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. <br /> AI:I/I:��� CERTIFICATE OF INSURANCE 'ssSeptember 5°'Zoo3 <br /> aaoouceA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE � ' <br /> MC GOWAN INSURANCE GROUP,INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE � <br /> 1850 MARKET TOWER, 10 WEST MARKET STREET POLICIES BELOW. <br /> INDIANAPOLIS,INDIANA 46204 COMPANIES AFFORDING COVERAGE <br /> COMPANY A GULF UNDERWRITERS INSURANCE CO. <br /> LETTER <br /> COMPANY B SAFECO INSURANCE CORPORATION <br /> INSURED LETTER <br /> TANK INDUSTRY CONSULTANTS INC. coMPnNv � <br /> � LETTER C LIBERTY MLJ'TUAL � <br /> 7740 WEST NEW YORK STREET <br /> INDIANAPOLIS,INDIANA 46214 ETl"ER Y D SAFECO INSURANCE CORPORATION ' <br /> COMPANY E <br /> LETTER <br /> COVERAG�S <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 3,000�000 <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. . $ <br /> A X - 3,000,000 <br /> CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 3�000�000 <br /> OWNER'S&CONTRACTOR'S PROT. GUZHZSO4C) i l/1SI2OO2 11/15/2003 EACH OCCURRENCE $ 3�000�000 <br /> X Professional FIRE DAMAGE(Any one fire) $ 50�000 <br /> �S��P MED.EXPENSE(Any ane person) $ 5 O� <br /> AUTOMOBILE LIABILITY � <br /> . COMBINED SINGLE $ � <br /> ANY AUTO LIMIT <br /> B X AL�OWNED AUTOS BODILY INJURY $ I�OOO,OOO <br /> SCHEDULED AUTOS (Per person) <br /> HIR�7 AUTOS O1-CE-102579-7 1���1�2��2 1���1�2��3 BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> X <br /> X GARAGE LIABILITY <br /> PROPERTY DAMAGE $ <br /> EXCESS LIASILITY EACH OCCURRENCE $ <br /> UMBRELLAFORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM <br /> WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT $ 1�000�000 <br /> ' AND �- - - - - � . <br /> C WC1-34S-046245-042 9�22�2��2 9/22/2003 DISEASE—POLICY LIMIT $ 1�Q�Q�QQ� <br /> EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $ 1�000�000 <br /> OTHER <br /> D Excess Auto O1-XS-125716-7 10/O1/2002 10/O1/2003 3,000,000 CSL <br /> DESCRIPTION OF OPERATIONSlLOCAT�ONS/VEHICLES/SPECIAL ITEMS <br /> The TANK INDUSTRY CONSITLTANTS employee(s)will be dispatched from Indiana. Additional Insured and Waiver of Subrogation as � <br /> required by Contract applies to General Liability. � <br /> CERTIFICATE HOLDER CANCELLATION � <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE � <br /> EXPIR,4JION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO � <br /> MAIL 1J DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE � <br /> CityofDecatur LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> 1�FlOOi Of�Ile C1V1C C0rit0i LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. � <br /> #1 Gary K.Anderson Plaza � <br /> Decatur,I111I1O1S 62523 AUTHORIZED REPRESENTATIVE I <br /> John E. Sullivan f <br /> e <br /> �ACORD 25-5 (7/90) cOACORD CORPORATION 7990� ' <br />