HomeMy WebLinkAbout103118 COMEX NORTH AMERICA (KWAL-HOWELLS) - INSURANCE CERTIFICATE6._ R CERTIFICATE OF LIABILITY INSURANCE
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DATE 12
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 pollcyQes) 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 endorsementls).
PRODUCER LOCkton Companies, LLC-1 Kansas City
444 W. 47th Stfeet, Suite 900
Kansas Cityy 64112-1906
(816) 960-9000
10�11rn
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CONTACT
INC,t Eat : FAX
INC,Na
E-MAIL
ADDRESS
INSURERfS) AFFORDING COVERAGE
INSURER A: Chan15Specialty Insurance Com an AXV
26883
INSURED COMEX NORTH AMERICA, INC.
1072127 KWALHOWELLS,COMEX OINC. INC
ATTN: JOANNE EDMUNDS
5575 DTC PARKWAY, SUITE 100
GREENWOOD VILLAGE, CO 80111
INSURER B: Commerce and Edus, Insurance Company A XV
19410
INSURER C:
XL S ecialt Insurance Company AXV
37885
N EINSURER
F
COVERAGES C01V1GR02 FK CERTIFICATE NIIMRER- 10412731 RFVIRION NIIMRFR- 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.
ILTR NSR
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
PYYYY MLICY EXP IDDIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ERI OCCUR
Y
N
1950155
6/29/2012
6/29/2013
EACH OCCURRENCE
1,000,000
PREMI ES (E. ccawTE once)
$ 1,000,000
MED EXP (My oneperson)
10,000
PERSONAL B ADV INJURY
s 1000000
GENERAL AGGREGATE
s 2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER'.
X P LI Y PRO-
PRODUCTS - COMP/OP AGG
s 2000000
$
B
AUTOMOBILE
LIABILITY
ANYAUTOBODILY
AUTOS NED AUTOSULED
HIRED AUTOS X AUTOOWNED
3k Cmp Ded X 3k Coll Ded
N
N
8087121.
6/29/2012
6/29/2013
COMBINED acciSINGLE LIMIT
$ 1,000,000
X
INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
PReOPand ^e AMAGE
$ XrXrXXXXX
X
$ XXXXXXX
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
NOTAPPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
DEO I I RETENTION $
s
D
SATION
WORKERL$COMPENLIABILITY YIN
AND EMPOYERS'
ANY PROPRIETORIPARTNERIE%ECUIIVE
OFFICER/MEMBER EXCLUDED?
IMandaler in Nle
it yes. desmm rimer
DESCRIPTION OF OPERATIONS mbx
NIA
N
RWD9435148-08
9/I/2012
9/1/2013
X iNRv IMu- oTH-
El. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
1,000,000
ELDISEASE-FOLICYLIMnr I
t 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / 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.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10432731
CITY OF FORT COLLINS
215 NORTH MASON STREET, 2ND FLOOR
P.O. BOX 580
FORT COLLINS CO 80522-0580
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: 10432731