HomeMy WebLinkAboutFI12-211 - Insurance Certificate - Cintas Corporation - 07/01/2015 to 07/01/2016 Coverage - 06/24/2015 mac DATE MM/DD 5YYY)
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 20
certificate holder in lieu of such endorsement(s).
PRODUCERCONTACT
NAME:
C5
MAME:
Aon Risk. Services Northeast, Inc, PHONE FAX
C/o Aon client services (AlC,No.Ext): (855) 283-7122 (A1C,No-1: (800) 363-0105 0
'O
4 overlook Paint E-MAIL 0
Lincolnshire IL 60069 USA ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIL#
INSURED INSURER A: The Travelers Indemnity Co of CT 25682
Cintas Corporation and its subsidiaries INSURERB: Travelers Property Cas Co of America 25674
Box 62573 Cintas Blvd.
wd.
P.O.
INSURERC: Westchester Fire Insurance Company 10030
P,a
Cincinnati OH 45262 USA INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATENUNiBERc 570058383503 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
ADD
INSR LTR TYPE OF CNSDRANCE INSD 1,"6VD POLICY NUMBER aWIMJDPOLICY EFF DrYYYY MMLODIYYYY ICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY HC EGLSA4 M4 1TCT EACH OCCURRENCE S2,000,000
CLAIMS-MADE OCCUR DAMAGE RENTED $1,000,000
PREMISES(Ea occurrence
X Contractual Liability MED EXP(Any one person) S5,000
PERSONAL B ADV INJURY S110001000 0
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2r.000,000 co
POLICY ❑JR O XC�LDr PRODUCTS-cnMP/t7P AGG 11,000,000
OTHER'. o
n
A AUTOMOBILE LIABILITY HC2E-CAP-472h44651-T'CT-15 07/01/201507/01/2016 COMBINED SINGLE LIMIT 55,000,000
AOS Ea accident
x ANY AUTO BODILY INJURY(Per person)
ALL OWNED SCHEDULED BODILY INJURY(Per accident) 2
AUTOS AUTOS
PROPERTY DAMAGE 0
X HIRED AUTOS x NON-OWNED
CAmplCCll$p pad, U
AUTOS (Per accident? li-
X �
C X UMBRELLA LIAB X OCCUR G2203527701.0 07/01/2015 07/01/2016 EACH OCCURRENCE $5,000,000 L)
EXCESS LlAB CLAIMS-MADE SIR applies per policy terns & condi ions AGGREGATE $5,000,000
DED I X RETENTION
B WORKERS COMPENSATION AND HC2JUB472M470615 07/01/2015 07/01/2016 XSTATUTE pRH
EMPLOYERS'LIABILITY -
ANY PROPRIETOR f PARTNER!EXEC4JTIVE �Y!N WC-ADS E.L.EACH ACCIDENT $1,000,000
OFFICERIMEMBER EXCLUDED? I N I A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
It yes.describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000-
DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Kent 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.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLlClEB BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City of Kent AUTHORIZED REPRESENTATIVE --
Attn: Cheryl Lopez
Finartial Reporting Dilion Finance y
Department 220 4th Ave.. S. —
Kent WA 98032 USA z ct.� a
NE
@1988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of A'CORD
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