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HomeMy WebLinkAbout112967 G & K SERVICES INC - INSURANCE CERTIFICATEIMM/pOM'YYI , o CERTIFICATE OF LIABILITY INSURANCE o „2a/201D7 le 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 certlRcate holtler la an ADDITIONAL INSURED, the policy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and condlUons of the Policy,Certain .//Gies ma re .ire an entlorsement. A statement on this Certificate If not confer rights to the Derdncate holder In lieu of such entlarsement s . PRODUCER CONTACT NAME: Melody H,Pnhech or Drum coach, PHONE FAX NC. No. EA: 81243311]2] AK No: 1112471-7270 Ha s Companies Y P IDS Center, Suite 700 80 South 8" Street fDdA " ADDRESS: kce .can PRODUCER CUSTDs1Ea ID e: 04 1 INSURER(S) AFFORDING COVERAGE NAIC 0 Minneapolis, MN 55402 INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535 INSURED INSURER B: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURER C: es G 8 K Services, Inc. 81ts Subsidiaries02967 INSURER D: 5995 Opus Parkway INSURER E: Minnetonka, MN 55343 INSURER F: 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 e00t seu elme ww POLICYNUMBER POLICY EFF (MM/ODIYYYY) POLICY EXP (MWODIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 CLAIMS -MADE ❑X OCCUR MED EXP (Any one person) $ 10,000 GL0585230301 12/01/2013 12/01/2014 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 15,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY 7 JEC�T X LC: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) It 3,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED AUTOS SODUY INJURY(Per accident) $ IX SCHEDULED AUTOS AUTOS SAP585230401 12/01/2013 12/01/2014 PROPERTY DAMAGEHIRED (Per accident)$ NON -OWNED AUTOS $ PHYSICAL DAMAGE -SELF -INSURED $ UMBRELLA LIAB OCCUR EACH OCCURRENCE It EXCESS LIAB culMe-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC585230101- X MC'L OTK TOF1'""'� ER B A YIN AW PROPRIETORIPARTNER/EXECUTIVE OFFICERMEMBER EXCLUDEp7 N nee "an in NH) N/A DEDUCTIBLE WC585230201- 12/01/2013 12/01/2014 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 R yes, describe under DESCRIPTION OF OPERATIONS below RETRO E.L. DISEASE -POLICY LIMIT $ 1,000,000 Note: Workers' Compensation Coverage is not provided in Texas. Contact: Hays Companies for evidence of Workers' Compensation or alternative coverage for the state of Texas. Contact: G&K Services Inc. for evidence of Workers' Com ensation coverage in the following states: North Dakota Ohio Washington, and Wyoming. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES fAHach ACORD 101, Additional Remade Schedule, If man space Is mquhed) Certificate holder is additional insured as respects general liability policy, as required by written Contract. City of Fort Collins Ed Bonnene, C.P.M., CPPB PO Box 580 Fort Collins, CO 80522 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD