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Exhibit E
<br /> A���� CERTIFICATE OF LIABILITY INSURANCE 6/22/2016 Drc�Y,
<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 cert(ficate holder fs 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 requlre an endorsement. A statement on this certificate does not confer rights to the
<br /> certtficate holder in lieu of such endorsement s.
<br /> PRODUCER CONTACT
<br /> AME:
<br /> Cottingham& Butler PHONE .563-587-5000 F"X .563-583-7339
<br /> Robert Heath
<br /> 800 Main St. E-"�A�� _
<br /> Dubuque IA 52001 INSURE S AFFOR�INGCOVERAGE NAICq
<br /> iNsuReaa:The Phoenix Insurance Com an 25623
<br /> INSURED FARNGRO-01 INSURERB:TfBVBIBfS C8SU8If Insurance Com an 19046
<br /> Farnsworth Group, Inc. ir,suReac:The Travelers Indemnit Com an of 25666
<br /> 2709 McGraw Drive R
<br /> Bloomington I L 61704 ir,suRea o:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:642680704 REVISION NUMBER:
<br /> THIS IS TO CERTIFY TFiAT 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 /> CER7IFICATE 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 7YpE OF INSURANCE , POLICY EFF POLICY EXP LIMITS
<br />� LTR INSD NND POLICY NUMBER MMIDDIYYYY MMfDOlYYYY
<br /> A x COMMERCIAL GENERAL LIA8ILITY 630 2H074452 PHX 6/15/2016 6/15/2017 EACH OCCURRENCE 51,000,000
<br /> CWMS-MADE �OCCUR PREMISES Eaoc u ence E100,000
<br /> MED EXP(Any one person) 55,000
<br /> PERSONAl6 ADV INJURY 51,000,000
<br /> GENI AGGREGATE IiM�T APPLIES PER: GENERAL AGGREGATE 32,000,000
<br /> POLICY�jE� a LOC PRODUCTS-COMP/OP AGG 52,000,000
<br /> OTHER: Employee Bene(ts S$�M/y2M
<br /> A AUTOMOBILE LIABILITY 810 2H074452 COF 6/15/2016 6/15/2017 Ea accidant 51,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> AUTOS�E� AUTOS`ED 80DILY INJURY(Per accidenl) S
<br />� NON-ONMED RTy b
<br /> HIREDAUTOS qUTOS PerecGtlent
<br /> b
<br /> B X UMBRELLA LIAB X p�CUR CUP 2H074452 TIL 6/15/2016 8/15/2017 EqCH OCCURRENCE 56,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE 56,000,000
<br /> DED X RETENTIONSO S
<br /> C WORKERS COMP�SATION UB 2H354726 ASF 6/15/2016 6/15l2017
<br /> AND EMPLOYERS'LIABILITY X STATUTE ER
<br /> ANY PROPRIETOR/PARTNEWEXECUTIVE Ya N�A E.L.EACH ACCIbENT 51,000,000
<br /> OFFICER/MEMBER EXCLUDEO7 -
<br /> (Mandatory In NH) E.L.�ISEASE-EA EMPLOYE $1,000,000
<br /> If yes,descriCe under
<br /> DESCRIPTION OF OPERATIONS beiav E.L.OISEASE-POLICY LIMIT 51,000,000
<br /> A Property 630 2H074452 PHX 6/15/2016 6/15/2017 BPP Limit $3,485,000
<br /> A Inland Marine 630 2H074452 PHX 8/15/2016 6H5/2017 Rented/Leased 550,000
<br /> �ESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES (ACORD 101,Addltional Ramarka Scheduie,may ba attached if more space is required)
<br /> The City of Decatur and its o�cers and employees are additional insured on the General Liability policy on a primary, non-contributory basis
<br /> and the Auto Liability policy subject to all terms and conditions of the policy forms.A 30 day notice of cancellation is provided by the
<br /> insurance company to the certificate holder as outlined by the endorsement attached to the General Liability,Auto Liability,and Workers'
<br /> Compensation policies.
<br /> Farnsworth Group, Inc, Project P0160436.00 Decatur Fulton Area Drainage
<br /> Farnsworth Group, Inc. Project Manager Brandon Lott
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Public Works Department THE EXP�RATION DA7E THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Decatur ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1 Gary K.Anderson Plaza
<br /> Decatur IL 62523 AUTHORIZED REPRESENTATIVE
<br /> �
<br /> O 1988-2014 ACORD CORPORA710N. All rights reserved.
<br /> ACORD 25(2014/01) � The ACORD name and logo are registered marks of ACORD
<br /> E-2
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