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�I/III�II. CERTIFICATE OF INSURANCE �� � ��^�SSUE DATE(MM/DD/YY) <br /> 5/23/89 <br /> RODUCEH 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 NOTAMEND, <br /> P.O. B O X 2 31 1 . EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> Decatur , I1 . 62526 COMPANIES AFFORDING COVERAGE <br /> COMPANY A <br /> LETfER Bituminous Casualt <br /> CODE SUB•CODE y <br /> COMPANY B <br /> SURED LETTER I <br /> ! Dunn Company, A Division of COMPANY , <br /> yrolt , Inc . LETTER � ; <br /> 24 �i. Mercer St . COMPANY � <br /> ecatur , I1 . 62522 LETfER � i , <br /> COMPANY E <br /> LETTER <br /> ..,._.. . .. --.._�_._. _ _._.__.. ____.-__4�.-- ___,_.o...._..r_�_...__ ._.._ _ . . <br /> _ u.__.__�_ ....- -.. ..._ _ _ _ _........_....._.....�....._......� <br /> OVERAGES ' <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 REQUTAEMENT,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, 1 <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION p��LIMITS IN THOUSANDS , <br />' LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 1 � O O O <br /> �(COMMERCIAL GENERAL LIABILITY C L P Z O 3 S H 9 O 1�1�H 7 1�1�9 O PRODUCTS-COMP/OPS AGGREGATE $ 1 � O O O <br /> CLAIMS MADE �( OCCUR. PERSONAL&ADVERTISING INJURY $ S O O � <br /> ' OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ S O O � <br /> FIRE DAMAGE(Any one tire) $ 5 0 . <br /> MEDICAL EXPENSE(Any one person) $ 5 <br /> IAUTOMOBILE LIABILITY COMBINED � <br /> � SINGLE $ <br /> XANYAUTO CAP 1751008 1/1/89 1/1/90 LIMIT 1 , 000 I <br /> ALL OWNED AUTOS BODILY <br /> INJURY $ <br /> � SCHEDULED AUTOS ! <br /> ' (Per person) 1 <br /> I <br /> X HIRED AUTOS BODILY <br /> X NON-OWNED AUTOS (Per�a cident) $ � <br /> GARAGE LIABILITY <br /> PROPERTY <br /> � DAMAGE $ � <br /> �' EXCESS LIABILITY EACH AGGREGATE <br /> OCCURRENCE <br /> � A x CUP 1774508 1/1/89 1/1/90 $ 1 , 00(� 1 , 000 � <br /> OTHER THAN UMBRELLA FORM <br /> i � <br /> (� STATUTORY <br /> � WORKER'S COMPENSATION � <br /> AND <br /> �1JC` 11��6�7 1�1�8(� 1�1�(�� $ 100 (EACHACCIDEN� <br /> � EMPLOYERS'LIABILITY $ S O O (DISEASE—POLICY LIMI� ; <br /> ' $ 1 O O (DISEASE—EACH EMPLOYEE) <br /> � OTHER <br /> I' <br /> I <br /> + DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS �_ <br />� The City of Decatur is named additional insured under CLP2035890 and policy � <br /> P1774508 is following form. ; <br /> RE : Project 8907 Conventional <br /> . .,�--------_._.._....�.____._.__._._._.._ _ .__.__.._____..___.. ..._____ . _.__. __...�.._----___._____._ <br /> - - - � <br />', CERTIFICATE HOLDER CaNCELLATION � <br /> i '1 t y O f D e c a t u r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE � <br /> il Attn' Kathy - City Engineering EXPIRATION DATE THEREOF, THE ISSUING COiv1PANY WILL ��Qp�R� <br /> MAIL�..Q_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />', �1 Civic Center Plaza �E�,�.���.�������������������x <br /> e c a t u r , I 1 . 6 2 5 2 3 ��a�va��e�xuaaa�o�a���a���xc�a�ease���[�x��ssx x, <br /> --- --- ------- - - ------- ------ <br /> AUT RIZ EPHESENTATIVE <br /> � <br /> 1 <br />� �ORD 25-S(3/88) _�ACO CORPORATION 1988� <br />