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HomeMy WebLinkAbout102507 CINTAS CORPORATION AND ITS SUBSIDIARIES - INSURANCE CERTIFICATEA� oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDM'YY) DBI22aD11 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 INSUREII 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 endomement(s). PRODUCER Ann R15k services Northeast, Inc. C/o Client Service Center CONTACT NAME:PHONE FAX INC. No. E#): <866) 283J122 INC Ni (847) 653-5390 E-MAIL ADDRESS: 1000 Milwaukee Avenue Glenview IL 60025 USA INSURER(S) AFFORDING COVERAGE NAIL # INSURED INSURER A: Travelers indemnity Co of Ct 25682 Cintas corporation and its Subsidiaries 6800 Cintas Blvd P.O. BOX 625737 INSURER B: Westchester Fire insurance Company 10030 INSURER C: Travelers Property Cas Co Of America 25674 Cincinnati OH 45262 USA - INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570042896107 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 AND POLICY NUMBER MMIDOIYYYY MMUCY IDDl1'YY LIMITS A GENERAL LIABILITY HC EGLSA4 M TCT EACHOCCURRENCE. $2,000,000 X COMMERCIAL GENERAL LIABILITY AMA N PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $5, 000 CLAIMS -MADE ❑X OCCUR X Contractual Liability PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GERL AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG $1,000,000 POLICY PRO- X ECT LOC A AUTOMOBILE LIABILITY I CAP 472M465-1 TCT-11 ADS 07 01 201107/01 2012 COMBINED SINGLE LIMIT Ea accident $5,000,000 BODILY INJURY ( Per person) % ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X HIRE O AUTOS % NON -OWNED AUTOS PROPERTY DAMAGE (Per accident X Cirri lro dee. e X UMBRELLA LIAB X OCCUR G22035277006 07101120110710112012 EACH OCCURRENCE $5,000,000 EXCESS 11AB CLAIMS -MADE AGGREGATE $5,000,000 DED I RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR I PARTNER I EXECUTIVE MN OFFIOERIMEMBER EXCWDEDi N (Marral In I NIA HC2JUB472M470611 WC -AO$ 07/01/2011 07/01/2012 X WC LIMITS HH EL EACH ACCIDENT $1,000,000 E L DISEASE -EA, EMPLOYEE S1,000,000 It yes. describe under DESCRIPTION OF OPERATIONS below EL .DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, if more space is required) L CERTIFICATE HOLDER CANCELLATION =s 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 21SFor N Mason et, 2 Street, 2nd FlooraA-- Fort Collins CO USA /nn // !/W zlisi ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD A`ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMODIYYYY) 0622/2D„ 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 pollcy(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 FAX (AIC.No.E,d): (966) 283-7122 ac No): (847) 963-5390 E-MAIL ADDRESS: 1000 Milwaukee Avenue Glenview IL 60025 USA INSURER(S) AFFORDING COVERAGE NAICA INSURED INSURER A: Travelers Indemnity CO Of Ct 25682 Cintas Corporation and its subsidiaries 6800 Cintas Blvd P.O. Box 625737 INSURER B: Westchester Fire Insurance Company 10030 INSURER C: Travelers Property Cas Co of America 25674 Cincinnati OH 45262 USA INSURER D: INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: 570042895548 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 WVD POLICY NUMBER (MMIDDIYYfYI IVMMIO LIMITS A GENERAL LIABILITY HUEGLSA4/ZM4tJJ.TLi11 0710lIZ011 0710112012 EACH OCCURRENCE $2,000,000 PREMISES Eaocourrence $1, O00, 000 X COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) S5,000 CLAIMS'MADE X❑OCCUR Contractual Liability 11 PERSONAL B ADV INJURY S1,000,000 GENERAL AGGREGATE $2,000, 000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S1,000,000 POLICY PRO M JECT LOG A AUTOMOBILE LIABILITY HC2E CAP 472M465-1 TCT-11 07 Ol 201107 Ol 2012 COMBINED SINGLE LIMIT S5,000,000 AOS BODILY INJURY (Per person) X ANY AUTO BODILY INJURY (Per sodden) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE P OPER PftTYaccide X comwcoll so ded. B X UMBRELIA LIAB OCCUR G22035277006 07/01/2011 07/01/2012 EACH OCCURRENCE $5,000,000 EXCESS LIAB H CIAIM&MADE AGGREGATE S5,000,000 DED RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE HC23UB472M470611 WC-AOS 07/01/2011 07/01/2012 1 WC STAT7 OTH- X TORY LIMITS ER E. L. EACH ACCIDENT $1,000,000 OFFICERIMEMSER EXCLUDED? (Mandatory in NHI NIA E.L. DISEASE -EA EMPLOYEE S1,000,000 If y describe under DE SCRIPTION OF OPERATIONS beb E. L. DISEASE -POLICY LIMIT S1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, Addkional Remarks Schedule, R more space is 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 DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATNE Purchasing Division AttB: Ed Bonnette 215 N. Mason, 2nd Floor PO Box r w IELI2YD 7JA Fort Collinsli CO 80522 USA O S Si 0198E-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD