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HomeMy WebLinkAbout112967 G & K SERVICES INC - INSURANCE CERTIFICATE (2)/""1 DATE (MMIDDIrrrr) CERTIFICATE OF LIABILITY INSURANCE 11/1912014xa Dze DT 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 policylies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy,CertainPolicies may require an endorsement. A statement on this certificate does not confer ri h%to the certificate holder In lieu of such endorsements . PRODUCER CONTACT NAME: Makedy Kmnbach or Dawn DeBuld ' - PHONE FAx (NC. No. Ext 6124334323 q/C 11 :613d]0-0270 Hays Companies IDS Center Suite 700 80 South 8i1i Street E-r'1AIL ADDREss: akoe ,e 0 PRODUCER CUSTOMER ID 1: G&K-1 Minneapolis, MN 55402 INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535 A. INSURED INSURER B: AMERICAN ZURICH INSURANCE COMPANY 40142 Ai INSURER C: G 8 K Se"Ices, Inc. 81ts Subsidiaries INSURER D: 5995 Opus Parkway INSURER E: Minnetonka, MN 55343 INSURER F: THIS 16 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 AeOt ham POLICY NUMBER POLICY EFF POLICY E%Is LIMITS (MM/OD/Y1'YY) MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 A X COMMERCIAL GENERAL LIABILITY DAMAGET Eeocalvence PREMISCLAIMS-MADE $ 1,000,000 MED EXP(My one person) $ 10,000 F—xl OCCUR PERSONAL B ADV INJURY $ 1,000,000 GL0585230302 12/01/2014 12/01/2015 GENERAL AGGREGATE $ 15,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- X LOC ECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 3,000,000 (Ea accident) A 'ANY AUTO BODILY INJURY(Per Person)ALL OWNED SCHEDULEDAUTOS AUTOS BAP585230402 12/01/2014' 12/01/2015' BODLIY INJURY(Per accident) $ IX HIRED AUTOSNON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ PHYSICAL PHYSICAL DAMAGE $ ELF - INSURED DAMAGE UMBRELLA LIAB occuR EACH OCCURRENCE $ EXCESS LAB cwMsgnADE AGGREGATE $ DEDUCTIBLE 8 RETENTION $ $ x WC STATU- OTN- AND EMPLOYERCOMPENSATION'LIILIT AND EMPLOYERS' LIABILITY TORYUMIT6 ER E.L. EACH ACCIDENT s 1,000.000 B YIN WC585230102 A ANY PROPRIETORIPARTNER/E%ECUTIVE NIA 12/D1/2G14 12/D1/2D15 E. L. DISEASE EMPLOYEE $ 1,000,000 OFFILERIMEMBER Excwpeot N (Manuel., in NH) WC585230202 If If yes, describe under EL DISEASE - POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS below $ $ DESCRIPTION OF OPERATIONS I LOCATON51 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate holder is additional insured as respects general liability policy, as required by written contract. City of Fort Collins Ed Bonnette, C.P.M., CPPB PO Box 580 Fort Collins, CO 80522 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUfHORIZEO REPRESENTATIVE /yIRM l�Mi`_ ©1988-2014 ACORD CORPORATION All ri.hfo Ke�esaod AULIKU 25 (2014/01) The ACORD name and logo are registered marks of ACORD