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CINTAS CORP - INSURANCE CERTIFICATE
ACORO® CERTIFICATE OF LIABILITY INSURANCE DATEMIWVD1/YYYY) D 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 ACT Risk Services Northeast, Inc. c/o Client Service Center CONTACT PHONE FAx WC. No. ExQ; (866) 283-]122 NC. No.: (84]) 953-5390 E4 L ADDRESS: 1000 Milwaukee Avenue Glenview IL 60025 USA INSURER(S) AFFORDING COVERAGE NAICe INSURED INSURER A: Travelers Indemnity CO Of Ct 25682 Cintas Corporation and its Subsidiaries 6800 Cintas Blvd P.O. Box 625737 INSURER B: Travelers Property Cos CO Of America 25674 INSURER C: Westchester Fire Insurance Company 10030 Cincinnati OH 45262 USA INSURER D: INSURER E: INSURER F: C(1VFRAnFR CFRTIFICATE NUMBER: b7004b123011 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 OFINSURANCE INSR WVD POLICY NUMBER MMmp MMIO LIMnS A GENERAL LIABILITY HC EGLSA M EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILOY PREMISES Ea occurrence)E1,000, 000 CLMA AIMS -DE ❑% OCCUR MED EXP(Any one person) $5,000 Contradual Lability 11 PERSONAL S ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $1,000,000 POLICY PRO- X LOC A AUTOMOBILE LIABILRY HC2E CAP 472M4651-12 07 Ol 2012 07/01/2013 COMBINED SINGLE LIMIT $5,000,000 AOS BODILY INJURY( Per peraon) ---- X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS N NON -OWNED Per accident AUTOS % ComdconiadeU. C G22035277007 07/01/2017 07/O1/2013 EACH OCCURRENCE $5,000,000 % UMBRELLA 11AB % OCCUR SIR applies per policy terns & condi ions AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION B WORKERS COMPENSATION AND HC2)UB472M470612 07/01/2012 07/01/2013 X TWORY STATLIMITOTH EMPLOYERS' LIABILITY YIN WC-AOS E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/ExECOTIVE OFFICEWMEMSER E%CLUDED9 (Mandatory In NM N/A E.L. DISEASE -EA EMPLOYEE $1,000,000 IIy deunbe under As.OF OPERATIONS below EL.DISEASE-POLICY LIMIT $1,000,000 DESCRPTION OF OPERATIONS I LOCATIONS / VEHICLES (Am cb ACORD 101, Mtlltlonal Remarks Schedule, N mere spaw 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 City of Fort Collins Purchasing Division Attn: Ed BOnnette 215 N. Mason, 2nd Floor PO Box 580 Fort Collins CO 80522 USA ACORD 25 (2010/05) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD