HomeMy WebLinkAboutKWAL HOWELLS - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE 08/03/2005 08/02 004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
444 W. 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Kansas City Mo 64112-1906
ALTER THE COYERAGE AFFORDED BY THE POLICIES BELOw-
(816)960-9000
INSURERS AFFORDING COVERAGE
INSURED PROFESSIONAL PAINT, INC. INSURER A: AM. INT. SPECIALTY LINES AI -CHI
1006776 KWAL-HOWELLS INC. INSURERS: COMMERCE & INDUSTRY INS.CO.***
ATTN: PATI NUCE IN R C: *** AIG CHICAGO
3900 JOLIET STREET INSURER D
DENVER CO 80239
COVERAGES PROPA01 ZB
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE..
DATE IYY
POLICY EXPIRATION
TE /
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
1950155
08/03/2004
08/03/2005
EACH OCCURRENCE
1,000,000
X
FIRE DAMAGE (Any one fire
$ 50,000
CLAIMS MADE rx-1 OCCUR
POLLUTION LEGAL LIAB
MED EXP (Any onePerson)
$ 10,000
X
PERSONAL & ADV INJURY
1,000,000
X
CLAIMS MADE FORM
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES
POLI Y T
JET
PER:
LOC
PRODUCTS - COMPIOP AGG
$ 1,000,000
AUTOMOBILE
LIABILITY
B
ANY AUTO
8087121 (AOS)
08/03/2004
08/03/2005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
B
ALL OWNED AUTOS
8087122 (TX)
SCHEDULED AUTOS
BODILY INJURY
(Per Person)
$ XXXXXXX
X
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
X
X
$1,000 COI11D Ded
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
X
1.000 Coll Ded
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
-
ANY AUTO
A
NOT APPLICABLE
OTHER THAN EA ACC
AUTO ONLY: AGG
I XXXXXXX
XXXXXXX
EXCESS LIABILITY
OCCUR CLAIMS MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
XXXXXXX
❑ UMBRELLA
XXXXXXX
DEDUCTIBLE FORM
XXXXXXX
RETENTION $
B
B
WORKERS COMPENSATION AND
EMPLOYERS' LWBILITY
3283762 (AOS)
3283761 (CA)
08/03/2004
08/03/2005
X WC STATU- OTH-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1.000.000
_T
OTHER
DESCRIPTION OF OPERATIONSILOCATK)NSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN
ATTENTION: JOHN STEPHEN, CPPB, SENIOR BUYER
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
ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the Troducee section alunns and specify the client code TROPA01'. 0ACORDC PORATION1999