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HomeMy WebLinkAbout102507 CINTAS - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/01/2009 PRODUCERTHIS AonRisk Services NortheastInc. , CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY c/o Client Service Center AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1000 Milwaukee Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Glenview IL 60025 USA COVERAGE AFFORDED BY THE POLICIES BELOW. n IN AFFORDING COVERAGE NAIL # PHONE- 866 283-7122 FAX 847 953-5390 INSURED INSURER A: Discover Property & Casualty Ins Co 36463 •• Cintas Corporation and its Subsidiaries 21121 s~ INSURERB: westchester Fire Insurance Co 6800 Cintas Blvd INSURERC: Fidelity & Guaranty Ins Co P.G. Box 625737 35386 Cincinnati OH 45262 USA INSURERD: Fidelity & Guaranty Ins U/w 25879 INSURER E: p 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. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ATE MM/DDNYY DATE MMIDD/YYYY A ENERAL LIABILITY D009L00044 07/01/2009 07/01/2010 EACH OCCURRENCE $2 , 000, 000 " X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1, 000 , 000 CLAIMS MADE X❑ OCCUR PREMISES (Ea occurrence) - MED EXP (Any one person) 5 , 000 X Contractual Liability C) 1 PERSONAL & ADV INJURY $1,000,000 kD GENERAL AGGREGATE $2 , 000, 000 m GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 m O ❑ POLICY ❑ PRO- LOC O JECT A AUTOMOBILE LIABILITY D009A00096 07/01/2009 07/01/2010 COMBINED SINGLE LIMIT C X ANY AUTO A05 (Ea accident) $ 5 , 000 , 000 Z y ALL OWNED AUTOS cR. BODILY INJURY SCHEDULED AUTOS ( Per Person) t X HIRED AUTOS L BODILY INJURY j X NON OWNED AUTOS (Per accident) Comp/Coll cov. Incl. PROPERTY DAMAGE NX X with $0 Ded. (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG B EXCESS / UMBRELLA LIABILITY G22035277004 07/01/2009 07 01 2010 EACH OCCURRENCE ElOCCUR ❑ CLAIMS MADE AGGREGATE $5,000,000 ®DEDUCTIBLE - RETENTION C D 0 w00168 07/01/2009 X WC STATU- OTH- WORKERS COMPENSATION AND WC-AOS TORY LIMITS ER D EMPLOYERS' LL4BILITY �y j D009W00165 07/01/2009 07/01/2010 E.L. EACH ACCIDENT $1, 000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE WC -HI OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 A (Mandatory in NH) D009w00166 07/01/2009 07/01/2010 E.L. DISEASE -POLICY LIMIT $1,000,000 Ifyes, describe under SPECIAL PROVISIONS below WC-NJ/NV OTHER J DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Fort Collins, its officers, agents and employees are included as additional insureds on the General — Liability & Auto Liability, but only with respect to work performed under contract between The City of Fort Collins and the insured. — CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Purchasing Division DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn : Ed Bonnette 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 215 N mason, 2 nd Floor BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY . PO BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. . AUTHORIZED REPRESENTATIVE �� a"c7sccaaeec/�i�Glzo�✓s.a Fort Collins CO 80522 USA ACORD 25 (2009/01) 01988-2009 ACORD CORPORATION. All.rights reserved® The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE °AT 0`629/200100 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 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 endoreement(s). PRODUCER Aon Risk Services Northeast, Inc. c/o Client Service Center 1000 Milwaukee Avenue CONTACT NAME: PHONE (866) 283-7122 FAX (847) 953-5390 AIC. No. Ell: .No.: E-MAIL Glenview IL 60025 USA AUDWSS PRODUCER 10238985 CUSTOMER ID R: INSURERIS) AFFORDING COVERAGE RAID INSURED Cintas Corporation and its subsidiaries 6800 Cintas Blvd INSURER A, Discover Property & Casualty Ins Co 36463 INSURER B: Fidelity & Guaranty Ins Co 35386 INSURERC: Westchester Fire Insurance Co 21121 P.O. Box 625737 Cincinnati OH 45262 USA INSURER D: INSURER E: INSURER F: CERTIFICATE 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. Limits shown are as requests LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIUD MMm LIMITS GENERALLIABILMY D L EACH OCCURRENCE $2,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑% OCCUR Ift PREMISES Ea Paunence $1,000,000 MED EXP(Any one Pelson) $5,000 CoxWM LIsbmy PERSONAL& ADV INJURY $1,000,000 0 GENERALAGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO $1,000,000 POLICY PRO- X LOC A AUTOMOBILE % LIABILITY ANYAUTO D009A 0111 ADS 0710112010 0710112011 COMBINED SINGLE LIMIT ss,000,000 BODILY INJURY (Per person) ALL OWNED AUTOS BODILY INJURY (Per accident) SCHEDULEDAUTOS PROPERTY DAMAGE X HIREDAUTOS Perecc,cent X NON OWNED AUTOS X Comp/toll $0 dw. O X UMBRELLA LIM X OCCUR G TIMEACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-0NDE AGGREGATE $5,000,000 DEDUCTIBLE RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPPOPRIETOR I PARTNER I EXECUTrvE OFFICEWMEMBERE%CWDEDt N NIA D009w00226 WC-A06 07 01 2010 07 01 2 11 WC STATU- OTH- X TORY LIMITS E.L. EACH ACCIDENT $1,000,000 EL.DISEASE-EA EMPLOYEE $1,000,000 (MendMory in NHS 0 yas, describe under DESCRIPTION OF OPERATIONS Mbw EL.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Alecb ACORD 101, AddMond RemsrM SPMdoo, Nmors apscs M requssd) The city of Fort Collins, its officers, agents and employees are included as additional insureds on the General Liability & Auto Liability, but only with respect to Work performed under contract between The City of Fort Collins and the insured. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasing Division Attn: Ed BOnnette 215 N. Mason, 2nd Floor PO BOX 580 Fort Collins CO 80522 USA ACORD 25 (2009/09) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PA ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD