HomeMy WebLinkAboutCINTAS CORPORATION AND ITS SUBSIDIARIES - INSURANCE CERTIFICATE"� CERTIFICATE OF
°ATo`fi 9%2010 YY)
LIABILITY INSURANCE
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: N the cartNicate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N 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
Ann Risk services Northeast, Inc.
C/O Client Service Center
Glen Milwaukee Avenue
Glenview IL 60025 USA
CONTACT
NAME
PHONE
Eat: (866) 283-]122 iAl( (847) 953-5390
AK. Nc.:
(AACE-MAIL
ADDRESS
PROWLER 10238985
CUSTOMER ID N:
INSURER($) AFFORDING COVERAGE
NAICN
INSURED
Cintas Corporation and its Subsidiaries
6800 Cintas Blvd
INSURER& Discover Property & Casualty 1ns Co
36463
INSURER e: Fidelity &Guaranty Ins Co
35386
P.D. Box 625737
Cincinnati OH 45262 USA
INSURER C: westchester Fire Insurance co
21121
INSURER D:
INSURER E:
INSURER F:
rnvee wr_oe ..�..�,�......�........�..............___-
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.WISH Limits ehowm are as requested
LTR
TYPE OF INSURANCE
HER
MD
POLICYNUMBER
MMIDDuYYYYI
POLICYEXP
MMm
LIMITS
GENERAL LIABILITY
D L
EACH OCCURRENCE
$2,000,000
COMMERCIAL GENERAL LIABILITY
Idu
PREMISES Ea occurrenceCLAIMS-MADE%❑OCCUR
$1,000,000
MED EXP(Any one Parson)
$5,000
C.dtacel Liabilky
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'LAGGREGATE
POLICY
LIMIT APPLIES
PRO X
PER:
LOC
PRODUCTS - COMP/OP AGG
$110001000
A
AUTOMOBILE
LIABILITY
ANYAUTO
D00 A 0111
ADS
07 0 1007
1 111
C7ok91NEDSINGLE LIMIT
ES,000.000
OWNED AIROSDILYIR(ZrdnUSCHEDULEDAUTOS
BODILY INJURY IPer- aon)ALL
1XXX
PROPERTY DAMAGE
HIRED AUTOS
Peraa'ItleniNON
OWNED AUTOS
Comp/Coll $0 ded,
C
X
UMBRELLA LIM
H
OCCUR
G22035277005
1/201U
U710112011
EACH OCCURRENCE
$5,000,000
EXCESS LIM
CLAIMS -MADE
AGGREGATE
$5,000,000
DEDUCTIBLE
RETENTION
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR I PARTNER I E%EGIITIVE N
OFFICERIeEMBER EXCLUDED1 El
D009WO0226
WC-A05
07O1/2010
0701 2011
WC STATU- OTH.
X TORY LIMITS
E.L. EACH ACCIDENT
$1,000,000
kes.desurb under
Sy tlesod6B OFFE.L.
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -EA EMPLOYEE
$1,000,000
DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, Addi3onal Remarks Scheduw, it more apace K required)
The City of Fort Collins, its Officers, agents and employees are included as additional insureds on the General Liability &
Auto Liability, but only with respect to work performed under contract between The City Of Fort Collins and the insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELWEREO IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City Of Fort Collins
Purchasing Division
AUdHORU:ED REPRESENTATNE
Attn: Ed Barnette
21$ N. M8SOn, 2nd Floor
ason,
M580
PO Box
J
Fort Collins CO 80522 USA
car
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
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