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Home My WebLink About111347 HAMILTON LAUNDRY COMPANY - INSURANCE CERTIFICATE (10)ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYVY) L i 1 2/20/2017 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). ACT PRODUCER NAME: --- Hays Companies PHONE (816)474-3535 FAX (816) 942-5795 NoExt)- L1ACNo1200 Main Street, Suite #2310 ADDRIESS:lrobb@hayscompanies.com INSURER S) AFFORDING COVERAGE NAIC N _ Kansas City MO 64105 INSURERA:Old Republic Insurance Co. 24147 _ INSURED Hamilton Laundry Company INSURERB:Travelers Property Casualt__CompanY_ 25674__ Faultless Laundry Company, Inc INSURERC: 1480 E. 61st Street INSURERD: i INSURER E Denver CO 80216 INSURER F r..nrc t100rlclf'ATo AlHRAC2F0-T4Am GT./AT./WC/TTL 1 17/18 RFVI.RInN NI)MRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BFLOW 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 ADDL SUBRi T POLICY EFF- l POLICY EXP I LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 CLAIMS OCCUR DAMAGE TO RENTED PREMISES $ 500,000 A -MADE X MWZY 309323 3/1/2017 3/1/2018 _�occurrencs MED EXP (Any one person) — - $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE -- $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 PRO- X POLICY JECT LOC $ OTHER IN L LIMIT $ 11 000, Q00 AUTOMOBILE LIABILITY Ea accident X BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED 7 SCHEDULED MWTB 309322 3/1/2017 3/1/2016 BODILY INJURY (Per accident) $ _ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $TOS X X HIRED AUTOS (Per accident) _— Co Coll Ded $ 1,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 ESS LIA II CLAIMS -MADE B AGGREGATE $ 1,000,000 X $ 10,000 EXCRETENTION ZUP-14P64533-17-NF 3/1/2017 3/1/2018 -7 $ WORKERS COMPENSATION X STATUTE ER - ---� _ -- - -- IAND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 110001000 A OFFICER/MEMBER EXCLUDED? NIA [� (Mandatory in NH) PiWC 309321 00 3/1/2017 3/1/2018 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS, 11 cw E.L. DISEASE - POLICY LIMIT 1,000,000 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 I t HULUtK 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 y 2-- V -1 VOO-LV 19 Nt,%JRV ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD NS025 (201401 )