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Home My WebLink About111347 HAMILTON LINEN SUPPLY UNIFORM RENTAL - INSURANCE CERTIFICATEOP ID: EQ ,a►coRO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/28/11 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 - 816-474-3535 Hays Companies of Kansas City 816-842-5795 920 Main Street, Suite 2100 Kansas City, MO 64105 INSURED Hamilton Laundry Company Faultless Laundry Company Inc. 330 West 19th Terrace Kansas Citv. MO 64108 FAULT-2 INSURER A: Hartford Fire Insurance C INSURER 8: Twin City Fire Insurance INSURERC:St Paul Fire & Marine Ins INSURER E : -[AVFR ACFR CFRTIFICGTF-NU IMBFR: 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. INSR LTR TYPE OF INSURANCE I DL B WVDI POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR 37UENOC1701 03/01/11 03/01/12 _ EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP-AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 37UENOC1702 03/01/11 03/01/12 _ COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ C UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE QK08001132 03/01/11 03/01/12 EACH OCCURRENCE $ 15,000,00 AGGREGATE $ 15,000,00 DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 37WEOC1700 03/01/11 03/01/12 TATU X WC S- O R E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CITYFTC City of Fort Collins PO Box 580 Ft. Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: EQ ,acoRO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/28/11 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 endorsements . PRODUCER - 816-474-3535 NAME: CONTACT Hays Companies of Kansas City 816 842-5795 PHONE A/c No Ext), aC No: 920 Main Street, Suite 2100 E-MAIL Kansas City, MO 64105 ADDRESS: PRODucOMER FAULT-2 CUSTER ID N: INSURERS AFFORDING COVERAGE - NAIC p INSURED Hamilton Laundry Company I INSURER A: Hartford Fire Insurance Co. 19682 Faultless Laundry Company Inc. INSURER B:Twin City Fire Insurance Co. 29459 1480 E. 61st Street INSIIRFRC •St Paul Fire & Marine Ins Co 24767 RE -VISION -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. INSR LY TRINAR TYPE OF INSURANCE A D B POLICY NUMBER EFF FOLIC YYYY MM DDY/YYYY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 37UENOC1701 03/01/11 03/01/12 AGE TO RENTED PREMISES(Ea occurrence) $ 300,00 MED EXP (Any one Person) $ 5,00 CLAIMS -MADE Fx—I OCCUR PERSONAL& ADV INJURY $ 1,000,00 .�. GENERAL AGGREGATE $ 2,000,00 - GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 - - .$ .. . _ JEC"._ POLICY PRO- •. -' LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1,000,00 accident)Ea . A ANY AUTO 37UENOC1702 - ..... -. 03/01111 03/01/12 X BODILY (Per person) BODILYYINJURY $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE $ SCHEDULED AUTOS X HIRED AUTOS (Per accident) X $ NON-OWNEDAUTOS $ Comp Ded: $1000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 C EXCESS LIAB CLAIMS -MADE QK08001132 03/01/11 03/01/12 DEDUCTIBLE $ X $ RETENTION $ 10,000 WORKERS COMPENSATION X WC LIMITTATU CER ER B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVIE YIN 37WEOC1700 03/01/11 03/01/12 E.L. EACH ACCIDENT S 500,00 E.L. DISEASE - EA EMPLOYEE1 $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE -POLICY LIMIT $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) As respects General Liability, City of Fort Collins is included as Additional Insured as required by written contract CITYFTC City of Fort Collins PO Box 580 Ft. Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (01985-ZUU9 ACUKU UUKYUKA 1 IUN. All rlgnTs reserVea. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD