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HomeMy WebLinkAbout103118 KWAL HOWELLS - INSURANCE CERTIFICATEacoRO CERTIFICATE OF LIABILITY INSURANCE 9/vzon 6/29//29/DA20llDDIY1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endoreemenL(s). PRODUCER LOCkton ComPanies, LLC-1 Kansas City 444 W. 47th btreet, Suite 900 Kansas Cityy MO 64112-1906 (816) 960-9000 NTACT M FAX AIC No Ext :INC,No E-MAIL INSUREFUSI AFFORDING COVERAGE NAIC Is INSURERA: ChartisSpecialty Insurance Company AXV 26883 INSURED COMEX GROUP, INC 1072127 KWAL-HOWELLSINC. ATTN:PAMELA WASHBURN 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111 INSURER B: Commerm end lndusn, lnwrance Company A XV 19410 INSURERC: XL Specialty Insurance Company A XV 37885 I INSURER F COVERAGES COMGRO2 FK CERTIFICATE NUMBER: 10432731 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIEL TYPE OF INSURANCE ADDL N SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR Y N 1950155 6/29/2011 6/29/2012 EACH OCCURRENCE 1000 000 DAREMISES (ED MAGE TO RENTED n 1,000,000 MED EXP (Any onePerson) 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE X P LI Y LIMIT APPLIES PER: PRO- 71 LOC PRODUCTS - COMPIOP AGG s 2000000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL 8WNED AUTOSULED HIREDAUTOS X AUTOSWNED 3k Cmp Ded X 3k Coll Ded N N 8087121. 6/29/2011 6/29/2012 COMBINEeD SINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per amdent $ XXXXXXX X PPReOPEEFde DAMAGE $XXXXXXX• X $ XXXXXXX UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I RETENTION $ $ D WOR AND EMPLOYERS' ERS'LABILIOTY YIN ANYPROPRIETORPARTNEMEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N IMyendetory In NH) 0 SnW under CRIPeTIONN OF OPERATIONS Oelow NIA N RWD9435148-06 9/1/2010 9/1/2011 X wcs IMITS OTH- EL ENCH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE 1000000 E L. DISEACE-POLICY LIMIT is 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101. Additional Remarks Schedule, if more space is required) RE: RENEWAL, 6043 MAPO ATHLETIC FIELD PAINT. CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10432731 CITY OF FORT COLLINS 215 NORTH MASON STREET, 2ND FLOOR P.O. BOX 580 FORT COLLINS CO 80522-0580 All rights Fine ACORD name and logo are registered marks of ACORD 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. PARKER PAINT MFG. CO., 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, Certificate ID: 10432731 , ll CERTIFICATE OF LIABILITY INSURANCE �/ 9/vzou DATE 9/20/Y1 6/29/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 CONTACT A No Eat): INC.FAX No E-MAIL COVERAGEINSURERfSI AFFORDING INSURER A: Chanis Specialty Insurance Company A XV 26883 INSURED COMEX GROUP, INC 1072127 KWAL-HOWELLSINC. ATTN: PAMELA WASHBURN 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111INSURER INSURERS:Corn'nerxandlnduzryiwuance CompanyAXV 19410 INSURERC: XL S ecial Insurance Com an A XV 37885 F COVERAGES COMCCR02 FK CERTIFICATE NUMBER: 3572642 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY "Is LIMBS A GENERAL LIABILITY Y N 1950155 6/29/2011 6/29/2012 EACH OCCURRENCE 1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PR MI a occv^ence 1 000 000 CLAIMS-MADE 7 OCCUR MED EXP (Any one mon) 10 000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s 2,000,000 P LI V PRO El L $ B AUTOMOBILE LIABILITY N N 8087121. 6/29/2011 6/29/2012 $ 1,000,000 X BODILY INJURV (Per person) $ XX'X'j{XXX ANY AUTO AUTOS AUTOWNEDNx3kCoIIDed BODILY INJURY (Per accitlent $XXXXXXX X PeOa ode^, AMAGE $ XXXXXXX HIRED AUTOS AUTNOSWNED j{ $ XXXXXXX 3k Cmp Ded UMBRELIALIAB OCCUR EACH OCCURRENCE s XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE s XXXXXXX DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEMMEMBER EXCLUDED? N❑ (Mandatory in NH) If yesm dedae under DESCRIPTION OF OPERATIONS Oelow N/A N RWD9435148-06 9/1/2010 9/1/2011 WC STATU- OTH- X TORY LIMITS FIR E.L EACH ACCIDENT $ 1,000.000 E.L. DISEASE - EA EMPLOYEE IS 1000000 E.L. DISEASE -POLICY LIMIT 1400000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF FORT COLLINS IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. TERM HAS BEEN EXTENDED FROM APRIL 15, 2011 THROUGH APRIL 14, 2012. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3572642 CITY OF FORT COLLINS PURCHASING DIVISION ATTN: DIRECTOR OF PURCHASING AND RISK MANAGEMENT P.O. BOX 580 FORT COLLINS CO 85022 All rights The ACORD name and logo are registered marks of ACORD 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. PARKER PAINT MFG. CO., 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, Certificate ID: 3572642 CERTIFICATE OF LIABILITY INSURANCE l.o� 9n/2ou DA6/29/DDIY2011 6/29/1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S(, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s). PRODUCER Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cifyy MO 64112-1906 (816) 960-9000 CONTACT 011% FAX Alc No Ext :INC, No)- E-MAIL ADDRESS INSURER A: CharlisSpecialty Insurance Company AXV 26883 INSURED COMEX GROUP, INC 1072127 KWAL-HOWELLSINC. ATTN: PAMELA WASHBURN 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111 INSURER B: Commerce and Industry In... Company A XV 19410 INSURERC: XL S e tally Insurance Company AXV 37885 COVERAGES C0MGR02 FK CERTIFICATE NUMBER: 1745077 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPIM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E OCCUR N N 1950155 6/29/2011 6/29/2012 EACH OCCURRENCE 1,000,000 ED PREMISES ( aEo=,"rce 1,000,000 MED EXP (My onePerson) 10,000 PERSONAL S ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2.000 000 GEN'L AGGREGATE LIMIT APPLIES PER: P LI V PRO- PRODUCTS - COMP/OP AGG $ 2000000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTNOSWNED 3k Crop Ded x 3k Call Ded N N 8087121. 6/29/2011 6/29/2012 COMBINED SINGLE LIMIT e ecameot) $ 1 000 000 X BODILY INJURY (Per Person) $ XXXXXXX BODILYINJURY Peraccident $ XXXXXXX X PerOecutlen DAMAGE $XXXXXXX• )( $ XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ D WORKERSEO EMPLOYERS' YIN OFFICERIMEMBER EXCLUDEANY D? ECUTIVE (M yandann, in NH) UDESCRIPTION OF OPERATIONS eelnw N / A / WRUT 0TH YM,AND I E.L. EACH ACCIDENT $ 1 000 000 EL DISEASE - EA EMPLOYEE 1,000,000 EL DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, If more space Is required) THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR AS RESPECTS GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. L MM I irlLA I C MULUCK CANCtLLA110N See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1745077 AUTHORIZED REPRESENTATIVE 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 ACORD 25 (2010/05) ©9 8.2010 ACCVrDjtCRPCRATI0N. All rights reserved the ACORD name and logo are registered marks of ACORD 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. PARKER PAINT MFG. CO., 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 1D: 1072127, Certificate ID: 1745077