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<br /> EXHIBIT E
<br /> DATE(MMIDD/YYYY)
<br /> �'�aRo� CERTIFICATE OF LIABILITY INSURANCE o�,l8iZo16
<br /> �...--
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement�s).
<br /> PRODUCER 1-800-527-9049 CONTACT Traci Stoecker / Linda Homarito
<br /> NAME:
<br /> Holmea Murphy and Asaociatea pHONE , g00-527-9049 FAX 888-898-6385
<br /> - Peoria AIC No:
<br /> E-MAIL
<br /> 311 S.W. W3tei' Stx'6et ADDRESS:
<br /> Suite 211 INSURER S AFFORDING COVERAGE NAIC#
<br /> Peoria, IL 61602-4108 INSURERA: EMPLOYERS MUT CAS CO 21415
<br /> INSURED INSURERB: XL SPECIALTY INS CO 37885
<br /> Crawford, Murphy & Tilly, IAC. INSURERC: COLONY INS CO 39993
<br /> CMT North America, Inc.
<br /> 2750 Weat Waahington INSURERD:
<br /> INSURER E:
<br /> Springfield, IL 62702 INSURERF: ROCRHILL INS CO 28053
<br /> COVERAGES CERTIFICATE NUMBER:459zo�si REVISION NUMBER:
<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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR POLICY NUMBER MMIDDIYYYY MM/DD/YYri
<br /> A X COMMERCIALGENERALLIABILITY SD39308-16 12/O1/15 12/O1/16 EACHOCCURRENCE $ 1,000,000
<br /> CLAIMS•MADE �OCCUR PREM SES�a occur ence $ 1,000,000
<br /> X Sev of Ii�t MEDEXP(Anyoneperson) $ 10,000
<br /> PERSONAL&ADVINJURY $ 1,000,000
<br /> GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2.000,000
<br /> POLICY�jE� � LOC PRODUCTS-COMP/OPAGG $ Z.000,000
<br /> OTHER: Valuable Papera $ 1,000,000
<br /> 7� AUTOMOBILELIABILITY SE39308-16 12/O1/15 12/O1/16 COMBINEDSINGLELIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS PROPERTY DAMAGE $
<br /> NON•OWNED Per accidenl
<br /> X HIRED AUTOS X AUTOS
<br /> $
<br /> A X UMBRELLALIAB X OCCUR SJ39308-16 12/O1/15 12/O1/16 EACHOCCURRENCE $ 5,000,000
<br /> EXCESSLIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED X RETENTION$10,000 g
<br /> A WORKERSCOMPENSATION SH39308-16 12/O1/15 12/O1/16 X STATUTE �RH
<br /> AND EMPLOYERS'LIABILITY —�—
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y�N E.L.EACHACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? � N�A
<br /> (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ 1,000,000
<br /> If yes,descnbe undar
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000
<br /> 8 Profesaional Liability DPR9800053 12/O1/15 12/O1/16 $5,000,000 Ea C1aim7,000,000
<br /> C Pollution Liability CSP304179 12/O1/15 12/O1/16 $5,000,000 Ea C1aim10,000,000
<br /> F Excesa Umbrella XS01513300 12/O1/15 12/O1/16 $5,000,000 Ea C1aim5,000,000
<br /> DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Rema�ka Schedule,may be attached if more space Is requlred)
<br /> The City of Decatur and ita officers and employeea are additional inaureda on the General and Auto Liability policies
<br /> on a primary and non-contributory baeis.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> #1 Gary R. Anderaon Plaza AUTHORIZEDREPRESENTATIVE
<br /> Decatur, IL 62523 �n4���.� ,�V,��,,_,�
<br /> USA
<br /> OO 1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br /> lbomaritoil E 1
<br /> 45920751
<br />
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