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HomeMy WebLinkAbout102507 CINTAS CORPORATION AND ITS SUBSIDIARIES - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE DATE,MMIDDr3 Y) O6126r2013 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(les) must be endorsed. H 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 writer rights to the Certificate holder In lieu of such endomemerd(s). PRODUCER ,on Risk services Northeast, Inc. c/o Aon Client Services CONTACT NAME. PHONE Eap: (866) 283-7122 FAX NR : (800) 363-0105 E4NJL ADDRESS: 4 Overlook Point Lincolnshire IL 60069 USA INSURERS) AFFORDING COVERAGE NAIC R © g INSURER A: Travelers Indemnity Co Of Ct 25682 oration and its Subsidiaries Blvd 5737 INSURER B: Travelers Property Cas Cc of America 25674 INSURER C: Westchester Fire Insurance Company 10030 OH 45262 USA E INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER' 5/UUSU4Zb181 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 INSR LTR TYPE OF INSURANCE INSR MAID POLICY NUMBER MwDD 4WDOYYYn LIMBS A GENERAL]JAINUTY HC EGLSA M TCT 071011ZOIJ 0710lIZO14 EACH OCCURRENCE $2,000,000 % COMMERCIAL GENERAL LIABILITY PREMISES Eao rren� S1,000,000 CLAIMS -MADE X❑OCCUR MED UP (My one person) S5,000 X Conlmquel L'abilM PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $1,000,000 POLICY PRO- X LOC A AUTOMOBILE LIABILITY HC2E CAP 472M4651-TCT-1 ADS 07/01/2013 0 Ol 2014 COMBINED SINGLE LIMB mdenl $5, 000, 000 BODILY INJURY (Per Person) X ANY AUTO BODILY INJURY(Peramdent) ALL OWNED SCHEDULED AUTOS AUTOS % HIRED AUTOS % NON-0WNED AUTOS PROPERTY DAMAGE Peraaidenl % Camyrdlfn EOE. C X UMBRELLALIAB X OCCUR G22035277008 07/01/2013 07/01/2014 EACH OCCURRENCE $5,000,003 EXCESS LIM CLAIMS -MADE SIR applies per policy ter is & condi ions AGGREGATE $5,000,000 DEO I % IRETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR"ANTNER'EXECUTIVE HC2JUB472M470613 WC-AOS 07/01/2013 07/01/2014 WC STATG- OTH- X TORY LIMITS ER E. L. EACH ACCIDENT $1,000,000 OFF ICER'MEMBER EXCLUDED? (Mande., In NH) NIA E. L. DISEASE -EA EMPLOYEE $1,000,000 I yes tlascnle under DESCRIPTION OF OPERATIONS below I E. L. DISEASE -POLICY LIMIT $11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if m m span le required) m CERTIFICATE HOLDER CANCELLATION Z9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEWERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins, Colorado AUTHORIZED REPRESENTATIVE Attn: James B. O'Neill II 215 N. Mason Street Fort Collins CO 80522 USA 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD -1 ® AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO/YYYYj DBIPB/2D,a 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 endomement(s). PRODUCER ,on Risk Services Northeast, Inc. c/o Ann Client Services CONTACT NAME: INC NNc. Exg: <866) 283-R22 PVC NO : (800) 363-0108 EawL ADDRESS: 4 Overlook Point Lincolnshire IL 60069 USA INSURERIS) AFFORDING COVERAGE NMCN INSURED INSURER A: Travelers Indemnity Co of Ct 25682 Cintas Corporation and its Subsidiaries 6800 Cintas Blvd INSURER B: Travelers Property Cas Co of America 25674 INSURER C: Westchester Fire Insurance Company 10030 P.O. Box 625737 Cincinnati OH 45262 USA NSURER D: .SURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570050425292 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 TR TYPE OF INSURANCE INSR MD POLICY NUMBER MMIDO MMD LIMITS A GENERAL LIABILITY HC EGLSA M TCT U710112013 0710112014EACH OCCURRENCE $2,000,000 % COMMERCIAL GENERAL LIABILITY PREMISES Ea omurrenw $1,000,000 CLAIMS -MADE X❑OCCUR MED EXP(Any one person) $5,000 X Contactual Liability PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELIMITAPPLIES PER: PRODUCTS -COMPIOP AGG $1,000,000 POLICY PR._ RO Or X LOC A AUTOMOBILE LABILITY HC2E CAP 472M4651-TCT-13 ADS 07 Ol 2013 0701 2014 COMBINED SINGLE LIMIT Ea accident S5,000,000 BODILY INJURY( Per person) X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per amdenp AUTOS AUTOS X HIREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per amident x COMWCNISOded. C X UMBRELUUAB X OCCUR G22035277008 07/01/2013 07/01/2014 EACH OCCURRENCE $$,000,000 EXCESS LAB CLAIMS -MODE SIR applies per policy terns & condl ions AGGREGATE $5,000,000 DED I X IRETENTION B WORKERSTION AND ORKE SC COMPENSATION YIN ANY PROPRIETOR I PARTNER I EXECUTIVE WC 2A05472M470613 07/01/2013 07/01/2014 X WORV LIMBS OTH EL EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? NIA EL. DISEASE -EA EMPLOYEE $1,000,000 (Mendel., In NH) If ye describe under DESCRIPTION OF OPERATIONS belch EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alach ACORD 101, Addhe.nel Reaarka Schedule. if more apace 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 REPRESENTATIVE Purchasing Division Attn: Ed Bonnette N. Ma500, 20d Floor / � IND PO Box t J/LLWh9 c�` AGS l l i Fort Collins CO 80522 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD zi