HomeMy WebLinkAboutKWAL HOWELLS - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE DATE
8/01/ 003
08/03/2004 08/O1/2003
PRODUCER
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 COVERAGE AFFORDED BY THE POLICIES BELOW.
(816) 960-9000 INSURERS AFFORDING COVERAGE
INSURED PROFESSIONAL PAINT, INC. INSURER A: AM. INT'L SPECIALTY LINES
1006482 KWAL-HOWELLS, INC. INSURER B: COMMERCE & INDUSTRY INSURANCE CO.
ATTN: PATI NUCE INSURERC:
3900 JOLIET STREET INSURER D :
DENVER CO 80239
L:UVhKACiE5 L15
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 MWDDIYY
POLICY EXPIRATION
DATE MMtDDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
X POLLUTION LEGAL LIAB
1950155
08/03/2003
08/03/2004
EACH OCCURRENCE
1,000,000
FIRE DAMAGE (Any one fire)
50,000
MED EXP (Any one person)
1 10,000
PERSONAL & ADV INJURY
1,000,000
X
(CLAIMS MADE FORM)
GENERAL AGGREGATE
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYF—1 PRO LOC
PRODUCTS-COMP/OP AGG
1,000,000
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
8087121
08/03/2003
08/03/2004
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
BODILY INJURY
(Per accident)
$ J{J{}(xxxx
PROPERTY DAMAGE
(Per accident)
$ XxxxxXX
GARAGE LIABILITY
ANY AUTO
NOT APPLICABLE
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
AUTO ONLY: AGG
XXXXXXX
S XXXXXXX
EXCESS LIABILITY
OCCUR CLAIMS MADE
UMBRELLA
DEDUCTIBLE FORM
RETENTION
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
XXXXXXXXXXXXXX
XXXXXXX
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
3281585
08/03/2003
08/03/2004
X W ST U-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
1 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR,
v�rt nrr�n r c nwLucm I AUUI I IUNAL INSURED; INSURER LETTER: UANGtLLA I IUN
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 iy