HomeMy WebLinkAbout103118 KWAL-HOWELLS INC - INSURANCE CERTIFICATEACORO' CERTIFICATE OF LIABILITY INSURANCE 6rz9/zolz
DATE
8/24/2/24/2011
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(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 endomement(s).
PRODUCER Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas Cityy MO 64112-1906
(816) 960-9000
CONTACT
FAX
a Ne Est): INC, No):
E-MAIL
INSUREFUSI AFFORDING COVERAGE
NAIC
INSURER A: Charts Specialty Insurance Com anv A XV
26883
INSURED COMEX GROUP, INC
1072127 KWAL-HOWELLSINC.
ATTN: PAMELA WASHBURN
5575 DTC PARKWAY, SUITE 100
GREENWOOD VILLAGE, CO 80111
INSURER B: Commermdnd Industry lnsumncd Company A XV
19410
INSURERC:
XL S ecialry Insurance Cnm anv A XV
37885
INSURER F
COVERAGES COMG1102 FK CERTIFICATE NUMRER: 1745077 REVISION NIJMRFR- 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
INSR
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXPIm
LIMITS
A
GENERAL LABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE NIOCCUR
N
N
1950155
6/29/2011
6/29/2012
EACH
OCCURRENCE
1000 000
DAMAGE
PREMISES
TO RENTED rice
(E.
1,000,000
MED EXP (My oneperson)
10,000
PERSONAL a ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
Y PRO-
PRODUCTS - COMP/OP AGG
s 2 000 000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOWNEDMSCHEDULED
pSULED
HIRED AUTOS AUTOOWNED
3kCmpDed 3k Coll Ded
N
N
808712L
6/29/2011
6/29/2012
EOMaBINEDSINGLELIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
PROPSer d ^DAMAGE$
XXXXXXX
$ XXXXXXX
UMBRELLA LAB
EXCESS LAB
OCCUR
CLAIMS-0 DE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX.
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
1
s
D
NSATIONWC
WORKERS AND EMPLO ERSELABILIITY Y/N
OFFICERIMEMBER UCLUDED?ECUTIVE
lhta.d•tmy in Nm
DE Cft PT10N OF OPERATIONS Cebw
N/A
N
RWD9435148-07
9/1/2011
9/1/2012
STATU- OTH-
X
EL EAOH ACCIDENT
$ 1000000
E.L. DISEASE -EA EMPLOYEE
1000000
E.L. DISEASE -POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I 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.
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
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
All rights reserved
The ACORD name and logo are registered marks of ACORD
SCHEDULE OF NAMED INSUREDS
COMEX GROUP, INC
PROFESSIONAL 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)
SOPHIR MORRIS HOLDINGS, INC.
SMC ACQUISITIONN CORP.
THE SOPHIR COMPANY
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
COLOR WHEEL PAINT 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.
COMEX GROUP IP, INC.
COMEX ENVIRONMENTAL GROUP, INC.
*AS RESPECTS PRODUCTS SOLD IN THE UNITED STATES
Miscellaneous Attachment: M85936
Master ID: 1072127. Certificate ID: 1745077
ACORN' CERTIFICATE OF LIABILITY INSURANCE
`� 629/2o1z
DATE
8/24//24/2011
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(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 endomemem(s).
PRODUCER LOCkton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas Cityry MO 64112-1906
(816) 960-9000
CONTACT
RIVE
A/C
FAX
No Ext : A/C No
E-MAIL
INSUREINS1 AFFORDING COVERAGE
NAIC III
INSURER A: ChartisSpecialty Insurance Company AXV
26883
INSURED COMEX GROUP, INC
1072127 KWAL-HOWELLS INC.
ATTN: PAMELA WASHBURN
5575 OTC PARKWAY, SUITE 100
GREENWOOD VILLAGE, CO80111
INSURER B: Commerce and lndusuy Insurance Company A XV
19410
INSURER C
INSUgF.g E) - XL Specialty Insurance Company A XV
37885
INSURER E
INSURER F
COVERAGES COMGRO2 - 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
LM
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
GENERAL LABILITY
X COMMERCIAL GENERAL LA
LIABILITY
CLNMSaIADE 7 OCCUR
Y
N
1950155
6/29/2011
6/29/2012
EACH
OCCURRENCE
1,000,000
DAMAGE
TO RENTED
MI a ocaunence
1,000,000
MED EXP (Any one n
10.000
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s 2 000 000
GENT AGGREGATE LIMIT APPLIES PER:
JECT
P LI PRO- LOC
PRODUCTS - COMP/OP AGG
s 2,000,000
$
B
AUTOMOBILE
LABILITY
ANY AUTO
SCHEDULED
AUTO
ALL 8WNEDNx3kCoIIDed
HIREDAUTOS NOO WINED
3k Cmp Ded
N1
N
8087121.
6/29/2011
6/29/2012
COMBINED SINGLE LIMIT
(Ea acci n
s 1 000000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
PROPERer B DAMAGE
$XXXXXXX
X
$ XXXXXXX
UMBRELLA LAB
EXCESS LAB
OCCUR
CLAIMS -MADE
NOTAPPLICABLE
1
EACH OCCURRENCE
s XXXXXXX
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
1
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
OFFICER/MEMBER EXCLUDED?ECUTIVE
(Myendato'in NH)
DESCRIPTION OF OPERATIONS Eelcw
NIA
N
RWU9435148-07
9/1/2011
9/1/2012
X I WC STA IMTIYSI 10,TH-
Y
E.L. EACH ACCIDENT
$ OOO
F.L. DISEASE - EA EMPLOYEE
11
lO�OlO�
1000000
E.L DISEASE -POLICY LIMIT
1,000,000
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.
3572642
CITY OF FORT COLLINS
PURCHASING DIVISION
ATTN: DIRECTOR OF PURCHASING AND RISK MANAGEMENT
P.O. BOX 580
FORT COLLINS CO 85022
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25 (2010105)
The ACORD name and logo are registered marks of ACORD
SCHEDULE OF NAMED INSUREDS
COMEX GROUP, INC
PROFESSIONAL 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)
SOPHIR MORRIS HOLDINGS, INC.
SMC ACQUISITIONN CORP.
THE SOPHIR COMPANY
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
COLOR WHEEL PAINT 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.
COMEX GROUP IP, INC.
COMEX ENVIRONMENTAL GROUP, INC.
*AS RESPECTS PRODUCTS SOLD IN THE UNITED STATES
Miscellaneous Attachment: M85936
Master ID: 1072127, Certificate ID: 3572642