R2016-64 AUTHORIZING AGREEMENT - Bainbridge, Gee, Milanski & Associates, Inc. - City Project 2015-07

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� � DATE(MM/DDlYYYY) a�!`�o CERTIFICATE OF LIABILITY INSURANCE o5��Zo�6 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 co�ditions 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 1-800-527-9049 CONTACT NAME: HolmeS Murphy and Associates PHONE F� - Peoria A/C No: E-MAIL 311 S.W. WdtE=' Street ADDRESS: Suite 211 INSURERS AFFORDINGCOVERAGE NAIC# Peoria, IL 61602-4108 INSURERA: CHARTER OAK FIRE INS CO 25615 INSURED INSURERB: TRAVELERS IND CO 25658 Bainbridge, Gee, Milanski & Associates INSURERC: TRAVELERS CAS & SURETY CO 19038 1670 TdylOrville ROdd INSURERD: INSURER E: Decatur, IL 62521 INSURERF: COVERAGES CERTIFICATE NUMBER:468�9453 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE IISTED 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN D WV POLICY NUMBER MM/DD(YYYY MM/DDIYYYY A X COMMERCIALGENERALLIABILITY 6802748L565 07/09/15 07/09/16 EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREM SES�Ea occurrDence $ 1,000,000 MED EXP(Any one person) $ 10,0 00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY� PR� � LOC PRODUCTS-COMP/OPAGG $ z.000,000 JECT OTHER: $ B AUTOMOBILE LIABILITY BA2748L332 07/09/15 07/09/16 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Peraccident $ $ g g UMBRELLAlIA6 X OCCUR CUP6745Y549 07/09/15 07/09/16 EACHOCCURRENCE $ 4.000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED X RETENTION$10,000 $ B WORKERSCOMPENSATION IIB6745Y353 07/09/15 07/09/16 X STATUTE �ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE Y/N E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? � N�A (MandatoryinNH) E.L.DISEASE-EAEMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POI.ICY�IMIT $ 1,000,000 C Professional Liability 105304894 07/09/15 07/09/16 Each Claim 1,000,000 Claims Made Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space is required) Project: 7th Ward Sewer Rehabilitation - Construction City of Decatur is additional insured on the General Liability policy on a primary and non-contributory basis. City of Decatur is additional insured on the Auto Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. #1 Gdry K AnderSOn Plaza AUTHORIZEDREPRESENTATIVE Decatur, IL 62523 ��%�i�(:�iy.:1�f;�°'' USA O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD lbomaritoil 46879453