HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (2)AC RO O® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY)
�.•�'" 4/25/2019
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 on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)PRODUCER
Hylant Group, Inc, - ClevelandNAo°NTMNEE T Sally Harper FAX
6000 Freedom Sq Dr, Ste 400 • 216-447-1050 N :216-447-4088
Independence OH 44131 Bless: sail .harper�hylant.com
NAIC #
INSURER A: ACE American Insurance Co 22667
INSURED SHERCOM•01 INSURER 6 : Indemni4_lns CO of N America 43575
The Sherwin-Williams Company ---- - - - --- — --
101 W. Prospect Avenue INSURER c: ACE Fire Underwriters Ins Co 20702
Cleveland OH 44115 INSURERD:
INSURER E :
COVERAGES r'.FRTIFICATF Al1IRARFP-10daoao,)n Devfeuini r.uun0cn.
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.
_-1AbbErSU9b. .......�..._._..._ ..____ POLICY EFF T- P6LIC'Y EXP
LTR TYPEOFINSURANCE POLICVNUMBER MIDD/YYYY MMIDD/YYYY)I LIMBS
LE
A
A
X
... X
; COMMERCIAL GENERAL uaBILITY
HDOG71235051
5/1/2019
5/1/2020
� EACH OCCURRENCE $2,000,000
X
HDOG71235099
511/2019
5/1/2020
-6Ala7CGETO-ftMEb - - -- -�
CLAIMS -MADE OCCUR
I PglUk4§ $ JU oaurrence $ 2,000,000
I MED EXP (A one person
I PERSONAL 8 ADV INJURY $ 2,000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 10,000,000
1 PRO ��j
PRO-
POLICY
_ ... _.,._ _
_ t__...1 JECT L_; LOC
PRODUCTS - COMP/OP AGG_ $ 10,000,000
' OTHER
i � $5,000.000
Prod/Com O s Ea OCc
A
AUTOMOBILE LIABILITY
ISAH25281652
5/1/2019
5/1/2020
COMBINED SINGLE LIMIT $ 5,000,000
�aLg�i_d�t)
X ANY AUTO
BODILY INJURY (Per person) $
X OWNED - SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
HIRED DD
X I X NON-OWNED
! _
PROPERTY OAWAGE - —
AUTOS ONLY AUTOS ONLY
(Per.§(cciQgpU_...____._.___..__$
$
UMBRELLA LIAB
OCCUR
I
I
EACH OCCURRENCE
$
AGGREGATE
EXCESS LIAR
CLAIMS -MADE
6
$
DED RETENTION III$
B WORKERS COMPENSATION
C AND EMPLOYERS' LIABILITY
VVLRC65895596 5/1/2019 5/1/2020 X PER f OTH-
Y / N
_L�TgTVTE-L_,_.i..hR_
SCFC85895675 5/1/2019 5/1/2020 ' .
$ 2,000,000
ANYPROPRIETORIPARTNEREXECUTIVE
OFFICER/MEMBER EXCLUDED? 7
N / A
E.L. EACH ACCIDENT
�—
$ 2,000,000
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
If as. describe under
----
- ----
DESCRIPTION OF OPERATIONS below
i E.L. DISEASE • POLICY LIMIT
$ 2.000,000
A Excess Workers' Comp
WCUC65895717 5/1/2019 5/1/2020 Workers' Comp
Statutory
and Employers Liab
i
Employers Liab I
$2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS; VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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, IL, I N,KS,KY,LA,MD,MA,MI,MO,NJ,NY,NV,NC,OH,OK, PA,SC,TN,TX,VA
Re: Renewal, 6043 Mapo Athletic Field Paint. Certificate Holder Is Additional Insured As Respects General Liability Where Required By Written Contract.
__.
City of Fort Collins
215 North Mason Street, 2nd Floor
PO Box 580
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
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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