R2017-88 Agreement with AECOM to Provide Design Services to Improve Mound Road - Spring Creek Bridge CP 2017-06

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ACORO0 DATE(MWDDNYYY) � CERTIFICATE OF LIABILITY INSURANCE 1/1/2018 5/19/2017 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(ies)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 Lockton Insurance Brokers,LLC CONTACT NAME: 19800 MacArthur Blvd.,Suite 1250 PHONE I FAX Alc No): CA License#OF15767 E-MAIL Irvine 92612 ADDRESS: 949-252-4400 INSURERS AFFORDING COVERAGE NAIC A INSURER A:*** SEE ATTACHMENT"" INSURED AECOM INSURER B: 1392522 AECOM Techincal Services,Inc. INSURER C: URS Corporation INSURER D: 345 E.Ash Ave. INSURER E: Decatur IL 62526 INSURER F COVERAGES AECTE01 CERTIFICATE NUMBER: 14704445 REVISION NUMBER: XXXXXXX 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. IEFF C LTR TYPE OF INSURANCE NSRADOL SUBR POLICY NUMBER MM/UY MMID,/,EXY LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE S XXXXXXX CLAIMS-MADE F OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S XXXXXXX MED EXP(Any one person) $ XXXXXXX PERSONAL&ADV INJURY S XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S XXXXXXX ❑ POLICY PRO- I�I JECT u LOC PRODUCTS-COMP/OP AGG $ XXXXXXX OTHER: I S AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $Ea accident XXXXXXX ANY AUTO BODILY INJURY(Per person) S XXXXXXX OWNED AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) S XXXXXXX -- HI NON N PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOSS ONLYLY Per accident $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX EXCESS LIAB HCLAIMS-MADE AGGREGATE $ XXXXXXX DED I I RETENTIONS $ XXXXXXX WORKERS COMPENSATION PER OTH- A AND EMPLOYERS'LIABILITY Y/N N SEE ATTACHED ACORD 101 1/1/2017 1/1/2018 X !STATUTE ER _ ANY PROPRIETOR/PARTNERIEXECUTIVE .L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? � N/A E (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1000 000 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1-000000 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Notice of Cancellation applies per attached endorsement.Re:Project No.04104855,substructure analysis of West Mound Road/Spring Creek,SN058-3035,Decatur, IL. CERTIFICATE HOLDER CANCELLATION See Attachments 14704445 City of Decatur, Illinois SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Matt Newell,City Engineer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN #1 Gary K.Anderson Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Decatur IL 62523-1196 AUTHORIZED REPR 7At ©1 88-201 C D CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD