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HomeMy WebLinkAbout103118 KWAL-HOWELLS INC - INSURANCE CERTIFICATE (3)0 ACC> V CERTIFICATE OF LIABILITY INSURANCE 1661 DATE 12/18/2013Yv 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 endorsement(s). A'yI'an�lbroup - Cleveland 6000 Freedom Square Drive Co NTACT Sall Harper PNAME HONE FAx 216-447-1050 c 216-447-4088 E-MAIL RESS: Sally.Harper@Hylant.com Suite 400 Cleveland, OH 44131 INSURERS AFFORDING COVERAGE NAICI INSURER A:National Union Fire Insurence Co. of PlItsburgh, PA 19445 INSURED 2 Kwal-Howells, Inc. I031 Vmay/ INSURER B: INSURERC:XL Specialty Insurance Co. 37885 INSURER D: 5575 DTC Parkway, Suite 100 INSURERE: Englewood, CO 80111 C T-1 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 RMM TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY E)yY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILITY CLAIMS-MADEIT] OCCUR GL5094663 GL5094664 12/16/13 12/16/13 06/01/16 05/01/16 EACH OCCURRENCE f 1,000,000 DANIA ERENTE nce s 1,000,000 MED EXP (Any one person) f PERSONAL &ADV INJURY S 100010 0 GENERAL AGGREGATE $ ,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO. LOC JFCT PRODUCTS - COMP/OP AGG S 110001000 EA OCC PRODCOMP/OP $ 1,000,000 A A A AUTOMOBILE LIABILITY X ANY AUTO X ALL OWNED SCHEDULED NONAWNED X HIRED AUTOS AUTOS CA5196415 (AOS) CA5196416 (MA) CA5196417(VA) 12/16/13 12/16/13 12/16/13 05/01/16 05/01/16 05/01/16 a°eBINED SINGLE LIMB 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peracc' I $ S UMBRELLA LIAB EXCESS LIAB 7 OCCUR CLAIMSMADE EACH OCCURRENCE f AGGREGATE IS DED I I RETENTIONS EA OCC PROD/COMP OP s C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OANY FFICEOPRIETEREXCLUDEDWE ECUTIVE (Mandatory in NH) I! yes descrlbe under DESCRIPTION OF OPERATIONS below N/A RWD943514809 09/01/13 03/01/14 WCSTATU- OTH& E.L. EACH ACCIDENT $ 1,000r000 E.L. DISEASE - EA EMPLOYEE f 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is re wired) ALL LOCATIONS AND OPERATIONS OF THE NAMED INSURED AND ITS DIVIS�ONS IN ALL STATES Re: Renewal, 6043 Mapo Athletic Field Paint. Certificate Holder Is Additional Insured As Respects General Liability Where Required By Written Contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 215 North Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins CO 80522-0580 C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD MURM Kwal-Howells, Inc. OF NAMED INSUREDS AEX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. AEX GROUP, INC. )FESSIONAL PAINT, INC. ZEE INDUSTRIES HOLDINGS, INC. ZEE INDUSTRIES, INC. %L-HOWELLS HOLDINGS, INC. %L-HOWELLS, INC. IKER PAINT HOLDINGS, INC. ;KER PAINT MFG. CO., INC. ZEE FRANCHISE CORP. ILLAR PAINT (DBA) 'HIR MORRIS HOLDINGS, INC. ACQUISITION CORP. SOPHIR COMPANY LLAR KWAL PAINT (DBA) LLAR ACQUISITION CORP. LLAR HOLDINGS, INC. :KBACK ACQUISITION CORP. ;KBACK PRODUCTS (DBA) ;KBACK HOLDINGS, INC. ,SSIC PAINT (DBA) 4L PAINT (DBA) 4L PAINTS (DBA) AEX USA, INC. VDERHORN ACQUISITION CORP. LLAR ACQUISITIONS DBA AMERIMEX PAINT CENTERS .OR WHEEL PAINT MFG. CO., INC. .OR WHEEL PAINTS AND COATINGS .OR WHEEL PAINTS ! PAINT STORE .OR WHEEL DECORATING CENTER TUBE PROPERTIES, LTD. TUBE HOLDINGS, INC. .OR WHEEL ACQUISITION CORP. .OR WHEEL HOLDINGS, INC. AEX GROUP IP, INC. AEX ENVIRONMENTAL GROUP, INC. RESPECTS PRODUCTS SOLD IN THE UNITED STATES CERTIFICATE HOLDER: DATE 12/18/2013 CERTIFICATE OF LIABILITY INSURANCE DATE ( 12/18/2013YY) 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). POy[ani%roup - Cleveland CONTACT Sally Harper PHONE FAX 216-447-1050 216-447-4088 6000 Freedom Square Drive n uR s: Sally.HarperoHylant.com Suite 400 Cleveland, OH 44131 INSURERP AFFORDING COVERAGE NAIL! INSURER A :Natlonal Union Fire Insurance Co. of PrftbuMh, PA 19445 INSURED Kwal-Howells, Inc. INSURER B : INSURERC XL Specialty Insurance Co. 37885 INSURER D: 5575 DTC Parkway, Suite 100 INSURER E: Englewood, CO 80111 C.` T-1 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTR TYPE OF INSURANCE J L SUER POLICY NUMBER FMLICY EFF POLICY Y EXP LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR GL5094663 GL5094664 12/16/13 12/16/13 05/01/16 05/01/16 EACH OCCURRENCE { 1,000,000 PR A E e N%o c f 1, MED EXP (Any one .) $ PERSONAL f ADV INJURY f 1,000,000 GENERAL AGGREGATE f 110 GEN'L AGGREGATE ,X7 POLICY LIMIT APPLIES PER: PRO.LOC PRODUCTS - COMP/OP AGG $ 1.2010 0 EAOCCPRODCOMPIOP f 1,000,000 A A A AUTOMOBILE LIABILITY X ANY AUTO X ALL OWNED SCHEDULED X HIRED AUTOS X NON -OWNED AUTOS CA5196415 (ADS) CA5196416 (MA) CA5196417(VA) 12/16/13 12/16/13 12/16/13 05/01/16 05/01/16 05/01/16 COMOINNEEO SINGLE LIMIT 1,000,000 BODILY INJURY(P. person) f BODILY INJURY(Per accIdenQ f PROPERTY DAMAGE $ f UMBRELLA LIAB EXCESS LIAB OCCUR CLMMSAMDE EACH OCCURRENCE $ AGGREGATE S DED I I RETENTIONS EA OCC PROD/COMP OP S C WORKERS COMPENSATION ANDEMPLOYERS' LIABILrY YIN ANY PROPRIETOWPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ (MYyaer5dwary m NH) DESCRIPTsTIo OF aelov. NIA RWM3514809 09/01/13 =01/14 X I &sTATu I I oTH- E.L. EACH ACCIDENT f 1,000,000 E.L. DISEASE - EA EMPLOYE S 1,000,000 E.L. DISEASE -POLICY LIMIT I S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Apet11 ACORD 101, Additional Remarks Schedule, of more space is required) ALL LOCATIONS AND OPERATIONS OF THE NAMED INSURED AND ITS DIVISIONS IN ALL STATES The City Of Fort Collins Is An Additional Insured As Their Interest May Appear As Respects General Liability Where Required By Written Contract. City of Fort Collins Attn: John Stephen, CPPB, Senior Buyer PO 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. AUTHORIZED REPRESENTATIVE //-- rIflMC rPSPNPd. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD INSURED Kwal-Howells, Inc. 1EDULE OF NAMED INSUREDS AEX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. AEX GROUP, INC. )FESSIONAL PAINT, INC. ZEE INDUSTRIES HOLDINGS, INC. ZEE INDUSTRIES, INC. aL-HOWELLS HOLDINGS, INC. kL-HOWELLS, INC. ;KER PAINT HOLDINGS, INC. ;KER PAINT MFG. CO., INC. ZEE FRANCHISE CORP. LLAR PAINT (DBA) IHIR MORRIS HOLDINGS, INC. ACQUISITION CORP. SOPHIR COMPANY LLAR KWAL PAINT (DBA) LLAR ACQUISITION CORP. LLAR HOLDINGS, INC. :KBACK ACQUISITION CORP. :KBACK PRODUCTS (DBA) :KBACK HOLDINGS, INC. SSIC PAINT (DBA) %L PAINT (DBA) %L PAINTS (DBA) AEX USA, INC. VDERHORN ACQUISITION CORP. LLAR ACQUISITIONS DBA AMERIMEX PAINT CENTERS .OR WHEEL PAINT MFG. CO., INC. .OR WHEEL PAINTS AND COATINGS .OR WHEEL PAINTS PAINT STORE .OR WHEEL DECORATING CENTER UBE PROPERTIES, LTD. UBE HOLDINGS, INC. .OR WHEEL ACQUISITION CORP. OR WHEEL HOLDINGS, INC. AEX GROUP IP, INC. AEX ENVIRONMENTAL GROUP, INC. RESPECTS PRODUCTS SOLD IN THE UNITED STATES DATE 12/18/2013 AC40 o® CERTIFICATE OF LIABILITY INSURANCE 12/18/2o 3"" 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 holder in lieu of Such endorsement(s). �fjcertificate 1'1yyDPaf;tgroup - Cleveland 6000 Freedom Square Drive Suite 400 cNTEAcT Sall Harper ioxe FAX 216-447-1050 Nick 216-447-4088 EialL Sally.HarperOHylant.com Cleveland, OH 44131 INSURER AFFORDING COVERAGE NAIC! INSURER A :National Union Flm Insurance Co. of Pittsburgh, PA 19445 INSURED Kwal-Howells, Inc. INSURER e : INSURER c:XL Spedafty Insurance Co. 37865 INSURER D: 5575 DTC Parkway, Suite 100 INSURENSURER R Englewood, CO 80111 C T-1 FE: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GL5094663 GL5094664 12/16/13 12/16/13 05/01/16 05/01/16 EACH OCCURRENCE f Nn Es Eacceurann s 1,000,000 MED EXP ono ) f PERSONAL A ADV INJURY f ,000 GENERAL AGGREGATE f 0,000 GENT AGGREGATE X POLICY LIMIT APPLIES PER: PRO LDC PRODUCTS COMP/OPAGG f , 01000 EAOCCPRODCOMPJOP f 1,000,000 A A A AUTOMOBILE LIABILITY X ANY AUTO X A�SNED SCHEDULED OS NON -OWNED X HIRED AUTOS qAUTOS CA5196415 (ADS) CA5196416 (MA) CA5196417 (VA) 12/16/13 12/16/13 12/16/13 05/01/16 05/01/16 05/01/16 COMBIED ItssccMe " LIB 1000000 BODILY INJURY (Par peran) f BODILY INJURY (Per amen 1 f PROPERTY DAMAGE (Per accialffla p s UMBRELLA LIAB EXCESS LIAB OCCUR ClA1MS-MADE EACH OCCURRENCE f AGGREGATE f DIED I I RETENTION f EA OCC PROD/COMP OP f C WORKERS COMPENSATION AND EMPLOYERS' LWBILmf Y/N OMY FFICEOPRIETEREXCWDED?ECUTIVE (Myaensdwtory in NH) DESCRIPTION ON OF OPERATIONS W. N/A RWD943514809 09t01/13 03/01/14 X I % sTATD. OTH. UNITS E.L EACH ACCIDENT f 1,000,000 E.L. DISEASE - EA EMPLOYE f 1,000,000 E.L. DISEASE POLICY LIMIT I S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additimel Ramarks Schedule, if more space Is required) ALL LOCATIONS AND OPERATIONS OF THE NAMED INSURED AND ITS DIVISIONS IN ALL STATES 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: Purchasing and Risk AUTHORIZED REPRESENTATIVE PO Box 580 r Fort Collins CO 80522 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD INSURED Kwal-Howells, Inc. OF NAMED INSUREDS AEX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. AEX GROUP, INC. )FESSIONAL PAINT, INC. ZEE INDUSTRIES HOLDINGS, INC. ZEE INDUSTRIES, INC. 4L-HOWELLS HOLDINGS, INC. 4L-HOWELLS, INC. tKER PAINT HOLDINGS, INC. tKER PAINT MFG. CO., INC. ZEE FRANCHISE CORP. :LLAR PAINT (DBA) 'HIR MORRIS HOLDINGS, INC. ACQUISITION CORP. SOPHIR COMPANY :LLAR KWAL PAINT (DBA) ILLAR ACQUISITION CORP. LLAR HOLDINGS, INC. :KBACK ACQUISITION CORP. :KBACK PRODUCTS (DBA) :KBACK HOLDINGS, INC. ,SSIC PAINT (DBA) 4L PAINT (DBA) 4L PAINTS (DBA) AEX USA, INC. VDERHORN ACQUISITION CORP. .LLAR ACQUISITIONS DBA AMERIMEX PAINT CENTERS .OR WHEEL PAINT MFG. CO., INC. .OR WHEEL PAINTS AND COATINGS .OR WHEEL PAINTS PAINT STORE .OR WHEEL DECORATING CENTER :UBE PROPERTIES, LTD. TUBE HOLDINGS, INC. .OR WHEEL ACQUISITION CORP. .OR WHEEL HOLDINGS, INC. AEX