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Home My WebLink About112967 G & K SERVICES INC - INSURANCE CERTIFICATE (5)/ ® ACOR" CERTIFICATE OF LIABILITY INSURANCE -DATE (MM/DD/YYYY) 11/28/2016 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 Marsh USA Inc. 333 South 7th Street, Suite 1400 Minneapolis, MN 55402-2400 Attn: Minneapolis.CertRequest@marsh.com Fax 212-948-0114 CONTACT NAME: --- _ PHONE FAX IA/C, No EXn• (A/c, No): E-MADDRESS INSURERS) AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 008 INSURED G&K Services, Inc. and its Subsidiaries 5995 Opus Parkway, Suite 500 Minnetonka, MN 55343 INSURER B : Travelers Property Casualty Company of America 25674 INSURER C : In Insurance Company of North America 43575 INSURER D : Great American E&S Insurance Company 37532 INSURER E : _ INSURER F 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. ADDL SUBR POLICY EFF POLICY EXP ILTR NSR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG27859926 12/0112016 12/01/2017 EACH OCCURRENCE $ 1,000,000 n CLAIMS -MADE Lxl OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A POLICY n PRO- X❑ LOC JECT Fx] OTHER: POIIC General Aggregate AUTOMOBILE LIABILITY ISAH09052124 12/01/2016 12/0112017 POLICY GENERAL AGG COMBINED SINGLE LIMIT Ea accident $ 15,000,000 $ 3,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB X OCCUR ZUP11T7047816NF 12/01/2016 12/01/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10 000 $ C WORKERS COMPENSATION WLRC49106178 (AOS) (incl Stop Gap 12/01/2016 12/01/2017 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 A AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below IQ/ A ND, OH, WA & WY ) WLRC4910618A CA,MA ( ) Workers Comp is not provided in TX 12I0112016 12I0112017 E L DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 D Texas Employers Excess ECA3719729 12/01/2016 12/01/2017 Per Person Limit: 5,000,000 Indemnity SIR: $250,000 Per Occurrence Limit: 25,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Location Name - Denver City of Fort Collins included as additional insured where required by written contract with respect to General Liability. CERTIFICATE HOLUtK City of Fort Collins Attn: Jerri Groves 215 N. Mason St, 2nd Floor Fort 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 of Marsh USA Inc. Manashi Mukherjeetuo+a V,yw .`.�..•.a.v. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 103-185-392 LOC #: Minneapolis --- 7 gyre A!r�V ADDI I IVNAL KtmAKM,-:0 ,-,5t..nr-uuLr AGENCY NAMED INSURED Marsh USA Inc. G&K Services, Inc. and its Subsidiaries 5995 Opus Parkway, Suite 500 POLICY NUMBER Minnetonka, MN 55343 -- CARRIER TICACODE EFFECTIVE DATE: ADDITIONAL KtMAKR, THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Cont Workers Compensation (WI) Carrier: ACE Fire Underwriters Insurance Company Policy number: SCFC49106191 Policy dates: 12/0112016 - 12/01 /2017 For Texas workers' compensation, note Texas Employers Excess Indemnity policy I �ilnnllo wTlA IL1 A ... ti�� e•corvnrl ACORD 101 (2008/01) �...•.- �--••• - The ACORD name and logo are registered marks of ACORD