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HomeMy WebLinkAbout111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (3)OP ID: EQ ACORO CERTIFICATE OF LIABILITY INSURANCE DAT02118D/VYYY) o2n s/1a 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 INSURED Hamilton Laundry Company I I Z /j �[ Faultless Laundry Company Inc. 34 I 330 West 19th Terrace Kansas City, MO 64108 CONTACT NAME: PHONE A/C, No EMAIL ADDRESS: PRODUCER FAULT-2 CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC / INSURERA:Old Republic Insurance Co. 24147 INSURERS: St Paul Fire & Marine Ins Co 24767 INSURERC: 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 U POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR MWZY301686 03/01114 03/01/1$ EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 500,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG $ 2,000,00 GEML AGGREGATE LIMIT APPLIES PER: PR POLICY O-_ LOC $ A AUTOMOBILE LIABILITY . ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS MWTB $01562 03/01/14 03/01/15 COMBINED SINGLE LIMITS 1,000,00 X BODILY INJURY (Per person) BODILY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ g A. UMBRELLA LJAS EXCESS LIAR X OCCUR CLAIMS -MADE N/A IZUP-14-64533-14-NF MWC 301396 03/01H4 03101114 03/01H5 03/01/15 EACH OCCURRENCE $ 15,000,00 AGGREGATE $ 15,000,00 $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY}, ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) flies aescribe under DESCRIPTION OF OPERATIONS below X YJC SLIM T OTH- ER $ E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) V IJV V-LV VJ /1vV��v v���. v.v The ACORD name and logo are registered marks of ACORD OP ID: EQ Allk. 0 CERTIFICATE OF LIABILITY INSURANCE I DAT02/18DNYVV) o2/lana 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 816-474-3535 Hays Companies of Kansas City 816-842-5795 920 Main Street, Suite 2100 Kansas City, MO 64105 INSURED Hamilton Laundry Company Faultless Laundry Company Inc. 1480 E. 61st Street Denver, CO 80216 _2 lublic Insurance Co. Fire & Marine Ins Co No): rcorlclr ATc ut taaaco• REVISION NUMBER: %.UVCICHVCO ., ,I.„,...,,—,.—...-- 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 R POLICY NUMBER MM/ DNYYY(Mill LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X MWZY 301686 03/01/14 03/01/15 - EACH OCCURRENCE $ 1'000+00 PREMISES Ea occurrence) $ 500'00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG $17 2,000,00 GENE AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS MWTB 301562 03/01M4 03/01/15 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per Person) $ BODILY INJURY (Par accidal S PROPERTYDAMAGE (Per accident) $ X Comp Ded s 1,00 X Coll Ded s 1,00 B A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE NIA ZUP-14P64533-14-NF MWC 301396 03/01/14 03/01/14 03/01/15 03/01/15 EACH OCCURRENCE S 1,000,00 AGGREGATE $ 1,000,00 $ DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED9 (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below TH- X WCRY LIMITS STATUS I EEL $ E.L. EACH ACCIDENT S 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 I 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. City of Fort Collins PO Box 580 Ft. Collins, CO 80522 CITYFTC 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 l 'woo-LVVI ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: EQ ACC�RO CERTIFICATE OF LIABILITY INSURANCE DAT02/19D/VYYV) 02119/14 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 NAME PHONE A/C, No. Ezt): E-MAIL ADDRESS: PRODUCER cusTOMFR ID e• FAULT-2 INSURED Hamilton Laundry Company INSURER A:Old Republic Insurance Co. 24147 Faultless Laundry Company Inc. INSURER B: Travelers P 8r C Co. of America 25674 330 West 19th Terrace INSURERC: Kansas City, MO 64108 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 LT IRANCE TYPE OF INSURANCE ADDL WEIR-- POLICY NUMBER MMIDD EFF MM/DD/VYYY LIMITS A GENERAL LIABILITY X C>MMERCIALGENERAL LIABILITY CLAIMS -MADE a OCCUR 111301686 03/01/14 03/01/15 EACH OCCURRENCE $ 1,000,00 DAMA13F TO RENTED PREMISES Ea owunnericel S 600,00 MED EXP Any one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: 71POLICY 7 PR0-7 LOC PRODUCTS - COMP/OP AGG b 2,000,00 _ $ _ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS MWTB 301562 03/01/14 03/01/16 COMBINED SINGLE LIMB accident) $ 1,000,00 X BODILY INJURY BODILY (Per person) - $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per acudent) $ S $ g UMBRELLA UAB EXCESS LIAR X OCCUR CLAIMS -MADE ZUP-14-64533-14-NF 03/01114 03/01/15 EACH OCCURRENCE $ 15,000,00 AGGREGATE $ 16,000,00 DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICEWMEMBER EXCLUDED� (Mandatory in NH) If es cescribe under DESCRIPTION OF OPERATIONS below N/A MWC301396 03/01/14 03101/'15 TH X WC STATUS LIMITS FR E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - FA EMPLOYEE S 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) rCDYICUr ATo Unl nPR CANCFI I ATION CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: EQ ACC7R0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/19114 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 PRODUCER 816-474-3535 Hays Companies of Kansas City 816-842-5795 920 Main Street, Suite 2100 NAME-1 PHONEFAX No):____ E-MAIL Kansas City, MO 64105 ADDRESS: PRODUCER FAULT-2 r`I ICtr1MFG In e• INSURED Hamilton Laundry Company INSURER A: Old Republic Insurance Co. _ Z4147 Faultless Laundry Company Inc. INSURERS: Travelers P & C Co. of America 25674 1480 E. 61 st Street INSURER C : Denver, CO 80216 INSURER D INSURER E : INSURER F __..__. __� .. �..�,.-, ... —�.., e•_.e �.-. Del/eCel'ei rui IiU RFR• vTHIS 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. ILTR TYPE OF INSURANCE _- POLICY NUMBER POLICY EFF MM/OD YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILRY CLAIMS -MADE a OCCUR X MWZY 301686 03/01/14 03/01/15 EACH OCCURRENCE $ 1,000,00 PREMISES Ma occurrence) $ 500,00 MED EXP (Any one person) $ 10,00 PERSONAL S ADV INJURY S - 1,000,00 GENERAL AGGREGATE $ - 2,000,00 GEML AGGREGATEAJMITAPPUES PER: POLICY F1 PRO- LOC PRODUCTS - COMP/OP AGG S 2,000,00 � $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS MWTB 301562 03I01114 03/01/15 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Par person) S BODILY INJURY (Par accident) $ PROPERTY DAMAGE (Per accident) $ X X CompDed $ 1,00 Coll Ded $ 1,00 g UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE ZUP-14P64533-14-NF 031011`114 03I01118 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/❑N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) If yas cescrioe under DESCRIPTION OF OPERATIONS oelow NIA �IMWC301396 03/01/14 03/01/15 X WCrSTATU- OTH- E.L EACH ACCIDENT $ 1,000,00 E.L DISEASE - EA EMPLOYEE 1,000 OO $ 1 EL DISEASE -POLICY LIMIT 1 000,00 $ > DESCRIPTION OF OPERATIONS I LOCATIONS / 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. ULH I IFICA I t HULutr< �� •����^, ,�,• CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE __'L�. l IJoo-LVV'NVVrRV ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD