College Park Road INSU�ERD: <br /> Decatur IL 6252I _ <br /> INSl/2Eft E � <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO TNE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO.NOTWITHSTANOING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEPIT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSUFANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN RE�UCED BY PAID CLAIMS. <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE Mld/OD DATE OAMID�AT��N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1�OOO�OOO <br /> A X X COMMERCIALGENERALLIABIU'fY 60335694 06/09/09 06��9�10 PREMISES(Eaoccuren� 510��0�a <br /> CLAIMS MADE �OCCUR MED EXP(My one person) $5�OOO <br /> � PERSONAL&ADV INJURY ,$1�OOO�OOO <br /> � _ GENERALAGGREGATE �$2�OOO QOO <br /> GEN'L AGGREGATE LIMITAPPLIES PER: i PRODUCTS-COMP/OP AGG .$2�OOO�OOO <br /> POLICY PA� �-�-� LOC <br /> JECT <br /> AUTOA4061LE LlAHILITY �� <br /> COMBINED SIPIGLE LIMIT $ <br /> ANY AUTO {Ea accident) <br /> ALL OWNED AU70S BODILY INJURY a <br /> SCHEDULEDAUTOS i(Perpersan) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> r NON-OWNED AUTOS (Pe�accidentJ <br /> I , PROPERTY DAh1AGE $ <br /> j (Per accidentj <br /> j 'GARAGE LIABILITY i ''i AUTO ONLY-EA ACCIDENT 5 <br /> ' � ANY AUTO ' F1�ACC�5 <br /> �� ' OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR u CIAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE S <br /> RETENTION $ S <br /> WORKERS COMPENSATION X TORY LIMITS ER <br /> AND EMPLOYER$'LIABILITY y�N <br /> A i,AhY PROPRIETORlPARTNER/EXECUTNr� 50335894 06/09/09 ! 06/09/10 E.L.EACHkGCIDENT $1,QQ�QQQ <br /> :OFFICER/MEMBER EXCLUDED7 <br /> �(FAandatory m NHy �—� I EL.DISEASE-EA EMPLOYEE $ZOO�OOO <br /> � tt yes,descrioe under � I �E L DfSEASE-POLICV LIM(T 3 �jQ Q�Q Q Q <br /> �SPECIAL PROVISIONS below i <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSENENT!SPECIAL PROVISIONS <br /> Re: All Work <br /> City of Decatur is namzd as additional insured under the General Liability; <br /> subject to written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHWLD ANY OF THE ABOVE DESCPoBED POLICIES BE CRNCELLED BEFORE THE EXPIRATION <br /> AWI OOOZ DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAIJIED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. y +^ <br /> City of Decatur AUTHORIZEDREPRESENTATIVE c <br /> 1 Gary K Anderson Plaza Kevin J. Breheny '�"'���'' ° ^e <br /> ecatur IL 62523 ^ �,,,, <br /> ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights res . <br /> The ACORD name and logo are registered marks of ACORD <br />