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Home My WebLink About103118 COMEX GROUP (KWAL-HOWELLS INC) - INSURANCE CERTIFICATE`2012 i%. � R CERTIFICATE OF LIABILITY INSURANCE9/uzolz 6/25//25/DA00/YYYY) 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 endorsement(s). PRODUCER Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy 64112-1906 (816) 960-9000 NTACT M A C No Ezt : A/C No E-MAIL 11 c INSURER A: Chartl5Specialty Insurance CompfUly AXV 26883 INSURED AC, INC. 1072127 AL- LL NC 94NNE DMUNDS 5575 DTC PARKWAY, SUITE 100 INSURER B: Cammerm and ledustry lnmmnca Company AXV 19410 INSURERC: XL Svecialty Insurance Company AXV 37885 INsu GREENWOOD VILLAGE, CO 80111 INSURER COVERAGES COMISR02 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 Im TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/ D POLICY UP MM/ D LIMITS A GENERAL LIABILITY N N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IN] OCCUR PR MI E TO a NTED ooduff 1,000,000 MED UP (Any oneperson) 10,000 PERSONAL S ADV INJURY 1,000,000 GENERAL AGGREGATE GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG0P LI V PEO B AUTOMOBILE LIABILITY N N 8087121. 6/29/2012 6/29/2013 CEOMaBINEeD SINGLE LIMIT Ws,000,000 0X BODILY INJURY (Per person)XXAUTOS ANYAUTO CHEDULED SAUTOS NEDmX3kCol]Ded BODILY INJURY(Per accidentXXX PeOaaciden DAMAGE XX HIREDAUTOS AUTOSWNED X $ XXXXXXX 3k Cmp Ded UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLO ERS'LIABILIITY Y/N ANY OFFICERIMEMBER EXCLUDED?YECUTIVE (Mandatory in NH) It yes, deunlde under DESCRIPTION OF OPERATIONS delnx N/A N RWD9435148-07 9/l/2011 9/l/2012 WC RYTATU X T SLIMIT OTH EL EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE 1,000,000 E.L. DmEASE- POLICY LIMIT 1000000 DESCRIPTION OF OPERATIONS / 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. 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD All rights reserved SCHEDULE OF NAMED INSUREDS COMEX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. 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 CERTIFICATE III CERTIFICATE OF LIABILITY INSURANCE `� 9/vzolz DATE 6/25//25/2012 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 INSURERIS), 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, LLCA Kansas City CONTACT 444 W. 47th Street, Suite 900 Kansas City 64112-1906 (816) 960-9000 A No E t : (VC, No E-MAIL INSURERISI AFFORDING COVERAGE c INSURER A: Chants Specialty Insurance Company A XV 26883 INSURED COMEX NORTH AMERICA, INC. 1072127 KWALHOWELLS,�NC, INC ATTN: JOANNE EDMUNDS 5575 OTC PARKWAY, SUITE 100 INSURER B: C.aara a and llMeatry mwrarm Company A XV 19410 INSURER c: XL S ecial Insurance Company A XV 37885 GREENWOOD VILLAGE, C080111 COVERAGES COMGRO2 FK CERTIFICATE NUMBER: 11732272 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. INSLTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LABILITY X COMMERCIAL GENERAL LIABILITY CIAIMS�DE 1_x_1 OCCUR Y N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1,000,000 TO Ra ENNTTED DRAINAGEES 1,000,000 MED EXP Any one son 10,000 PERSONAL $ ADV INJURY $ 1.000 000 GENERAL AGGREGATE $ 2.000.000 GENT AGGREGATE LIMIT APPLIES PER. X P Y PRO- JECT LO PRODUCTS - COMP/OP AGG $ 2000000 $ B AUTOMOBILE LIABILITY ANY AUTO ALTS O�ED AUTOSULEO HIREDAUTOS X ANUOTOSWNED 3k Cmp Ded X 3k Coll Ded N N 8087121. 6/29/2012 6/29/2013 COMBINED SINGLE LIMIT Ea amX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X Percutlen OaDAMAGE $XXXXXXX X $ XXXXXXX UMBRELLA LAB EXCESS LAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DEDT RETENTION $ IS D WORKERAND EMP50 ERSELIABILCOMPNSATI�TY y/N ANY PRO PRIETOR/PARTNERIFXECUTIVE OFFICEROMBER EXCLUDED? N 'Wrienory In NH) If at. macfce uneer DESCRIPTION OF OPERTIONS b,. N / A N RWD9435145-07 9/I/20I1 9/I/2012 X WC STATU- OTH- RY IMIT E L. EACH ACCIDENT $ 1.000 000 E.L. DISEASE -E EMPLOYEE 1000000 E.L. DISEASE - POLICY LIMIT 1 000000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101. Additional Remarks Schedule, If more space is required) THE CITY, ITS OFFICERS, AGENTS AND EMPLOYEES IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE, ONLY AS REQUIRED BY CONTRACT, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. 11732272 CITY OF FORT COLLINS ATTN: PURCHASING AND RISK PO BOX 580 FORT COLLINS CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The ACORD name and logo are registered marks of ACORD reserved SCHEDULE OF NAMED INSUREDS COMEX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. 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: 11732272 I.I CERTIFICATE OF LIABILITY INSURANCE �/ 9n/zolz DATE 6/25/DD12 6/25/2012 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 Cityy 64112-1906 (816)960-9000 CONTACT A No Ext : FAX No E-MAIL INSURER A: Chants Specialty Insurance Company A XV 26883 INSURED COMEX NORTH AMERICA INC. FNA 1072127 KWALHOMWELLS,OUPINC.Nd ATTN: JOANNE EDMUNDS 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111 INSURERS: cdmmerrr Mid h'J"Mp't":urreu Camve"rAxv 19410 INSURER C: XL Specialty Insurance Company A XV 37885 INSURER F, COVERAGES C0MGR02 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 111111 SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 71 OCCUR Y N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1,000,000 - PREMISES(E TO aE�nence) $ 1000000 MED EXP (My onePerson) 10,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER: P LI V PEO F1 LOC PRODUCTS - COMP/OP AGG $ 2.000000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OS NED SC IEDULED HIRED AUTOS X AUTOSWNED 3k Cmp Ded X 3k Coll Ded N N 8087121. 6/29/2012 6/29/2013 COMBINEDSINGLE LIMIT Ea a., ont s 1,000.000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY(Peraccident $ XXXXXXX X PROPERTY ismidentDAMAGE $ XXXXXXX X $ XXXXXXX UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS-AMDE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DEC) I I RETENTION $ $ D WORKERS AND EMPLOVERS'LABILOITV YIN OFFANYICERiMEM ER EXCLUDEEPROPRIETORIPARTNERD ECIITIVE (Mantltery in NH) 11 yes, desulhe ureer DESCRIPTION OF OPERPTIONSMIow NIA N RWD9435148-07 9/1/2011 9/I/2012 X WCSTATIT DTH- T RY LIMIT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 11.000.000 1000000 E.L. DISEASE - POLICY LIMIT t IQQQ QQQ 7_ DESCRIPTION OF OPERATIONS / LOCATIONS / 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 I4, 2012. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL 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 The ACORD name and logo are registered marks of ACORD SCHEDULE OF NAMED INSUREDS COMEX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. 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