HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (3)C� a DATE (MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT
NAME: Sally harper
Hylant Group, Inc. - Cleveland PHONE - 216-447-1050 Fax AIC
,216-447-4088
6000 Freedom Sq Dr, Ste 400 E-MAIL
Independence OH 44131 AD ; sall .har er(gh lant.com
__.____._ __._____INSURERj3J AFFORDING COVERAGE v _ j NAIC #__
INSURER A: ACE American Insurance Co 22667
INSURED SHERCOM-01 INSURER B IndemnityIns Co of N America _ _ _ _ _ 43575
The Sherwin-Williams Company —" —�
INSURERC: ACE Fire Underwriters Ins Co 1 20702
_-
101 W. Prospect Avenue — .-------------_-.--._. __ ._._._-_.--
Cleveland OH 44115
INSURER E :
rnvGlann�c !`CCITIFif"ATF WEIUAlilaaAotAno RFVISI(')N NIIMRFR-
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.
.f R —� -
-A�OLu�
M D/YYYY LIMITS
/LDI
(DDIYYYY MPOLICY
T TYPE OF INSURANCE POLICY NUMBER ,
A
X :COMMERCIAL
GENERAL LIABILITY
HDOG71235051
5/1/2019
5/1/2020
EACH OCCURRENCE
$2,000,DD0
A
HDOG71235099
5/1/2019
5/1/2020
-Y)AM'AG�'iZ�l;�fJl"E15 __._
- - -
CLAIMS -MADE X OCCUR
PREMISES (Ea occy_rcenol—
$ 2,000,000
� MED EXP jAr�t one person}
$
—
PERSONAL & ADV INJURY —
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$10,000,000
%( POLICY JECT LOC
PRODUCTS - COMP/OP AGG
$10,000,000
Prod/Comp O s Ea Occ
$ 5,000,000
OTHER:
A
AUTOMOBILE LIABILITY
ISAH25281652
W1/2019
5/1/2020
COMBINED SINGLE LIMIT
$ 5,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
X OWNED SCHEDULED
I BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
I PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR ' CLAIMS -MA_ DE
DED RETENTION $
6 WORKERS COMPENSATION
VVLRC65895596 5/1/2019 5/1/2020
X PTATUTE
- --'
C AND EMPLOYERS' LIABILITY Y / N
SCFC65895675 5/1/2019 5/1/2020
E.L. EACH ACCIDENT
$2,000,000
ANYPROPRIETOR/PARTNEWEXECUTIVE
OFFICER/MEMBEREXCLUDED7
(Mandatory In NH)
IN/A
- — --
E.L. DISEASE - EA EMPLOYEE
-- ---
$ 2,0000,DW
If yes, describe under
DESCRIPTION OF OPERATIONS below
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 !
l
Employers Llab $2,000.000
DESCRIPTION OF OPERATIONS / 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,M I,MO,NJ,NY,NV,NC,OH,OK,PA,SC,TN,TX,VA
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 4AIVf.+lI IUN
City of Fort Collins
Attn: Purchasing and Risk
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
U 1988-2015 AGORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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