HomeMy WebLinkAbout102507 CINTAS CORPORATION AND ITS SUBSIDIARIES - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE
6ATEIMM/DOnYW)
WrD1d
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
ADn Risk Services Northeast, Inc.
c/o Aon Client services
CONTACT
NAME:
PHONE (g66) 283-]122 FAX (800) 363-0105
(AIL. NR. EX4: NL. No.:
4 Overlook Point
Lincolnshire IL 60069 USA
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAICN
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 Cas Co of America
25674
INSURER C: Westchester Fire insurance Company
10030
Cincinnati ON 45262 USA
INSURER o:
INSURER E:
INSURER F:
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 am as requested
HUSH
LTR
TYPE OF INSURANCE
INSDM,POLICY
NUMBER
MMIDDIYYVY
MMIDDn'YYY
LIMITS
A
X
I COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE x OCCUR
1-deolual Wbildy
HC E-GLSA- m4731-TcT-14
8710112015
EACH OCCURRENCE
$2,000,000
PREMISES Ea o=rer.
E1,000,000
X
MED EXP(Anyone person)
S5,000
PERSONAL a AM INJURY
$1,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO E] LOG
JECT
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGG
$1,000,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
X HIRED AUTOS X NON-0WNED
AUTOS
X CompKNl SO ded.
HC2E-CAP-472114651-TCT-14
ADS
07/01/201407/01/2015
COMBINED SINGLE LIMIT
(Ea acoden
E5, 000, 000
BODILY INJURY I Per person)
BODILY INJURY (Penrciden0
PROPERTY DAMAGE
Per acatlent
C
%
UMBRELLA LAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
G22035277009
SIR applies per policy terns
07/01/2014
& condl
07/01/2015
ions
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000.000
DED I %
IRETENTION
B
WORKERS COMPENSATION AND
EMPLOYERS'LUBILRY YIN
ANY PROPRIETOR I PARTNER I EXECUTIVE
OFFICERMEMBER EXCLUDED]
(Mandatory in NM
ny desmhe under
DE SGRIPTION OF OPERATIONS del..
NIA
HC23UB-472M470-6-14
WC-AOS
07/01/2014
07/01 2015
PER OTH-
X STATUTE
EL EACH ACCIDENT
$1,000,000
EL DISEASE -EA EMPLOYEE
$1,000,000
EL DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AtltlHierul Ronn*M& Schedule, may Ee adached B more .Race is required)
CERTIFICATE HOLDER CANCELLATION
City Of Fort Collins, Colorado
Attn: James B. O'Neill II
215 N. Mason Street For
Fort Collins CO 80522 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE
EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
t t Jr�t ®V/ e�sfCt
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD