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HomeMy WebLinkAbout103118 COMEX NORTH AMERICA (KWAL-HOWELLS INC) - INSURANCE CERTIFICATE,acoRO CERTIFICATE OF LIABILITY INSURANCE 6/29/2013 DA/28/DD/YYYY) 8/28/2012 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(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 Cit (816) 960-000 9 CONTACT FAX INC,No EzA No E-MAIL INS- INSURERA: ChanisSpecialtyInsurance Com an AXV 26883 INSURED COMER NORTH OUP, , INC. 1072127 KWALHOWELCOMEXGS,INC. INCN ATTN: JOANNE EDMUNDS 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111 INSURER B : C...—and (Musty Iwrance COmpany A XV 19410 INSURER C: INSURER p,XL Specialty Insurance CompaIny AXV 37885 COVERAGES COMGRO2 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. INR TYPE OF INSURANCE ADDL BUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EKI OCCUR N N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1,000,000 DAMAGE PREMISES (.ENTE ante) $ 1,000,000 MED EXP (Arvy one rsm 10,000 PERSONALS ADV INJURY $ 1,000,000 GENERAL AGGREGATE s 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICV PRO - JET L PRODUCTS - COMP/OP AGO s 2000,000 8 B AUTOMOBILE LIABILITY ANY AUTO AUTOWNED SCHEDULED NON OWNED HIRED AUTO$ X AUTOS 3k Cmp Ded X 3k Coll Ded N N 808712 L 6/29/2012 629/2013 BINSa.derSINGLE LIMIT COMBINED $ I ooO GOO X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $XXXXXXX X PROPERTY DAMAGE eraxidenl $ XXXXXXX X $ XXXXXXX UMBRELLA UAB A EXCESS LB OCCUR CLAIMSAIADE NOT APPLICABLE EACH OCCURRENCE s XXXXXXX AGGREGATE s XXXXXXX DED I I RETENTION $ $ D N WORKERS AND EMPLO ERTLABNTY YIN AW CERIMEMBERE%CLUOEOi =C (Mandatory in Min DESORIPTION OF OPERATIONS telex N/A N RWD9435148-08 9/1/2012 9/12013 I WCSTMIT- 11 X E.L EACH ACCIOEW s 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.LDISEASE-POLICYLIMIT I t 1,000,000 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. 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 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 R CERTIFICATE OF LIABILITY INSURANCE 6._ 6/29not3 L� OA/28/DDrrYYY) 8/28/2012 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(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 Comppanies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy 64112-1906 (816)960-9000 NTACT M INC,No, Ex A FAX No E-MAIL ADDRESS, INS 0 C INSURER A : Charlis Specialty Insurance CompafTy A XV 26883 INSURED COMEX NORTH AMERICA, INC. 1072127 F IKJA WAL HOWEELGS,OINC. INC I ATTN: JOANNE EDMUNDS 5575 DTC PARKWAY, SUITE 100 INSURER B: C.--- and mausny mRaenro Company A XV 19410 INSURER C : . XL Sp ecial Insurance Company A XV 37885 N GREENWOOD VILLAGE, CO 80111 RE F 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. INSLTRR TYPE OF INSURANCE ADDL SUBRYND POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx—] OCCUR Y N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1000 000 PREMI ETo a o�TmEv n 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL B ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2A0,000 GENL AGGREGATE LIMIT APPLIES PER: X P PE O PRODUCTS - COMPIOP AGG $ 2000000 8 B AUTOMOBILE LIABILITY ANY AUTO CTOpSULED ALL OWNEDRkCollDed HIRED AUTOS UTOSWNED 3k Cmp Ded N N 8087121. 6/29/2012 6/29/2013 COMBINEDSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X ROP.EFdent AMAGE $XXXXXXX X $ XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE s XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION S $ D WORKERS COMPENSATION AND EMPLO YE AND YIN ANYPROPRIETOWPARTNEW CUrIVE ❑ OFFICERWEMBER EXCLUDED? N (Mandatory in Nlq B ya RIPTION under DESCRIPTION OF OPERATIONS Gelov OFO NIA N RWD9435148-08 9/l/2012 9/1/2013 X TNCSLIMITS OTH- E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I(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. a izn i lriLm l e nvL.wam L,ANL:CLLA I IUN see Attacnment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11732272 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS ATTN: PURCHASING AND RISK PO BOX 580 FORT COLLINS CO 80522 1 1 AwjAfr� ACORD 25 (2010/05) ©9 B-2010 AC ORPORATION. All rights reserved 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: 11732272 ,acoRO CERTIFICATE OF LIABILITY INSURANCE 6/z9/zo13 8/28//28/DA201200) 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 ON& FAX A/c No, E# : A/c No EMAIL INSURERISI AFFORDING COVERAGE NAIC INSURER A: Chards Specialty Insurance Company A XV 26883 INSURED COMEX NORTH AMERICA, INC. WLHOELSONC.INC 1072127 KAWL,I ATTN: JOANNE EDMUNDS 5575 DTC PARKWAY, SUITE 100 GREENWOOD VILLAGE, CO 80111,I INSURER B: Commerce and Industry insurance Company A XV 19410 INSURER C: XL Specialty Insurance Company A XV 37885 ERE! 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 TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MMIDDrYYYY POLICY UP (MM/DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR Y N 1950155 6/29/2012 6/29/2013 EACH OCCURRENCE 1,000,000 PREMISES (. To EoNcc. nenca) s 1,000,000 ME UP (Any onePerson) 10,000 PERSONAL 4 ADV INJURY s 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: P I PRO- PRODUCTS - COMPIOP AGG $ 2000000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL SSNED SCHEDULED HIRED AUTOS X AUTOSWNEO 3k Cmp Ded X 3k Coll Ded N N 8087121. 6/29/2012 6/29/2013 COMaBINdED SINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY accident $ XXXXXXX X Per0P.ERd1ZDAMAGE $ XXXXXXX X $ XXXXXXX UMBRELLA LIAB EXCESS LV1B OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE s XXXXXXX DEO I I RETENTION $ s D WORKERCOMPENSATION AND EMPLOYERS' YIN 0 Fl ERIVEMBEB EXCLUDED? EL�I� N❑ (Myaeneatory In NR) If DESORIPTION OF OPERNTIONS MI. NIA N RWD9435148-08 9/1/2012 9/1/2013 - X TWeRVrIMIuT- OTH PR El EACH FCCIOENi Is ] QQQ QQQ E.L. DISEASE - EA EMPLOYEE 1,000,000 ELDISEASE - POLICY LIMIT 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Aftach ACORO 101, Additional Remarks Schedule, if more space is required) CrrY 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 reserved 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