HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE® 7TM1
M!DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
/2019
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 have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement Jon
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Sally Harper
Hylant Group, Inc. - Cleveland PHONE FAX
6000 Freedom Sq Dr, Ste 400 E fC. - 216-447-1050 A/c No:216-447-4088
Independence OH 44131 ADDREss: salt .har r h lant.com
INSURED
The Sherwin-Williams Company
101 W. Prospect Avenue
Cleveland OH 44115
SHERCOM-01
INSU
A: Ace Property & Casualty Insurance Company 20699
B : ACE American Insurance Co 22667
c: Indemnity Ins Co of N America 43575
D: ACE Fire Underwriters Ins Co 20702
E:
n0VFRAG1FS CFRTIFICATF Nl1MBER.RRRRRR277 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.
AffD_- --
INSR TYPE OF INSURANCE INAD WVQ UB POLICY NUMBER POLICYEFF PO pCp/� P LIMITS
LTR
B
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 7 OCCUR
HDOG71235099
HDOG71235051
5/1/2019
5/1/2019
5/1/2020
5/1/2020
EACH OCCURRENCE
$2,000,000
—
AMAGE TO RENTED
PREMISES_(Eaopcurrgn�
—
$2,000,000
MED EXP_LAny one rson)
$
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$10,000,000
POLICY ❑ jE LOC
PRODUCTS -COMP/OP AGG
$10,000,000
Prod/Como O s Ea Occ
$ 5.000,000
OTHER:
8
AUTOMOBILE LIABILITY
ISAH25281652
5/1/2019
5/1/2020
COMBINLE LIMIT
�&ent)
LidniJ
$5,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
X OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
�
I
BODILY INJURY (Per accident)
h PROPERTY DAMAGE
I Per accident
$
$
A
X
UMBRELLAUAB
X
OCCUR
XOOG27974983004
5/1/2019
5/1/2020
EACH OCCURRENCE
$1,000.000
AGGREGATE _
$1,000,000
EXCESS LIAB
CLAIMS -MADE
DELI RETENTION
i
$
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y r N
ANYPROPRIETOR/PARTNER/EXECUTIVE F_N]
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
N / A
WLRC65895596
SCFC65895675
5/1/2019
j 5/l/2019
j
5/1/2020
5/1/2020
X PTA ERH
E.L. EACH ACCIDENT
$ 2,000,000
—
$ 2,000,000
---
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
S Excess Workers' Comp
and Employers Liab
WCUC65895717
5/1/2019 5/1/2020 workers' Comp
Employers Liab
i
I
Statutory
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached 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, I L,I N,KS,KY,LA,MD,MA,MI,MO,NJ,NY,NV,NC,OH,OK,PA,SC,TN,TX,VA
r_FRTIFIr:ATF wni r)FR rANr l=l I ATION
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
PO Box 580
Fort Collins CO 85022
AUTHORIZED REPRESENTATIVE
c01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2 of 9 3002