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Home My WebLink About111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (9)DATE (MM/DD/YYYY) g� Rom® CERTIFICATE OF LIABILITY INSURANCE 3/1/2018 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). CONTACT PRODUCER NAME: FAX - Hays Companies IP;HcNNo. E,* (816) 474-3535 (A/C No): (816) 842-570S 1200 Main Street, Suite #2310 ADDRESS:lrobb@hayscompanies.com Kansas City MO 64105 INSURERA:01d 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: Kansas City MO 64108 I INSURER F I ueot-o.TJ rnT./AT./Wr/TTT. 1 5 1 R/1 9 RFVIRInN NI IMRFR' VV YLf�MVLJ 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. "SR - - - L U POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER M D/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑x OCCUR MWZY 312199 3/1/2018 3/1/2019 EACH OCCURRENCE -DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 - L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC FOTHER GENERAL AGGREGATE $ 2,000,000PRO- PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED Ea accidentI L l $ - 11000,000 BODILY INJURY (Per parson) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS NON�OWNED X HIRED AUTOS x AUTOS M(rTH 312196 3/1/2018 3/1/2019 BODILY INJURY (Per accident) $ --- _,_ PROPERTY DAMAGE (Per eccidentJ____ Com /Coll Ded $ 1,000 X UMBRELLA LIAB x OCCUR EACH OCCURRENCE �— -- $ 15 , 000, 000 EXCESS LIAB CLAIMS -MADE 8 DED R RETENTION$ 10 000 WORKERS COMPENSATION ZUP-14P64533-18-NF 3/1/2018 AGGREGATE _ 3/1/2019 TH- X TATUTE ER $ 15,000,000 $ $ 1,000,000 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) N I A MWC 312200 3/1/2018 3/1/2019 E.L. DISEASE - EA EMPLOYEE $ 1,000 000 Ifes describe under DESCRIPT:ON OF OPERATIONS belcw E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) t r_K I Ir K,FI I r_ r1VL.UCr% 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 `Jy \J IDVo-LV .1 .....� ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)