Laserfiche WebLink
Client#: 1366 CITDEC <br /> A�ORD� CERTIFICATE OF LIABILITY INSURANCE O�/O7IO4D/YYYY) <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATiER OF INFORMATION <br /> Arthur J Gailagher Risk Mgmt Svcs, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> JoAnn Ber er HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Two Pierce Place <br /> Itasca, IL 60143 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: U�llt@CI N8t10�18I I�)SU�af1C@ COfllPally 13064 <br /> City Of Decatur iNsuReR s: Safety National Casualty 15105 <br /> One Gary K.Anderson Plaza INSURER C: <br /> Decatur, IL 62523 <br /> INSURER D: <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 /> LTR NSR TYPE OF INSUR,4NCE POLICY NUMBER DATEYMM/DD/YIYE PDA�TE MMP D/YY N LIMITS <br /> /4 GENERAL LIABILITY CPA1000134 10/Q1/03 10/01/04 EACH OCCURRENCE $� OQQ QQQ <br /> X COMMERCIAL GENERAL LIABIL�TY DAMAGE TO RENTED g <br /> CLAIMS MADE �OCCUR MED EXP(Any one person) 3rj ��Q <br /> PERSONAL&ADV INJURY 3 <br /> GENERALAGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $� OOO OOO <br /> POLICY PR� LOC <br /> JECT <br /> A AUTOMOBILE UABILITY CPA1000134 10/01/03 10/01/04 COMBINED SINGLE LIMIT <br /> X ANYAUTO (Eaacciden�) $1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODI�Y INJURY <br /> X NON-0WNEDAUTOS <br /> (Peraccident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACC�DENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR �CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION 3 $ <br /> 5' WORKERS COMPENSATION AND SFi 3741L 10i01103 10/61/04 )( WC STATU- C�TH- <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $J�OO,OOO <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPIOYE $�JOO,OOO <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $rJOO,OOO <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCAT�ONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Pole License Agreeme�lt commencing May 15,2004 until terminated,maxium <br /> period 20 years. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Illinois Power Company DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL �._ DAYS WRITTEN <br /> 500 South 27th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Decatur, I L 62523 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ri <br /> ACORD 25(2001/08) 1 of 2 #S139880/M128720 {q(R O ACORD CORPORATION 1988 <br />