GROUP IP, INC. AEX ENVIRONMENTAL GROUP, INC. RESPECTS PRODUCTS SOLD IN THE UNITED STATES CERTIFICATE HOLDER: DATE 12/18/2013 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNY 12/18/2013Y) 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). Pe0IIa000tH,� lbJroup -Cleveland II''11yy00 NAME CT Sall Harper PHn ONE 21g-447.1050 Fa"c No), 216-447-4088 60Freedom Square Drive n oRIL 5, Sally. Haer H lant.com Suite 400 Cleveland, OH 44131 INSURE S AFFORDING COVERAGE NAICk INSURER A :Nafional Union File Insurance Co. of Pittsburgh, PA 19445 INSURED Kwal-Howells, Inc. INSURER B : INSURERC:XL Specialty Insurance Co. 37885 INSURERD: 5575 DTC Parkway, Suite 100 INSURER E. Englewood, CO 80111 C T-1 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER FEE MMIDPOLICOM/YY POLICY P MMIDDIYYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR GL5094663 GL5094664 12/16/13 12/16/13 05/01/16 05/01/16 EACH OCCURRENCE S1,000,000 DPREVISESAmAGE RENTED $ 1,000,000 MED EXP (Any one on) f PERSONAL &ADV INJURY f 1,000,000 GENERAL AGGREGATE f 1+ GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO. LOC JECT PRODUCTS - COMP/OP AGO $ 1,000,000 E DicePRODCOMPIOP f 1,000,000 A P` A AUTOMOBILE LIABILITY X ANY AUTO XALL AUTOS NED ;CHEDULED NONAUT .WNED X HIRED AUTO$ AUTO$ CA5196415(AOS) CA5196416 (MA) CA5196417 (VA) 12/16/13 12/16/13 12/16/13 05/01/16 05/01/16 05/01/16 COMBINED SINGLE LIMIT 1000000 BODILY INJURY(Pa pawn) f BODILY INJURY (Per accidant) f PROPERTY DAMAGE Pa acciden f f UMBRELLA UAB EXCESS LIAR OCCUR CLA:MADE EACH OCCURRENCE f AGGREGATE $ OEO RETENTIONSI I EA OCC PROD/COMP OP I f C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE ® OFFICER/MEMBER EXCLUDED? (mandatory In NH) DESEiJearriltainal PTION OF OPERATIONS below NIA RWD943514809 09/01/13 03/01/14 X WC STATU- OTH- E.L. EACH ACCIDENT f 1,000,000 E.L. DISEASE - EA EMPLOYE f 1,000,000 E.L. DISEASE -POLICY LIMIT f 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ALL LOCATIONS AND OPERATIONS OF THE NAMED INSURED AND ITS DIVISIONS IN ALL STATES 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: Director of Purchasing and Risk Management PO Box 580 Fort Collins CO 85022 h reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD INSURED Kwal-Howells, Inc. OF NAMED INSUREDS 4EX NORTH AMERICA, INC. F/K/A COMEX GROUP, INC. AEX GROUP, INC. IFESSIONAL PAINT, INC. ZEE INDUSTRIES HOLDINGS, INC. ZEE INDUSTRIES, INC. \L-HOWELLS HOLDINGS, INC. \L-HOWELLS, INC. .KER PAINT HOLDINGS, INC. ,KER PAINT MFG. CO., INC. ZEE FRANCHISE CORP. LLAR PAINT (DBA) 'HIR MORRIS HOLDINGS, INC. ACQUISITION CORP. SOPHIR COMPANY LLAR KWAL PAINT (DBA) LLAR ACQUISITION CORP. LLAR HOLDINGS, INC. :KBACK ACQUISITION CORP. :KBACK PRODUCTS (DBA) :KBACK HOLDINGS, INC. SSIC PAINT (DBA) 1L PAINT (DBA) \L PAINTS (DBA) lEX USA, INC. VDERHORN ACQUISITION CORP. LLAR ACQUISITIONS DBA AMERIMEX PAINT CENTERS OR WHEEL PAINT MFG. CO., INC. OR WHEEL PAINTS AND COATINGS OR WHEEL PAINTS PAINT STORE OR WHEEL DECORATING CENTER UBE PROPERTIES, LTD. UBE HOLDINGS, INC. OR WHEEL ACQUISITION CORP. OR WHEEL HOLDINGS, INC. 1EX GROUP IP, INC. 1EX ENVIRONMENTAL GROUP, INC. RESPECTS PRODUCTS SOLD IN THE UNITED STATES CERTIFICATE HOLDER: DATE 12/18/2013