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THE SHERWIN-WILLIAMS COMPANY - INSURANCE CERTIFICATE (2)
CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC PRO- POLICY GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) NOTEPAD Named Insureds Subsidiaries 165 Kirkwood Road Corp. Color Wheel Holdings, Inc. Color Wheel Paints & Coatings, Inc. Comex Environmental Group, Inc. Comex IP, Inc. Comex North American, Inc. Comex USA, Inc. Contract Transportation Systems Co. CTS National Corporation Duckback Acquisition Corp. Duckback Holdings, Inc. Frazee Franchise Corp. Frazee Franchise Holdings, Inc. Frazee Industries Holdings, Inc. Frazee Industries, Inc. General Paint, Inc. Geocel Corporation Kwal-Howells Holdings, Inc. Kwal-Howells, Inc. Life Shield Engineered Systems LLC Omega Specialty Products & Services LLC Parker Paint Mfg. Co., Inc. Parker Paint Mfg. Holdings, Inc. Purdy International Corporation Sherwin-Williams International Holdings LLC Sherwin-Williams Leasing, Inc. Sherwin-Williams Ohio LLC Sherwin-Williams Realty Holdings, Inc. Sherwin-Williams Russia LLC SMC Acquisition Corp. Sophir Morris Holdings, Inc. Stellar Acquisition Corp. Stellar Holdings, Inc. SWACE LLC SWC Acquisition Corp. SWIMC, Inc. The Sherwin-Williams Acceptance Corporation The Sherwin-Williams Women's Club Trade Names Accurate Dispersions Acme Quality Paints Baltimore Paint Group Bestt Liebco Brod-Dugan Company C Transportation Systems Co. C Transportation Systems, Inc. CBD Group CBD Group Inc. CTE Meetings CTS Transportation Colorado Car Colors Columbia Paint & Coatings Conco Paints Con-Lux Coatings Consumer Brands Div. Contract Systems Co. Cover the Earth Media Cover the Earth Meetings Cuprinol Group Custom Aerosols Custom Paint Products Group Deshler Products Diversified Brands Dobco Dupli-Color Canada Division Dupli-Color Products Duracoat Powder Manufacturing Duron Duron Paint & Wallcoverings Dutch Boy Dutch Boy Group Dutch Boy Paints Fabulon Products Fabulon Wood and Floor Finishes Flex Bon Paints Formby's General Polymers H&C Concrete Coatings H&C Concrete Stain H&C Products Group Homeline Products Group Illinois Bronze Independent Dealer Group Kool Seal Krylon Products Group Landmark Office Towers Landmark Office Towers Management M.A.B. Paints M.A.B. Paints, Inc. M.L. Campbell Martin-Senour Company Martin-Senour Paints Mautz Paints Mercury Paints Minwax Minwax Company Minwax, Wood Care Group Moly-White Pigments Group National Aerosol Products Company Norfolk Paint Company Old Quaker Paint Paint City Auto Supplies Paint-Safe PQ Products Group Pratt & Lambert Pratt & Lambert Company Pratt & Lambert Industrial Maintenance Pratt & Lambert Paints Pratt & Lambert United Pro Line Paint Purdy Purdy Brushes Ress Realty Ress Realty Company Rogers Paint Rubberset Company Sherwin-Williams Automotive Finishes Sherwin-Williams Diversified Brands Sherwin-Williams Stores Group, Canada Sprayon Products The Design Fair The Interiors Guild The Terminal Garage Company The Thompson Minwax Company The Thompson's Company Uniflex Coatings United Coatings United Paint BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1/22/2015 Hylant Group, Inc. - Cleveland 6000 Freedom Square Drive Suite 400 Cleveland, OH 44131 Sally Harper 216-447-1050 216-447-4088 Sally.Harper@Hylant.com The Sherwin-Williams Company 101 W. Prospect Avenue Cleveland, OH 44115-1075 CT-1 National Union Fire Insurance Co. of Pittsburgh, PA 19445 Qualified Self Insurance Safety National Casualty Corp. 15105 AX X X GL5094663 GL5094664 05/01/13 05/01/13 05/01/16 05/01/16 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 EA OCC PROD-COMP/OP 1,000,000 A A A X X XX CA5196415 (AOS) CA5196416 (MA) CA5196417 (VA) 05/01/13 05/01/13 05/01/13 05/01/16 05/01/16 05/01/16 1,000,000 EA OCC PROD/COMP OP D D C N LDS4041894 PS4041895 SELF INSURED (SEE DESC.) 05/01/14 05/01/14 05/01/15 05/01/15 X 1,000,000 1,000,000 1,000,000 D EXCESS WORKERS' COMP AND EMPLOYERS LIAB SP4048477 (AOS) SP4050773 (FL) 05/01/14 05/01/14 05/01/15 05/01/15 WC STATUTORY EMPLOYERS LIAB 1,000,000 ALL LOCATIONS AND OPERATIONS OF THE NAMED INSURED AND ITS DIVISIONS IN ALL STATES Re: Renewal - 7347 MAPO Athletic Field Paint - Extended for One (1) additional year, April 15, 2015 through April 14, 2016. The City of Fort Collins is an Additional Insured, where required by written contract, with respect to General and Automobile Liability. WC SELF-INSURED STATES: AL,AR,CA,FL,GA,IL,IN,KS,KY,LA,MD,MA,MI,MO,NJ,NY,NV,NC,OH,OK,PA,SC,TN,TX,VA City of Fort Collins 215 N. Mason Street, 2nd Floor PO Box 580 Fort Collins CO 80522 $