R2017-61 Agreement with Chastain & Assoc. for Corridor Monument Installation CP 2010-12

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CHAS&AS-01 HSCHOREY ,a►`CORO CERTIFICATE OF LIABILITY INSURANCE DATE 02/08/2017 Y) 02/08/2017 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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 CQMTACT HOIII Schorey J.L.Hubbard Insurance and BondsPHONE 1090 South Route 51 (A/c,No,Ext):(217)877-3344 3244 FAX No):(217)877-0795 Forsyth,IL 62535 A-"' LE .hschorey@jlhubbard.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:The Cincinnati Insurance Company INSURED INSURER 8:Accident Fund Insurance Co. 10166 Chastain&Associates LLC INSURER C: 5 N Country Club Rd INSURERD: Decatur,IL 62521 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP IM 28M POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR X EPP0291693 01/01/2017 01/01/2018DAMMGETO aENTEDoccurrenc $ 100,000 MED EXP(Any one erson $ 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: A $ AUTOMOBILE LIABILITY COMBINE"SINGLE LIMIT $ 1,000,000 X ANY AUTO EBA0291693 OWNED SCHEDULED 01/01/2017 01/01/2018 BODILY INJURY Perperson) $ AUTOS ONLY AUTOS BODILY BODILY INJURY Per accident $ X AUTOS ONLY X AUOTO ONLDY P�20PERTY DAMAGE $ er.cadent A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS-MADE ]:EPP0291693 O 01/01/2017 01/01/2018 AGGREGATE $ 6,000,000 DED X RETENTION$ B NPLORBLPOTH- AD EMOYESLIAIIITY Y/N W10701X E I ER ANY PROPRIETOR/PARTNER/EXECUTIVE CV6E.L.EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED? � N/A 1,000,000 (Mandatory in and E.L.DISEASE-EA EMPLOYEE It yes,describe under 1 000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , A Rented Equipment EPP0291693 01/01/2017 01/01/2018 Limit 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Re:Corridor Monument Installation Project-Route US 36&US 51 City of Decatur and its Officers and Employees are named as additional insureds under the General Liability and Automobile on a primary and non-contributory basis;subject to written contract. 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 1 Gary K Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Decatur,IL 62523 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD E-2