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Home My WebLink About111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (4)OP ID: EQ CERTIFICATE OF LIABILITY INSURANCE D02/23ATE /2015 ) 02/2312015 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 Hays Companies of Kansas City 920 Main Street, Suite 2100 Kansas City, MO 64105 CONTACT NAME: PHONE FAX AAFC, No Eg A/C, No: E-MAIL ADDRESS: PRODUCER FAULT-2 CUSTOMER ID 0: INSURER(Sl AFFORDING COVERAGE NAIL • INSURED Hamilton Laundry Company INSURER A: Old Republic Insurance Co. 24147 Faultless Laundry Company Inc. INSURERS: Travelers P & C Co. of America 25674 330 West 19th Terrace Kansas City, MO 64108 INSURER C: 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. ILTR TYPE OF INSURANCE POLICY NUMBER MMIDDY/YYYY MMIO LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX7 OCCUR MWZY 303645 03l01/2015 03I0112016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,00 MED EXP (Any one person) $ 10,00 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS • COMPIOP AGO $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS MWTB 303644 03/01/2015 03/01/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ Comp Ded $ 1,00 Coll Died $ 1,00 g UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UP-14-64533-15-NF 03/01/2015 03/01/2016 EACH OCCURRENCE $ 15,000,00 AGGREGATE $ 15,000,00 DEDUCTIBLE RETENTION f $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYDRY ANY PROPRIETOR/PARTNER/EXECUTNE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below NIA MWC 303643 03/01/2015 03/01/2016 X I WC 'TAT J OTN- LIM E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L.DISEASE LIMB 1,OOQ000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CITYFTC City of Fort Collins PO BOX 580 Ft. Collins, CO 80522 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 - V C/7 -- , © 1988-2009 ACORD CORPORATION. All rights reserved. ACORO 25 (2009/09) The ACORD name and logo are registered marks of ACORD