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DATE(MM/DDIYYYY)
<br /> ��!z�`� CERTIFICATE OF LIABILITY INSURANCE o5����20�6
<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
<br /> NAME:
<br /> Holmes Murphy and Associates PHONE F,vc
<br /> - Peoria AIC No:
<br /> E-MAIL
<br /> 311 S.W. Water Street ADDRESS:
<br /> Suite 211 INSURER S AFFORDING COVERAGE NAIC#
<br /> Peoria, IL 61602-4108 INSURERA: CHARTSR OAR FIRS INS CO 25615
<br /> INSURED INSURERB: TRAVfiLfiRS IND CO 25658
<br /> Bainbridge, Gee, Milanaki & Associates INSURERC: TRAV$LERS CAS & SIIRBTY CO 19038
<br /> 1670 Taylorville Road INSURERD:
<br /> INSURER E:
<br /> Decatur, IL 62521 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER:468�9a�4 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.IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR 7ypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br />� LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY
<br /> A X COMMERCIALGENERALLIABILITY 6802748L565 07/09/15 07/09/16 EACHOCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE �OCCUR PREMSES Eaoccurence $ 1,000,000
<br /> MED EXP(Any one person) $ 10,0 0 0
<br /> PERSONALBADV INJURY $ 1,000,000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000
<br /> POLICY� PR� a LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> JECT
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY BA2748L332 07/09/15 07/09/16 COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea acadent
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED 8001LY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE
<br /> X HIRED AUTOS X AUTOS
<br /> Per accident $
<br /> $
<br /> g g UMBRELLALIAB X OCCUR CIIP6745Y549 07/09/15 07/09/16 EACHOCCURRENCE $ 4,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000
<br /> DED X RETENTION$10,000 g
<br /> B WORKERSCOMPENSATION IIg6745Y353 07/09/15 07/09/16 X STATUTE �ERH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERJMEMBER EXCLUDED? � N�A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000
<br /> If yes,descnbe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ �
<br /> C Professional Liability 105304894 07/09/15 07/09/16 Each Claim 1,000,000
<br /> Claims Made Aggregate 1,000,000 i
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) �
<br /> Project: Sanitary Sewer Design Servicea
<br /> City of Decatur is additional inaured on the General Liability policy on a primary and non-contributory
<br /> basis. City of Decatur is additional insured on the Auto Liability policy.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE 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 K Anderson Plaza AUTHORIZED REPRESENTATIVE
<br /> Decatur, IL 62523 /,
<br /> IISA /'l�ilr i�%�...:�i��'=�
<br /> OO 1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
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<br /> 46879474
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