Loading...
HomeMy WebLinkAbout111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (7)DATE (MM/DD/YYYY) AC oR" CERTIFICATE OF LIABILITY INSURANCE 2/24/2016 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 CONTACT NAME: Hays Companies PHONE Ext) A/C No (816) 474-3535 F'� (8816) 842-5795 1200 Main Street, Suite #2310 ADDRESS: INSURERISI AFFORDING COVERAGE NAIC # Kansas City MO 64105 INSURED Hamilton Laundry Company Faultless Laundry Company, Inc 1480 E. 61st Street INSURER A :Old INSURER C : Co. INSURER E : Denver CO 80216 INSURER F • I+CI IT I^" = \II IRAMI=O.U7 cr.1hT.1Wr•1TTT. 1 1 All 7 R9=VISIr1N KII IMRFR- 25674 vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTV14THSTANDING 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 L UBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence) $ 500,000 MED EXP (Any one person) $ 10,000 X MWZY306277 3/1/2016 3/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 X PRO ❑ LOC POLICY ❑ JECT OTHER: AUTOMOBILE LIABILITY CoMrINED Ea accident) IN L LIMI $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-OWNED X X MWTB 306276 3/1/2016 3/1/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Com /Coll Ded $ 1,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1 000 000 B EXCESS LIAR CLAIMS -MADE DED 1 X 1 RETENTION$ 10,000 $ ZUP-14P64533-16-NF 3/1/2016 3/1/2017 WORKERS COMPENSATION OTH- X I STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.DISEASE - EA EMPLOYE $ 1,000,000 A OFFICEER EXCLUDED? ❑ in (Mandatory in NH) N / A MWC 306275 00 3/1/2016 3/1/2017 E.L: DI£EASE-POJCY LlMtr -..a. 1 -OD-D 000 If es, describe under D�SCRSF i0i� OF v'PERATiGiJa below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) As respects General Liability, City of Fort Collins is included as Additional Insured as required by written contract. GtK I IrICA It nUL_UtK 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 s Hays / LROBB U IUU11-ZU14 AL.VKU I.VKYVKA I IVR. All fIgIILS ICSCI VCU. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)