HomeMy WebLinkAboutKWAL HOWELLS INC - INSURANCE CERTIFICATE (2)CERTIFICATE
ACORD.R CERTIFICATE OF LIABILITY INSURANCE
DATE
08/03/2007
08/02/2006
PRODUCER
Lockton Companies
444 W. 47th Street, Suite 900
Kansas City Mo 64112-1906
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 HE COVERAGE AFFORDED BY THE POLICIES W.
INSURERS AFFORDING COVERAGE
(816)960-9000
INSURED PROFESSIONAL PAINT, INC.
1072127 KWAL-HOWELLS INC.
INSURERA: AM. INT. SPECIALTY LINES AIG-CHI
INSURER B: COMMERCE & INDUSTRY INS. CO.***
INSURERC: *** AIG CHICAGO
ATTN: PAMELA WASHBURN
3900 JOLIET STREET
D NVERCO80239
_
INSURER D XL SPECIALTY INS. CO - NY
INSURER F
COVERAGES PRCIPAOI 7R =wrn„^nmraam-VQQ Nu I lVNQ I I I U I C A VVK I KAL I Ht I WttN I Ht 155UINU
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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 IMM/DDfYYI
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Y OCCUR
X POLLUTION LEGAL LIAB
1950155
08/03/2006
08/03/2007
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire
$ 1 000 000
MED EXP (Any oneperson)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
X
CLAIMS MADE FORM
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES
POLICY PRO-
JECT
PER:
LOC
PRODUCTS-COMP/OP AGG
$ 1,000,000
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
$1,000 Como Ded
8087121 (AOS)
CA7557775(TX)
08/03/2006
08/03/2007
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
X
BODILY
(Per accident)dent)
$ XXXXXXX
X
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
X
$1 000 Coll Ded
GARAGE LIABILITY
ANY AUTO
NOT APPLICABLE
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
AUTO ONLY: AGG
$ XXXXXXX
$ XXXXXXX
EXCESS LIABILITY
OCCUR CLAIMS MADE
El
DEDUCTIBLE FORM
RETENTION $
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
$ XXXXXXX
XXXXXXX
$ XXXXXXX
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
RWD9435148
08/03/2006
08/03/2007
X 11 TORYLI IT OTH-
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 OPERATIONS/LOCATIONS/VEHICLES/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
L
ATTENTION: JOHN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30
TEPHEN, 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
ACORD 25-S (7/97) For questions regarding this certigcare,contact the nurrherlisted inthe 'Producer' section aboseand specify the client code 'PROPA01'. nA O CORPORATICINIQRR