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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