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THE SHERWIN-WILLIAMS COMPANY - INSURANCE CERTIFICATE
ACORE® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYVYY) 4/28/2015 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 pc icy(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 endorsements . PRODUCER CONTCT NAME A —Sally Har�ef Hylant- Cleveland 6000 Freedom Sq Dr, Ste 400 Independence OH 44131 PHONE FAx ac No): EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL x INSURER A.ACE American Insurance Go INSURED S H E RCOM-01 INSURER BmIndomnity Ins Co of IN America INSURER C: The Sherwin-Williams Company INSURER D 101 W. Prospect Avenue Cleveland OH 44115 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 575474798 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 INSR SUBR WV POLICY NUMBER POLICY EFF MMIDDIYYW POLICY EXP MM/DDIYYYY LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IFX OCCUR HDOG27394164 HDOG27394176 /1/2015 /1/2015 /1/2017 11/2017 EACH OCCURRENCE $2,000,000 DAMAGE T RENTED PREMISES (Ea occurrence)$2,000,000 MED EXP (Any onepension) $ PERSONAL S ADV INJURY $2,000,000 GENERAL AGGREGATE $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $5,000,000 POLICY n PRO LOC Prod/Comp Ops Ea OCc $10,000.000 AUTOMOBILE LIABILITY ISA H08857453 /1/2015 /1/2017 Ea accident ,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AOSAUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION WLRC48151905 /1/2015 11/2016 X WC STATU- OTH Y LIMITSB C A AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/ExECUTIVE OFFICER/MEMBER EXCLUDED? N N I A SCFC48151929 WLRC48151917 /1/2015 /1/2015 11/2016 /1/2016 E.L. EACH ACCIDENT $2,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $2.000,000 A Excess Workers' Comp WCUC48151930 /1/2015 /1/2016 Workers' Comp Statutory and Employers Liab Employers Liab $2,000,000 DESCRIPTION OF OPERATIONS I 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. WC SELF -INSURED STATES: AL,AR,CA,FL,GA,IL,IN,KS,KY,LA,MD,MA,M I,MO,NJ,NY,NV,NC,OH,OK,PA,SC,TN,TX,VA 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. City of Fort Collins 215 N. Mason Street, 2nd Floor PO Box 580 Fort Collins CO 80522 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD NOTEPAD: ACORD 25 — The Sherwin-Williams Company Subsidiary Listing 165 Kirkwood Road Corp. Illinois Bronze Comex North American, Inc. Independent Dealer Group Contract Transportation Systems Co. Kool Seal CTS National Corporation Krylon Products Group Life Shield Engineered Systems LLC Kwal Paint Omega Specialty Products & Services LLC Landmark Office Towers Purdy International Corporation Landmark Office Towers Management Sherwin-Williams International Holdings LLC M.A.B. Paints Sherwin-Williams Leasing, Inc. M.A.B. Paints, Inc. Sherwin-Williams Ohio LLC M.L. Campbell Sherwin-Williams Realty Holdings, Inc. Martin-Senour Company Sherwin-Williams Russia LLC Martin-Senour Paints SWACE LLC Mautz Paints SWIMC, Inc. Mercury Paints The Sherwin-Williams Acceptance Corporation Minwax Accurate Dispersions Minwax Company Acme Quality Paints Moly-White Pigments Group AcromaPro National Aerosol Products Company Baltimore Paint Group Norfolk Paint Company Bestt Liebco Old Quaker Paint Brod-Dugan Company Paint City Auto Supplies C Transportation Systems Co. Paint -Safe C Transportation Systems, Inc. Parker Paint CBD Group PQ Products Group CBD Group Inc. Pratt & Lambert GTE Meetings Pratt & Lambert Paints CTS Transportation Pro Line Paint Color Wheel Paint Purdy Colorado Car Colors Purdy Brushes Columbia Paint & Coatings Ress Realty Conco Paints Ress Realty Company Con -Lux Coatings Rogers Paint Consumer Brands Div. Rubberset Company Contract Systems Co. Sherwin-Williams Automotive Finishes Cover the Earth Media Sherwin-Williams Diversified Brands Cover the Earth Meetings Sherwin-Williams Stores Group, Canada Cuprinol Group Sprayon Products Custom Aerosols The Design Fair Custom Paint Products Group The Interiors Guild Deshler Products The Terminal Garage Company Diversified Brands The Thompson's Company Dobco Uniflex Coatings Duckback United Coatings Dupli-Color Canada Division United Paint Dupli-Color Products White Lightning 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 Frazee Paint General Paint General Polymers H&C Concrete Coatings H&C Concrete Stain H&C Products Group Homeline Products Group