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A�o!`ro� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYVY)
<br /> 09/23/2016
<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 polfcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endo�sement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRppUCER GONtACT
<br /> f 777 South F gue oa St eet�rnces7 jp�,No�aSl:. .__ .___ ___ — �.IA/�.N�l.�.._._ —
<br /> CA License#D4371531
<br /> t' Los Mgeles,CA 90017z AfIDRE58.
<br /> } Antl'LOSAf19eIB5.C@RR@QU2S1@M2fSh.COC1 .._� _INSURER(S�AFFOROING COVERAGE NAIC#
<br /> � ... ._ ...._-______�.___.
<br /> 06510-STND-GAUE 16•17 Decatu GLALP 12 2017 INSURER A Zurich American Insurance Company 16535
<br /> __- - -_____.,__.._------ _T ___._.________.__._ _.-- .---- -_.__.. - - ---- --
<br /> INSURED INSURERB:N�A NIA
<br /> �' AECOMO __. _.- ,_._
<br /> AECOM Technical Services,inc.:', INsurtert c;Illinois Union Insurance Co 7960
<br /> � 345 East Ash Avenue,Suite Bii `" � �"-
<br /> D8C8�Uf,IL 62526 INSURER D. ��^
<br /> .___._..._._.__..._
<br /> INSURER E:
<br /> ' ---- ... ... ......._._.�.�_.__........ .----------- -�---..... . .. ._.._
<br /> � INSURER F: �
<br /> COVERAGES CERTIFICATE NUMBER: LOS-oo2o18399-01 REVISION NUMBER:
<br /> � THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB�VE FOR TME 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 DE5CRIBED 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..._ .---_.. . ....... ..__. OOLgU�I�i .._.._._........._ _.._ i POLICYEfF pOCICYEXP.... ..�_.- ----'. __..__ . .. ---
<br /> � LTR TVPE OF INSURANCE POIICY NUM6ER MMIpOIYY`(Y MMIDOlYYYY LIMITS
<br /> A X COMMERCIALGENERALLIABILITY G10596589108 0410�12C16 lOA/O1I2017
<br /> � ._ � EACH OCCURRENCE $ . 1,000 000
<br /> � —J I x l ��a��,�����--$w ,.000.000
<br /> � C�AiMS•MADE OCCUR .Q4?E�«.����a.,�+ge.cy�_,.l _.,_�._ --......__.
<br /> ;� .._.,..._,_ _� __.______� MED EXP(Any one person� �E 5,000
<br /> * .... .......__ �.
<br /> ._ ._._..-----
<br /> � _ ____._ PERSONAL 8 ADV INJLIRY �E 1,000,000
<br /> _ -- '
<br /> �;. �GEN'L AGGREGATE LIMITAPPLIES PER� GENERAL AGGREGATE �$ 2,000,000
<br /> r --
<br /> — __. ...__.'-
<br /> _._..,
<br /> � X POUCY �E� . LOC PRODUCTS-COMP/OP AGG_.--_�$ -_-- 2,000 000
<br /> � OTHER: � � j$
<br /> A IAUTOMOBILELIABILITY 9AP5965893OB O4/O11Y016 04/O1/YOtl COMBINEDSINGLELIM�T $ �,OOO,OOO
<br /> �X- .��e&WS��11.___ ___. __.
<br /> ANY AUTO 8001LY INJURY(Per pe�son) :�$
<br /> .—..---__ � ._-�-.-.._a ..._._..—.
<br /> �� ALL OWNED �SCHEDULED BO�ILY INJURY Per accident �S
<br /> . AUTOS AUTOS � �
<br /> ..<.._._— -_.___ __..
<br /> �� NON-OWN[D ��PROPERTY OAMAGE����-
<br /> ._..__.. HIRED AUTOS AUTOS (Qur accMenll .. ,.,,$_._... .........._ ..
<br /> $
<br /> � UMBRELLA LIAB OCCUR EACH OCCURRENCE ... . .
<br /> ..,_. __.._.� ___ _.. $-- _.._
<br /> EXCESS LIAB CLAIMS-MADE AGGR[GATE .$
<br /> DED RETENTION$ '�.a
<br /> WORKERS COMPENSATION ER OrFi- >
<br /> AND EMPLOYERS'LIABIUTV Y I N TAT��E_____.�,!R_.___'
<br /> —�...__
<br /> ANY PROPRIETOWPARTNER/EXECUTIVE E L EACH ACCIDENT ���$
<br /> OFFICER/MEMBEREXCLUDED? � N�A ---�-�----- ------- --�
<br /> (Mandatory In NN) EL.DISEASE-EA EMPLOYEE'.$
<br /> If yes,describe under . .—.- _,__._�_..___.._,...._ ,......._..__._._,,.
<br /> DESCRiPTION OF qPERATIONS bel�w E.L.DISEASE-P4UGY LIMIT �.$
<br /> � C ARCHITECTS 8 ENG. ON G21654693 04/01I2016 04/0112017 Per CtalmlAgg $1,000,000
<br /> PROFESSIONAL LIAB. "CLAIMS MA�E" Defense Included
<br /> t{
<br /> 1 OESCRIPTION OF OPERATIONS I LOCATIONS/VEHtCLES (ACORD 101,AAtlltlonal Remarks Schedule,may be attached i1 more spaee la iequireC)
<br /> a Re:AECOM Project No:City of Decalur Bndge Inspections 2016-2;Clienl Reference No:Bndge Inspeclions 2016-2017;Pedorm bridge inspections and prepare Bridge
<br /> � Condition Reports tor the following stn�ctures:05B•6000,058-6001,058-6002,058-3035,058-3036,and 058-3060 11
<br /> �
<br /> ' The City of Decatur and its oificers and employees are narned as additional insured for GL 8 AL coverages,but only as respects work pedormed by or on behalf of the named
<br /> � insured.This insurance is pnmary and non-contributory over any exisling insurance and limited to liabil'�ty arising out ot lhe operations of the named insured and where required
<br /> � by written contract with respecf to lhe GL 8 Al covereges.
<br /> i
<br /> �
<br /> � CERTIFlCATE HOIDER CANCELLATION
<br /> ,
<br /> } City of Decatur; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Attn:Matt Newell/City EngineerJ THE EXPIRATION pATE THEREOF, NOTICE WII.L BE DE�IVERED IN
<br /> � One Gary K.Mderson Plaza" ACCOROAMCE WITH THE POLICY PROVISIONS.
<br /> Decatur,IL 62523-1196
<br /> 1
<br /> I AUTHORIZED REPRESENTATIVE
<br /> � of Marah Riak 6 Inauranca Sarvices
<br /> � James L.Vogel CZ����
<br /> ' �O 1988-2014 ACORD CORPORATION. All rights reserved.
<br /> j ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
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