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Home My WebLink About111347 HAMILTON LINEN SUPPLY - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY PRODUCER Hays Companies of Kansas City 920 Main Street, Suite 2100 Kansas City MO 64105 INSURANCE OP ID U DarE(MM/DDrrvv) FAULT-2 02 29 08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Phone 816-474-3535 Fax 816-842-5795 INSURED INSURERS AFFORDING COVERAGE NAIC # INSURER a tfi, d F re In ce C. ea 19682 Faultless Laundry Company, Inc dba Hamilton Rental Service 1480 E 61st Street Denver CO 80216 INSURERS Travelers _ 36161 INSURER Hartford Casualt Cc m an INSURERD "SURER E nnVFRangF 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSIR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY PDATE MM/OD I IN LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR 37UENOC1701 03/01/08 03/01/09 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurence $ 300,000 MEDEXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1 , Q00,000 GENERAL AGGREGATE $ 2,000,000 GEN POLII AGGREGATELIMIT OAPPLIES PER POLICY JECT LOG PRODUCTS COMP/OPAGG $ 2,000,000 AUTOMOBILE LIABILITY A X ANY AUTO 37UENOC1702 03/01/08 03/01/09 COMBINED SINGLE LIMIT (Ea accident)$ I DDO DOD X ALL OWNED AUTOS -- SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS — — NON OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per am dent) $ GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGO $ — $ B X EXCESS/UMBRELLA LIABILITY X OCCUR 1:1CLAWSMADE QK08000476 03/01/08 03/01/09 EACH OCCURRENCE $ 1,000,000 $1,000,000 AGGREGATE DEDUCTIBLE X RETENTION $10 QQQ $ WORKERS COMPENSATION AND C EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNERrEXECUTIVE 37WEOC1700 03/01/08 ANY EXCLUDED? X TORV LIMITS ER 03/01/09 LL E I ACCIDENT $ 500000 If yaa describe under SPECIAL PROVISIONS below OTHER EL DISEASE EA EMPLOYEE $ EL DISEASE POLICY LIMIT $ 500000 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured as required by written contract CERTIFICATE HOLDER ......._..._._.. City of Fort Collins PO Box 580 Ft Collins CO 80522 CITYFTC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI% DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD CERTIFICATE OF PRODUCER Hays Companies of Kansas CityONLY 920 Main Street, Suite 2100 Kansas City MO 64105 LIABILITY INSURANCE OPID U DATE (MM/OD YYYY) FAULT-2 02 29 OB THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE ALTER HOLDETHEHCOVERAGE AFFO DED EXTEND OR BIS CERTIFICATE DOES OYTTHE POLICIES BELOW Phone 816-474-3535 Fax 816-842-5795 INSURED INSURERS AFFORDING COVERAGE IC# INSURERA He tfo d F I ca co 19682 Faultless Laundry Company Inc dba Hamilton Rental Service 1480 E 61st Street Denver CO 80216 INSURERB Travelers 36161 INSURERC Hartford Casualt Com an INSURERD COVERAGES INSURER E 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 MAY BE ISSUED OR PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR HER TYPE OF INSURANCE POLICY NUMBER DATE E DDm DATE MM/DDm LIMITS GENERAL LIABILITY A $ COMMERCIALGENERAL LIABILITY 37UENDC1701 03/01/08 03/01 09 EACH OCCURRENCE $ 1,000,000 MAUtru ] CLAIMS MADE OCCUR PREMISES Ea occurence $ 3QQ, QQQ MED EXP(Any one person) $ 5000 r PERSONAL B ADV INJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2 000,000 PRODUCTS COMP/OPAGG $ 2,000,000 POLICY LOC JECT AUTOMOBILE LIABILITY A X ANY AUTO 37UENOC1702 03/01/08 03/01/09 CO BIKED (EaCOMBINED SINGLE LIMIT $ 11000,000 ' ALL OWNED AUTOS BODILY INJURY (Per person) $ _ SCHEDULED AUTOS X HIRED AUTOS X BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY AGO $ EXCESS/UMBRELLA LIABILITY B X OCCUR CLAIMS MADE QKO8000476 03/01/08 03/01/09 EACH OCCURRENCE AGGREGATE $6,000 QQQ $ 6,000,000 DEDUCTIBLE X RETENTION $10 000 $ _ WORKERS COMPENSATION AND $ G, EMPLOYERS LIABILITY X TORY LIMITS Ulm ER ANY PROPRIETOR/PARTNER/EXECUTIVE 37WEOC1700 03/01/08 03/01/09 OFFICER/MEMBER EXCLUDED? EL EACH ACCIDENT $ 500000 If Yes describe under SPECIAL PROVISIONS below _ EL DISEASE EA EMPLOYEE $ 500000 OTHER EL DISEASE POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER City of Fort Collins PO Box 580 Ft Collins CO 80522 CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO. DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR