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HomeMy WebLinkAbout111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (2)OP ID: EQ CERTIFICATE OF LIABILITY INSURANCE DATE03/01/13 Y 3/01 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 theterms 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 CONTACT PHONE FAX INC,No Ext: AIC No: EMAIL ADDRESS: PRODUCER FAULT-2 CUSTOMER ID k: INSURERSI AFFORDING COVERAGE NAICN 4' INSURED Hamilton Laundry Comliany INSURER A: Hartford Fire Insurance Co. 19682 INSURERS: Twin City Fire Insurance Co. 29459 Faultless Laundry Company Inc. 1480 E. 61st Street INSURER c: St Paul Fire & Marine Ins Co 24767 Denver, CO 80216 INSURER D 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 LTR TYPE OF INSURANCE DR Mi SUER POLICY NUMBER CY EFF MM OPOLI DIYYYY POLICY EXP MMIODIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X 37U ENOC1701 03I01/13 03/01114 EACH OCCURRENCE $ 1,000,00 DAMA E ACNITRENTE PREMISES occurrence)$ 300,00 MED EXP(Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GERL AGGREGATE LIMIT APPLIES PER RO LOC POLICY r7 PFCT PRODUCTS - COMPIOP AGG $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 37UENOC1702 03/01/13 03/01/14 COMBINED SINGLE LIMIT (EaA $ 1,000,00 X BODILY INJURY (Per person) BODILY ILYINJ $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X Comp Ded $ 1,00 Coll Ded $ 1,00 C UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE ZUP-14P64533.13-NF 03/01113 03/01114 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DEDUCTIBLE RETENTION $ $ r $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA 37WEOC1700 03/01/13 03/01/14 X WE STATU- OTH- TORY LIMITS E IR E.L. EACH ACCIDENT $ 1,000,00 EL DISEASE - EA EMPLOYEE $ 1,000,00 E. L. DISEASE - POLICY LIMIT $ 1,000,00 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 ic• , Cc 1988-2009 ACORD CORPORATION. All rights reserved ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: EQ ,a►��Ro~ CERTIFICATE OF LIABILITY INSURANCE OAT03/01DIYYYY) 3/01113 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 Hays Companies of Kansas City _ - 816-842-5795 920 Main Street, Suite 2100 Kansas City, MO 64105 CONTACT NAME: PHONE FAX AIC No Ext: A/C No: E-MAIL ADDRESS:PRODUCER CUSTOMER ID, FAULT-2 INSURERS AFFORDING COVERAGE NAIC N INSURED Hamilton Laundry Company Faultless Laundry Company Inc. 330 West 19th Terrace Kansas City, MO 64108 INSURERA: Hartford Fire Insurance Co. 19682 INSURERS: Twin City Fire Insurance Co. 29459 INSURER C:St Paul Fire & Marine Ins Co 24767 INSURER D 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY MMIDDIVEFF YYY MM/DDYEXP /YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7XI OCCUR 37UENOC1701 03/01/13 03/01/14 EACH OCCURRENCE $ 1,000,00 DAMAGE TRENTED PREMISES Ea occurrence $ 300,00 ME EXP (Anyone parson) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L 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 03/01/13 03/01/14 COMBINED SINGLE LIMIT (Ea accident) S 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C U MBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP-14-64533-13-NF 03/01/13 03/01/14 EACH OCCURRENCE $ 15,000,00 AGGREGATE $ 15,000,00 DEDUCTIBLE RETENTION $ Is I $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 37WEOC1700 03/01/13 03/01/14 X WC STATU- OTH- R E.L. EACH ACCIDENT $ 1,000,00 E. L. DISEASEEAEMPLOYEE $ 1,000,00 EL DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / 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 REPREESEENNNTA'TIVEE V © 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD