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HomeMy WebLinkAboutCintas - Insurance Certificate�1 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 06/20/2017 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 have ADDITIONAL INSURED provisions or 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 Aon Risk services Northeast, Inc. c/o Aon Client Services CONTACT NAME. AJJC.N o, EM); C866) 283 -7122 FAX No.): (800) 363 -0105 E -MAIL ADDRESS: 4 Overlook Point Lincolnshire IL 60069 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The Travelers Indemnity Co of CT 25682 cintas corporation and its subsidiaries INSURER B: Travelers Property Cas Co of America 25674 6800 Cintas Blvd Po Box 625737 INSURER C: Westchester Fire Insurance Company 10030 INSURER D: Cincinnati OH 45262 USA INSURER E: PREMISES Ea occurrence) $1,000,000 INSURER F: MED EXP (Any one person) $5,000 COVERAGES CERTIFICATE NUMBER: 570067071952 REVISION NUMBER: 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. Limits shown are as requested LSI TYPE OF INSURANCE INSD WVD POLICY NUMBER MOLIC POLO YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HC EGLSA M4 1TCT1 07/01/2017 1 EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR PREMISES Ea occurrence) $1,000,000 X MED EXP (Any one person) $5,000 Contractual Liability PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ PRO 7X JECT PRODUCTS - COMP /OP AGG $1,000,000 OTHER: A AUTOMOBILE LIABILITY HC2E- CAP- 472M4651- TCT -17 07/01/2017 07/01/2018 COMBINED SINGLE LIMIT Ea accident $5,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident X Comp /Coll $0 Ded. C X UMBRELLA LIAB X OCCUR G22035277012 0710112017 07/01/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE SIR applies per policy terns & conditions AGGREGATE $5,000,000 DED X RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER /EXECUTIVE YY /❑N HC2JUB472M470617 WC -AOS 07/01/2017 07/01/2018 X STATUTE OTH- IER E.L. EACH ACCIDENT $1,000,000 OFF I CER/MEMBER EXCLUDED? N (Mandatory in NH) N I A E.L. DISEASE -EA EMPLOYEE $1,000,000 D U es, describe under D SCRIPT!ON OF OocpgT!ONS bslo'w E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured on the General Liability Policy, but only with respect to work performed under contract between the Certificate Holder and the Insured. G &K services, Inc. and its subsidiaries are included as a Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Gilroy AUTHORIZED REPRESENTATIVE Attn: Frank Conlin 7351 Rosanna Street Gilroy CA 95020 USA n/I A7f, // "�Q ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Y ca C7 m w c d a d v 0 2 N rn ti 0 0 O r O Z 0) R V w d U ai ry x