HomeMy WebLinkAbout103118 KWAL PAINT - INSURANCE CERTIFICATE (3)ACORDTM CERTIFICATE OF LIABILITY INSURANCE 9/l/2009
DA2/4/2009/YYYY)
PRODUCER Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
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
Kansas City MO 64112-1906
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(816)960-9000
INSURERS AFFORDING COVERAGE
NAIC #
INSURED COMEX GROUP, INC
INSURER A: AM. INT. SPECIALTY LINES(AIG-CHI)
INSURER B: COMMERCE & INDUSTRY INS. CO.***
1072127 KWAL-HOWELLS INC.
INSURER C: *** AIG CHICAGO
ATTN: PAMELA WASHBURN
3900 JOLIET STREET
DENVER CO 80239
INSURER D: XL SPECIALTY INS. CO - NY
INSURER E:
�wccu rut= isaumr
.rSURER( ft AUTHORIZED
uvv. REPRESENTATIVE
CONSTITUTE PRODUCER
__...._._.__FICA__..._.______
��\/CCArCC !`f1AArRl17 FK iNsuRFRlsr AUTHOR¢EO REPRESENTATIVE OR PRODUCERAND THE CERTIFICATE HOLDER.
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
DD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
DAMAGE
PREM SESOEa ocaiEence
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
1950155
9/1/2008
9/l/2009
MED EXP (Any one person)
$ 10,000
CLAIMS MADE MX OCCUR
PER & ADV INJURY
$ 1,000,000
GENERALAGCREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY M jRa M LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
B
X ANY AUTO
8087121
9/1/2008
9/1/2009
(Ea accident)
BODILY INJURY
$ XXXXXXX
ALL OWNED AUTOS
(Per person)
SCHEDULED AUTOS
BODILY INJURY
$ XXXXXXX
X HIRED AUTOS
X NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
X $3,000 COMP DED.
1
X $3,000 COLL DED.
(Per accident)
XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
$ XXXXXXX
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
OCCUR CLAIMS MADE
NOT APPLICABLE
$ XXXXXXX
UMBRELLA
DEDUCTIBLE FORM
$ XXXXXXX
$ XXXXXXX
RETENTION $
X TORY LIMITSOER
D
WORKERS COMPENSATION AND
RWD9435148
9/1/2008
9/I/2009
E.L. EACH ACCIDENT
$ 1,000,000
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE- EA EMPLOYE
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
It yes, describe under NO
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: RENEWAL, 76043 MAPO ATHLETIC FIELD PAINT. CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY
WHERE REQUIRED BY WRITTEN CONTRACT.
10432731
CITY OF FORT COLLINS
215 NORTH MASON STREET, 2ND FLOOR
P.O. BOX 580
FORT COLLINS CO 80522-0580
VMIYVGL L/111VIr l'••"""'I
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
REPRESENTATIVES.
li—d M.n'p-d—r section above and st—ifvthe cheNo'de•WMORar. (c ArORD CORPORATION 1988
SCHEDULE OF NAMED INSUREDS
COMEX GROUP, INC
PROFESSIONAL PAINT, INC.
GENERAL PAINT, INC.
FRAZEE INDUSTRIES HOLDINGS, INC.
FRAZEE INDUSTRIES, INC.
KWAL-HOWELLS HOLDINGS, INC.
KWAL-HOWELLS, INC.
PARKER PAINT HOLDINGS, INC.
FRAZEE FRANCHISE CORP.
STELLAR PAINT (DBA)
GENERAL PAINT CORP.
SOPHIR MORRIS HOLDINGS, INC.
SMC ACQUISITIONN CORP.
STELLAR KWAL PAINT (DBA)
STELLAR ACQUISITION CORP.
STELLAR HOLDINGS, INC.
DUCKBACK ACQUISITION CORP.
DUCKBACK PRODUCTS (DBA)
DUCKBACK HOLDINGS, INC.
CLASSIC PAINT (DBA)
KWAL PAINT (DBA)
IDEAL PAINTS (DBA)
COMEX USA, INC.
POWDERHORN ACQUISITION CORP.
STELLAR ACQUISITION DBA AMERIMEX PAINT CENTERS
COMERCIAL MEXICANA DE PINTURAS S.A. DE C.V.*
CONSORCIO COMEX S.A. DE C.V.(
COLOR WHEEL PAIN MFG. CO., INC.
COLOR WHEEL PAINTS AND COATINGS
COLOR WHEEL PAINTS
THE PAINT STORE
COLOR WHEEL DECORATING CENTER
STRUBE PROPERTIES, LTD.
STRUBE HOLDINGS, INC.
COLOR WHEEL ACQUISITION CORP.
COLOR WHEEL HOLDINGS, INC.
*AS RESPECTS PRODUCTS SOLD IN THE UNITED STATES
Miscellaneous Attachment : M85936
Master ID: 1072127