HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (5)AcoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM,'DDrYYYY)
��, 4/30/2019
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
H lant Group, Inc. -Cleveland NAME: Sally Harper
Y p, PHONE �. FAX — ..
6000 Freedom Sq Dr, Ste 400 - 216-447-1050 Arc No): 216 447-4088
Independence OH 44131 ADDRESS: Sall .haf r h lant.com
INSURED
The Sherwin-Williams Company
101 W. Prospect Avenue
Cleveland OH 44115
SHERCOM-01
INSURER A: Ace Pro ert & Casualty Insurance Company 20699
INSURER B: ACE American Insurance Co 22667
INSURER c : Indemnity Ins Co of N America 43575
INSURER D : ACE Fire Underwriters Ins Co 20702
INSURER E :
rOVFRAGFS CFRTIFICATF NIIMRFR- 1R3d711 SAS RFVIfiInN 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.
IR' TYPE OF INSURANCE
LT
LTR
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
YYYY
LIMITS
5
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ]OCCUR
HDOG71235099
HDOG71235051
5/1/2019
5/1/2019
5/1/2020
5/1/2020
EACH OCCURRENCE
$2,000,D00
DAMAG ELATE
PREMISE5.(EaoaVrrence
V
$2,000,000
MED EXP (Any oneperson)
$
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY I PE� LOC
OTHER:
GENERAL AGGREGATE
$10,000,000
PRODUCTS - COMP/OP AGG
$10,000,000
Prod/Comp Ops Ea Occ
$ 5.000,000
AUTOMOBILE LIABILITY
X ANY AUTO
X OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
ISAH25281652
5/1/2019
5/1/2020
CBINden.t SINGLE LIMIT
tB
$ 5,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Peraccident)
_._
$
A
X
UMBRELLALIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
XOOG27974983004
5/1/2019
5/1/2020
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$1,000,000
DED RETENTION $
$
c WORKERS COMPENSATION
D AND EMPLOYERS' LIABILITY y / N
B jANYPROPRIETOR'PARTNERrEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
WLRC65895596 5/1/2019
SCFC65895675 5/1/2019
WLRC64789016 5/l/2018
5/1/2020
5/1/2020
5M12019
X I PTATUT OERH
E.L.EACH
$2,000,000
_ACCIDENT —
E.L. DISEASE - EA EMPLOYEE
---
$ 2,000,000
-
$ 2,000,000
E.L. DISEASE - POLICY LIMIT
B 'ExcessWorkers'Comp
and Employers Liab
WCUC65895717 5/1/2019 5/1/2020
Workers'Comp
Employers Liab
Statutory
$2,000,000
DESCRIPTION OF OPERATIONS i LOCATIONS i 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,IN,KS,KY,LA,MD,MA,MI, MO,NJ,NY,NV,NC,OH,OK,PA,SC,TN,TX,VA
i
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 AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522-0580
w-1
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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