HomeMy WebLinkAboutKWAL PAINT - INSURANCE CERTIFICATEACORD.. CERTIFICATE OF LIABILITY INSURANCE 08/03/2006 08/01/2005 DATE CERTIFICATE
PRODUCER Lockton Companies THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
P 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 POI ICIFS RFI OW.
(816) 960-9000
INSURERS AFFORDING COVERAGE
INSURED PROFESSIONAL PAINT, INC. INSURER A: AM. INT. SPECIALTY LINES AIG-CHI
1006776 KWAL-HOWELLS INC. INSURER B: COMMERCE & INDUSTRY INS. CO.***
ATTN: JOHN PODSZEBKA ws RER : *** AIG CHICAGO
3900 JOLIET STREET INSURER D XL SPECIALTY INS. CO - NY
D NVERCO80239
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE(MWDDIYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
1950155
08/03/2005
08/03/2006
FIRE DAMAGE (Any one fire
$ 50,000
MED EXP (Any oneperson)
$ 10,000
CLAIMS MADE [j] OCCUR
X POLLUTION LEGAL LIAB
PERSONAL & ADV INJURY
$ 1,000,000
X
CLAIMS MADE FORM
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 1,000,000
POLICY JELQT LOC
AUTOMOBILE
LIABILITY
B
ANY AUTO
8087121 (AOS)
08/03/2005
08/03/2006
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
B
ALL OWNED AUTOS
CA7557775 (TX)
SCHEDULEDAUTOS
BODILY INJURY
(Per person)
$ XXXXXXX
X
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
X
X
$1,000 Comp Ded
PROPERTY DAMAGE
(Per aciident)
$ XXXXXXX
X
$1 000 Coll Ded
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHERTHAN EA ACC
I XXXXXXX
$ XXXXXXX
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
OCCUR CLAIMS MADE
NOT APPLICABLE
XXXXXXX
El
DEDUCTIBLE FORM
XXXXXXX
RETENTION $
$ XXXXXXX
D
WORKERS COMPENSATION AND
RWD9435148
08/03/2005
08/03/2006
X WCSTATU[is I OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1.000.000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR.
ra.�+r � nut-u�rt i guui ttVNAL INSURED• INSURER
1745077
CITY OF FORT COLLINS
ATTENTION: JOHN STEPHEN, CPPB, SENIOR BUYER
P.O. BOX 580
215 NORTH MASON STREET
2ND FLOOR
FORT COLLINS CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
ACORD 26S(7197) For queadons rMa Ina thisunmcate, Contact the numbertlated in the Troducee section above and specify the client cod.'Paopmf 0ACORDC PORAT10N IORA