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HomeMy WebLinkAboutCORRESPONDENCE - RFP - P1078 UNIFORM RENTAL OR LEASING (5)�� CERTIFICATE OF LIABILITY INSURANCEF3772m a M/DDlVYYI�,4� 1812010 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 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 AOn Risk Services,Northeast, Inc. C/O Client Service Center CONTACT NAME: PHONE (866) 283-7122 FAX (847) 953-5390 (AIC. No. Ed): AIC. No. 1000 Milwaukee Avenue Glenview IL 60025 USA E-MAIL ADDRESS: PRODUCER 10238985 CUSTOMER ID S: INSURER(S) AFFORDING COVERAGE NAIC 9 INSURED INSURER A: Discover Property & Casualty Ins CO 36463 Cintas Corporation and its Subsidiaries 6800 Cintas Blvd INSURERB: 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: COVERAGES CERTIFICATE NUMBER: 510039885883 REVISION NUMBER: 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 requested LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER MMIDDIYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY DOU91-0507 M10112018 0710112011 EACH OCCURRENCE $2 , 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR PREMISES Ea occurrence $1, 000, 000 MED EXP (Any one person) $ 5 , 000 X Contractual Liability PERSONAL & ADV INJURY $l, 000, 000 GENERAL AGGREGATE $2,000, 000 GE N'L AGGR EGATE LIMIT APPLIESPER. PRODUCTS - COMP/OP AGG $1,000,000 POLICY PRO- X LOC JFCT A AUTOMOBILE LIABILITY X ANY AUTO D009AO0111 ADS 0710112010 07 O1 2011 COMBINED SINGLE LIMIT (Ea accident) $5, 000, 000 BODILY INJURY ( Per person) ALL OWNED AUTOS BODILY INJURY (Per accident) SCHEDULEDAUTOS PROPERTY DAMAGE X HIRED AUTOS " Per accident X NON OWNED AUTOS X Comp/Coll $0 ded. C X UMBRELLA LIAB X OCCUR G22 3 277005 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5, 000, 000 DEDUCTIBLE RETENTION B WORKERS oMAeN 'LIILry oN AND Y / N EMPLOYERS ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? N / A WOOAOW00226 07 Ol 2010 07 01/2011 X WC STAT U- ERµ E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 (Mandatory In NH) If yes, describe under EL. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS belay DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins, Colorado AUTHORIZED REPRESENTATIVE Attn: James B. O'Neill II 215 N Mason Street, 2nd Floor — d Fort Collins CO 80522 USA c �l4 ©1988-2009 ACORD CORPORATION. All rights.reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD tinge"' Pwir 0:11L r1