Laserfiche WebLink
A� CERTIFICATE OF LIABILITY INSURANCE DATE <br /> 6 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 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 Linda Bomarito <br /> NAME: <br /> Holmes Murphy and Associates PHONE FAX <br /> Peoria C No Ext: 309-282-3903 _ (A/c,No): 866-501-3945 <br /> E-MAIL lbomarito@holmesmurphy.com <br /> 311 S.W. Water Street ADDRESS: _ P Y•com <br /> Suite 211 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Peoria, IL 61602-4108 INSURERA: XL SPECIALTY INS CO 37885 <br /> INSURED INSURER B: <br /> Blank, Wesselink, Cook & Assoc <br /> INSURER C <br /> 2623 Pershing Rd INSURER D: ---- --- <br /> INSURER E: <br /> Decatur, IL 62526 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:47620173 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE j OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> 1 POLICY[_]JECT LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> r— <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> _{AUTOS _J AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> Is <br /> UMBRELLA LIABOCCUR EACH OCCURRENCE <br /> EXCESS LIAB H CLAIMS-MADE AGGREGATE $ <br /> —�— - - -- <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY Y/N SEATH <br /> UTE _ ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ _ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ <br /> A Professional Liability !DPS9808235 09/16/16 09/16/17 Each Claim 1,000,000 <br /> (Claims Made) Aggregate 1,000,000 <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <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 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Decatur, IL 62523 <br /> USA <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> lbomaritoil <br /> 47620173 Exhibit El <br />