R2017-85 Agreement with Wachs Water Services for Water Main Value Assessment CP 2017-13

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'`I.. CERTIFICATE OF LIABILITY INSURANCE DATE 0/20D1"7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: ff the certificate holder is an ADDITIONAL INSURED,the policy(iss)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 NCONTACT AME- INA, Inc. - Colorado Division PHONE FAX AIC Nol: EMAIL denaccounttechasimaco 1705 17th Street rp.com Suite 100 INSURERS AFFORDING COVERAGE NAIC i Denver, CO 80202 INSURER A'.ACE AVER INS CO 22667 INSURED INSURER B: LIBERTY NOT INS CO 23043 Wachs Water Services INSURERC: LIBERTY NOT FIRE INS CO 23035 Pure Technologies U.S. Inc. Wachs Valve and Hydrant Services, LLC INSURER D. 801 Asbury Drive INSURER E: Buffalo Grove, IL 60089 INSURER F: COVERAGES CERTIFICATE NUMBER:49807226 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER P Y POLICY LIMITS A X COMMERCIAL GENERAL LIABILITY 0GL024995896 12/31/16 12/31/17 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Q OCCUR mcel DAMAGE $ 100,000 X Sudden 4 Acc. Poll. MED EXP(Any one person) S 5,000 X XCU Not Excluded PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F1�� F]LOC PRODUCTS-COMPIOPAGG $ 2.000,000 OTHER: $ B AUTOMOBILE LIABILITY ASIB71170821056 12/31/16 12/31/17OM8INEDSI LEL IT $ 1,000,000 nl Ix ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED idenO AUTOS AUTOS BODILY INJURY(Per acddwd) S NON-OWNHIRED AUTOS X AUTOS ED R r RTY DAMAGE $ $ UMBRELLA LUUlHCcuLcAMRS-.AE EACH OCCURRENCE $ EXCESS LU18 IDAGGREGATE $ DED RETENTION$ $ C WORKERS EMPLOY EMPLOYTIONERS' YIN WC2B71170621046 12/31/16 12/31/17 X STAT OTH- AND EMPLOYERS'LUlBILnY -R ANY PROPRIETORIPARTNEWEXECUTWE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA , (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 K desaibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000-000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Includes Stop Gap DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addidanal Remarks Sehadule,may be attached 8 mom space is requimd) City of Decatur is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Additional Insured on the General, Automobile Liability and Workers Compensation Policies if required by written contract or agreement subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Decatur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ill Gary R. Anderson Plaza AUTHORIZED REPRESENTATIVE Decatur, IL 62523 //aW USA ®1888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD sadie55 49807226