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HomeMy WebLinkAbout111347 HAMILTON LINEN SUPPLY - INSURANCE CERTIFICATE (2)OP ID WE DATE(MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE FAULT-2 03 03 09 PRODUCER THIS CERTIFICATE. IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hays Companies of Kansas City HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 920 Main Street Suite 2100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I Kansas City MO 64105 Phone: 816-474-3535 Fax: 816-842-5795 INSURERS AFFORDING COVERAGE NAIC # INSURED ,. INSURER A: Hartford Fire Insurance Co. '- 19682 •'.` - - • . _ INSURER B: Travelers _ . ''. - `'>.: - 3.6161 r Faultless La'uhdry Company', Inc" _dba. Hamilton. -.Rental Service INSURERC: Hartford Caasualty Company ;,. 29424 1480 E 61st Street INSURERD: - -- Denver ,CO .80216 INSURER E: ,GOVEKA(3t5 ).; 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 37UENOC1701 03/01/09 03/01/10 EACH OCCURRENCE $ 11000,000 PREMISES(Eaoccurence) $ 300,000 ME EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 POLICY PRO- F—]LOC JECT PRODUCTS - COMP/OP AGG $ 2 , O O O , O O O A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS • > --: -• ..r... , 37UENOC1702 03/01/09 '._ ._. .. ._ 03/01/10 _ .. _ COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person), $ X .BODILY INJURY_ (Per accident) $ X PROPERTY DAMAGE... (Per accident) ' GARAGE LIABILITY ANY AUTO - - _ _ _ _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS/UMBRELLA LIABILITY X I OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ 10 , 000 QK08000674 03/01/09 03/01/10 EACH OCCURRENCE $6,000,000 AGGREGATE $ 6,000,000 $ $ C ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERiMEMBEREXCL'UDED?"` --��- If yes, describe under SPECIAL PROVISIONS below 37WEOC1700 - _ 03/01/09 ��" - -"- 03/01/10 -- X TORY LIMITS ER E.L. EACH ACCIDENT $ 500000 - -E.L.DISEASE-EAEMPLOYEE-$. _ _ _ - 50'0000_- E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 580 Ft. Collins CO 80522 REPRESENTATIVES. ACORD 25 (2001/08) U AGORD GORPORATION 19BB OP ID WE ACORD CERTIFICATE OF LIABILITY INSURANCE FAULT-2 DATE (MMIDDIYYYY) 1 03 03 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hays Companies of Kansas -City 920 Main Street, Suite 2100 HOLDER. THIS. CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kansas City MO 64105 Phone:816-474-3535 Fax:816-842-5795 INSURERS AFFORDING COVERAGE ,;. . NAIC# INSURED -- - - INSURER A: Hartford Fire Insurance ;Co:`. `- - - ` 19682----- ...- INSURER B: _ Travelers. _._ _. ... .: ..... _ ..36'161 ..... _..: _ Faultless--Laundr _- :Company, Inc dba Hamilton Rental Service INSURER C: Hartford Casualty Company ; 29424 INSURERD: - - - - 1480 E 61st Street Denver' CO=f80216 -' INSURER E: { COVERAGES 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. Ihltili LTR NSR TYPE OF, INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS A X GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE Fx I OCCUR - 37UENOC1701 03/01/09 03/01/10 EACH OCCURRENCE $ 1 , 000 , 0,00 PREMISES(Eaoccurence _$ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS ' NON -OWNED AUTOS `.' : ". 37UENOC1702 - . 03/01/09 ..- 03/01/10 ..._ .. COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ , X BODILY INJURY (Per accident) . $ X PROPERTY DAMAGE (Per accident). $ ' - GARAGE LIABILITY ANY AUTO "- - - AUTO ONLY-- EA ACCIDENT $--- -- -- - OTHER THAN EA ACC AUTO ONLY: AGG $-- $ B X EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMSMADE 10 DEDUCTIBLE RETENTION $ 10 , 000 QK08000674 03/01/09 03/01/10 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY-onnPP.IETOP'PARTFR/C-XECIITIVF - nI OFFICER/MEMBER EXCLUDED? If Yes, describe under SPECIALPROVISIONS below 37WEOC1700 03/01/09 _ 03/01/10 - AII X TORY LIMITS ER E.L. EACH ACCIDENT $ 500000 A EPLOYEE E.L. DISEASE - EM _ -� $-`5�00�000_ E.L. DISEASE -POLICY LIMIT 1 $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured as required by written contract. CERTIFICATE HOLDER CANCELLATION CITYFTC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 580 Ft. Collins CO 80522 REPRESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 1988