HomeMy WebLinkAbout111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (8)73/l/2018
TE (MM/DD/YYYY)
AC"RD® CERTIFICATE OF LIABILITY INSURANCE
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:_
E 7-FAX (e16) eaz-579s(A/C,Nol:Ha s Companies (816)„443535
1200 Main Street, Suite #2310 ADDRESS:lrobb@hayscompanies.com
INSURER(S) AFFORDING COVERAGE NAIC it
Kansas City NO 64105 INSURERA:Old Republic Insurance Company 24147
INSURED Hamilton Laundry Company INSURERB:Travelers Property Casualty Co of 25674
Faultless Laundry Company, Inc INSURERC:
330 West 19th Terrace INSURERD:
INSURER E :
Kansas City MO 64108 INSURERF:
AA\/C�A/+L'C! ncorlclrwTC u1111AQCo•uwm r.T,/AL/WC/tTL 1 18/19 RFVISION NLIMBER-
vTHIS 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 - ----- ADDSUB L R POLICY EFF POLICY EXP LIMITS
L TYPE OF INSURANCE ^ POLICY MM/
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1
� OCCUR
-
EACH OCCURRENCE
DAMAGET( RENTED
PREMISES (Ea occurrence
$ 1,000,000
$ 500,000
MED EXP (Any one person)
X
MWZY 312199
3/1/2018
3/1/2019
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
GEN'L
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
POLICY E PRO LOC
JECT
$
OTHER:
AUTOMOBILE LIABILITY
Ea accident)COMBINED I L MITT
$ 1,060,000
BODILY INJURY (Per person)
$
A
R ANY AUTO
ALL OWNED SCHEDULED
HIRED AAUTOS
UTOS NON -OWNED
x x
MWTB 312198
3/1/2018
3/1/2019
BODILY INJURY (Per accident)
$
--
PROPERTY DAMAGE
LPer accidentl
$ _
Comp/Coll Ded
$ 1,000
$ UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 11000,000
$
EXCESS LIAB
CLAIMS -MADE
DED X RETENTION$ 10 000
$
ZUP-14P64533-18-NF
3/1/2018
3/1/2019
WORKERS COMPENSATION
X TATUTE ER -
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
A (MandatoOFFICER/Mry in NH) EMBER EXCLUDED?
N / A
MWC 312200
3/1/2018
3/1/2019
E.L. DISEASE - POLICY LIMIT
$ 1 000 000
If es, describe under
DESCRIPTION OF OPERATIONS 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.
CERTIFICA It HULUEK I,HIYI CLLN I "JIN
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
James Hays/LROBB
W 'IUGO-ZU-14 Al.vrcv \.v Rrvr�r+l Ivl�. nu l lynw Icac, •�.+.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)