HomeMy WebLinkAbout111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATEOP ID: EQ
ACORO'
-CERTIFICATE OF LIABILITY INSURANCE
GATE iMMIDD/YYYV)
02/29/12
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 andconditions of the policy, certain policies may require an endorsement. A statement on this Eertificite does not confer rights to the _
certificate holder in lieu of such endorsements .-
PRODUCER _ 616�74-3535 _..-. -_
Hays Companies -'Of Kansas City 816-842-5795
920 Main'Street;' Suite 2100' °° i
L_-.. y, __. __ ...I
Kansas Ciry, MO 641 OS -
.NAMECONTA
PHONE _ FAX _
_INC, No, ExJJ ' -: •. (AIC' No' _ -
E-MAIL
ADDRESS: ... .. ... -
PRODUCER FAULT-2 - - CUSTOMERID p:
I.l I W
INSURERS AFFORDING COVERAGE
INSURED Hamilton Laundry Company
INSURER A: Hartford Fire Insurance Co. -
19682 -
Faultless Laundry Company Inc.
INSURERB:Twin City Fire Insurance Co.
29459
330 West 19th Terrace
INSURERC:St Paul Fire & Marine Ins Co
24767
Kansas City, MO 64108
INSURER 0
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 ADDL SUB POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMIOD/YYVY LIMITS
A
•
'.:.•
.
l.'
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
;'2`
37UENOC1701
�'
-
.•v2"_;.:! ",:
03101/12
.',__. __. _
-_ ---
03/01/13
C---- ------
'�----
EACH OCCURRENCE
(JAMAGETb RENTED
PREMISES Ea occurrence
$ 1,000,00
$' 300,00
MED E%P (Anyone person) -
$ -- '-- 5,00
PERSONAL & ADV INJURY--
1,000,00
GENERAL AGGREGATE___...$___.
—_2,000,00
APPLIES
BEN'LAGGREGATELIMIT APP'
.., .., ,. PRO.-�. i �-:. -.:.'�
POLICY=�.'..'_
PRODUCTS
'$--- ---- 2,000,00
A.
AUTOMOBILE
LIABILITY _
ANY AUTO -
ALL OWNED AUTOS •, -
S6HEDULEDAUr6s
HIRED AUTOS "
NON -OWNED AUTOS
_
,�
�37UENOC1702
-
�'' �,. .,._ _ "..
-
_._
. _ .
03101112
03101/13..
-'
COMBINED. SINGLE LIMIT...,
.. _.. .1
$ 000,00(
X
-BODILYJNJURY IPer person)
$
.•
BODILY INJURY (Per aoodenl)
PROPERTY DAMAGE
(Per accident)
$
S
C
TUMTBRETLIJO" LIAR
ESS LIAR
X
OCCUR
CLAIMS MADE
ZUP-14-64533-12-NF
I
03/01112
03101113
EACH OCCURRENCE
$ 15,000,00
AGGREGATE
$ 15,000,00
UCTBLE
ENN_ $
$
s
B
• WORKERSCOMPENSATION
ANDEMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE V I N
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
_I
NIA
_
37WEOC1700
03101/12
_
03101113
X IVIC SLATU- OTH-
TORYLIMLT S.I ER_
E L, EACH ACCIDENT
E.L. DISEASE EA EMPLOYEE
_
$ 500,00
$ 500,00
_
E.L. DISEASE - POLICY LIMIT 1
$ 500,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space 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
U 1983-2009 ACORD CORPORATION. All rights reserved.
ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD