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HomeMy WebLinkAbout103118 KWAL HOWELLS - INSURANCE CERTIFICATE (2)ia-� R CERTIFICATE OF LIABILITY INSURANCE `9n/zotz DADD/YYYY) 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 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 Locklon Corn anies, LLC-1 Kansas City 444 W. 471)1 �lreel, Suite 900 Kansas Cityy 64112-1906 (816) 960-9000 1 ��/ 1,017 V17 V CONTACT A/C No Est :INC,FAX No E-MAIL ADDRESS- INSURER A: ChantsSpecialty Insurance Company AXV. 26883 INSURED COMEX NORTH AMERICA, INC. 1072127 KWALCHOWELLS OINC'INC ATTN: JOANNE EDMUNDS 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111 INSURERS: Commeccwdlndustrymsa,anu CornpmyAXV 19410 INSURER C: XL Specialty Insurance CompanyComparty A XV 37885 COVERAGES C0MGR02 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 Im TYPE OFINSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EX P LIMITS A GENERAL LABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—x] OCCUR Y N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1 1,000,000 PRr' MI ET RENTEDS 1,000,000 MED EXP (Any one rson 10,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X P Y PRO- Loc PRODUCTS - COMPIOP AGG $ 2,000,000 $ B AUTOMOBILE LABILITY ANYAUTOBODILY AUTOSNEI qU IEDULED HIRED AUTOS X AUUTOSWNED 3k Cmp Ded I X 13k Coll Ded N N 8087121. 6/29/2012 629/2013 COEa BINEDamdent SINGLE LIMIT $ 1.000.000 X INJURY (Per person) $ XJCYMXX BODILY INJURY (Per accident $ XXXXXXX X F Oacad DAMAGE $XXXXXXX }( $ XXXXXXX UMBRELLA LAB EXCESS LIAR OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXX X AGGREGATE $ XXXXXXX DEC) I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLO ERS'LABILIITY YIN ANY PROPRIETORIPARTNENEXECUTIVE OFFICERIMEMBER EXCLUDED? N IMyandatory in NH) DESCRIPTION OF OPERATIONS below NIA N RWD9435148-07 9/I/2011 9/I/2012 X TW YLIMIT 0, E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - FA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT IS 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I 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. 10432731 CITY OF FORT COLLINS 215 NORTH MASON STREET, 2ND FLOOR P.O. BOX 580 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 (201 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: 10432731