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. <br /> � a1;11i:��� CERTIFICATE OF INSURANCE � �� � �'SS�E o 5/�2 3/8 9 <br /> RoouCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> J. L.Hubbard Company-Decatur NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, <br /> � P. O. BO X Z 31 1 _ EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> Decatur , Il . 62526 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> LETfER A Bituminous Casualty <br /> CODE SUB-CODE <br /> COMPANY B <br /> SURED LETTER i <br /> ; Dunn Company, A Division of COMPANY � � <br /> � Tyrolt , Inc . LETTER ' <br /> 724 N. Mercer St . COMPANY p <br /> � ecatur , I1 . 62522 LETTER <br /> � <br /> COMPANY E <br /> LETTER i <br /> OVERAGES " - ----___�...__,.._�___._��.__...__. <br /> .... .,e,..._... _..___.. .. . _ . ___..�..e_-_.._..,._..,.�.__r� <br /> E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> 1 INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH�S <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 TVPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION pLL LIMITS IN THOUSANDS <br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> ' GENERAL LIABILITY GENERAL AGGREGATE $ 1 � O O O <br /> A X COMMERCIAL GENERAL LIABILITY C L P Z O 3 S H 7 O 1�1�O 9 1�1�9 O PRODUCTS-COMP/OPS AGGREGATE $ 1 � O O O <br /> ! CLAIMS MADE X OCCUR. PERSONAL&AOVERTISING INJURY $ S O O <br /> OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ S O O <br /> � FIRE DAMAGE(Any one tire) $ 5 Q 'I <br /> i <br /> , MEDICAI EXPENSE(Any one person) $ 5 '�. <br /> � AUTOMOBILE LIABILITY COMBINED � �''' <br /> xANYAUTO CAP 1751008 1/1/�9 1/1/90 LIMTLE $ 1 � 0�0 ��i <br /> i ALL OWNED AUTOS BODILY <br /> ! INJURY $ I <br /> SCHEDULED AUTOS (Per person) <br /> , X HIRED AUTOS BODILY II <br /> NON-OWNED AUTOS INJURY $ i <br /> X (Per accident) � , <br /> ; GARAGE LIABILITY PROPERTY j I <br /> � DAMAGE $ � <br /> EXCESS LIABILITY EACH AGGREGATE { <br /> ` A x CUP 1774508 1/1/89 1/1/90 OCCURRENCE i I <br /> $ 1 , 000� 1 , 000 ; <br /> ' OTHER THAN UMBRELLA FORM � <br /> WOFKER'S COMPENSATION STATUTORY � <br /> ' A AND WC 1100607 1�1�89 1/1/90 $ 1�0 (EACHACCIDENT) ! <br /> EMPLOYERS'LIABILITY $ S O O (DISEASE—POLICY LIMIT) i <br /> r' $ 1 O O (DISEASE—EACH EMPLOYEE� <br /> OTHER � <br /> I <br /> :' <br /> � DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS ; <br /> j The City of Decatur is named additional insrued under CLP2035890 and policy ; <br /> ��P1774508 is following form. � <br /> , RE : Project 8908 Milling & Rehabilitation ; <br /> �. ..,_.,.._._�_.___�___�. f <br /> ____.._.. . ...�__.�...._... _ . _.-____�,.�. __._._�., <br /> f CERTI ICATE HOLDER CANCELLATION <br /> ;�1 t y O f D e c a t u r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL�XI�DtC)RXX(X <br /> At t n : Kat h}' - C 1 t y E n g i n e e r i n g MAIL��DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> #1 Civic Center Plaza <br /> �e c a t u r , I 1 . 6 2 5 2 3 LEFT, �ytr�����x,n����c������r��n.x��ar�as�wa a��a�aaw�a�c <br /> x�t�4@�h��k�t+f�Tc►��e��t����x�ic�X�c�����teeiaes��rx��s.x x <br /> --- - — �-- ----.__..._ --- - ____..-- --- <br /> � AUTHORIZ REPRESENTATI � <br /> � � <br /> i <br /> : <br /> ,__CORD 25-S(3/88) _ _ DAC D CORPORATION 1988 <br />