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HomeMy WebLinkAboutKWAL HOWELLS INC - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE 08/03/2007 08/02/2o o) PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City Mo 64112-1906 (816)960-9000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE C VERA AFFORDED BY E POLICIES W. INSURERS AFFORDING COVERAGE INSURED PROFESSIONAL PAINT, INC. 1072127 KWAL-HOWELLS INC. INSURER A: AM. INT. SPECIALTY LINES AIG-CHI INSURER B. COMMERCE & INDUSTRY INS. CO.*** ATTN: PAMELA WASHBURN 3900 JOLIET STREET D NVER CO 80239 INSURERC: *** AIG CHICAGO INSURER 0 XL SPECIALTY INS. CO - NY INSURER F COVERAGES PR(1PAM 7R new �'rt i�rrsast�^r trvourtelrv�.c u�ca rvUl t.VrvA IIIU IE AGUM HAG I IdETWEEN THE ISSUING - rem rt rrtvu - rt AMU IR Kit FIV R U 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE (MMIDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 1950155 08/03/2006 08/03/2007 FIRE DAMAGE (Any one fire $ 1,000,000 MED EXP (Any oneperson) $ 10,000 CLAIMS MADE 1XI OCCUR X POLLUTION LEGAL LIAB PERSONAL & ADV INJURY $ 1,000,000 X CLAIMS MADE FORM GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 - POLICY JECPROT LOC AUTOMOBILE LIABILITY B ANY AUTO 8087121 (AOS) 08/03/2006 08/03/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X B ALL OWNED AUTOS CA7557775 (TX) SCHEDULEDAUTOS BODILY INJURY (Per person) $ XXXXXXX X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ XXXXXXX X X $1,000 Comp Ded PROPSRTYen DAMAGE $ XXXXXXX X $1 000 Coll Ded GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX $ XXXXXXX AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX OCCUR E—ICLAIMS MADE NOT APPLICABLE $ XXXXXXX OUMBRELLA XXXXXXX DEDUCTIBLE FORM RETENTION $ $ XXXXXXX D WORKERS COMPENSATION AND RWD9435148 08/03/2006 08/03/2007 X I WC STATU-T DTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1000 00o OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR. 1745077 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 ATTENTION: JOHN STEPHEN, CPPB, SENIOR BUYER DAYS WRITTEN P.O. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 215 NORTH MASON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 2ND FLOOR REPRESENTATIVES. FORT COLLINS CO 80522-0580 AUTHORIZED REPRESENTATIVE ACORD25-S(7/97) For questionsmilardingthiscertificate,contactthenumberlistedhire'Producer'sectionabo and specirythe client code 'PROPA01'. AMOR5 CORPORATION I QRR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.