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HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (6)ACOROF CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 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 Hylant Group, Inc. - Cleveland 6000 Freedom Sq Dr, Ste 400 Independence OH 44131 CONTACT -NAME:Sally Hafpef _ NNAME: - 216-447-1050 c No): 216-447-4088 FAX aDURess: sally.harper@hylant.com INSURER(SYAFFORDING COVERAGE NAIL # INSURER A: Ace Property & Casualty Insurance Company 20699 INSURED SHERCOM-01 INSURER B: ACE American Insurance Co 22667 The Sherwin-Williams Company 101 W. Prospect Avenue INSURERC: Indemnity Ins Co of N America 43575 20702 Cleveland OH 44115 INSURER0: ACE Fire Underwriters Ins Co INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:1404013355 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 TYPE OF -- ADD SU v POLICY NUMBER POUCY EFF MM/DD/YYYY POLICY EXP MM.'DD/YYYY LIMITS B B X COMMERCIALGENERALLIABILITY CLAIMS -MADE OCCUR HDOG71235099 HDOG71235051 5/1/2019 5/1/2019 5/1/2020 5/1/2020 EACH OCCURRENCE $2,000,000 DAMAGETORENTED PREMISES Eaoccurrence $2,000.000 MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY ❑ PRO JECT � X i;'' LOC PRODUCTS - COMP/OP AGG $ 10,000,000 Prod/Comp Ops Ea Occ $ 5.000,000 OTHER: B AUTOMOBILE LIABILITY ISAH25281652 5/1/2019 5/112020 COMBINED SINGLE LIMIT (EaLgccident $ 5,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per acciid nl $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR XOOG27974983004 5/1/2019 5/1/2020 EACH OCCURRENCE $1,000,000 F� AGGREGATE $1,000,000 EXCESS LIAR CLAIMS -MADE LIED RETENTION $ C WORKERS COMPENSATION D AND EMPLOYERS' LIABILITY Y r N B ANYPROPRIETOR'PARTNEREXECUTIVE N WLRC65895596 SCFC65895675 WLRC64789016 5/1/2019 5/1/2019 5/1/2018 5/112020 5/1/2020 5/1/2019 X i PER OTH- TATUTE i ER E.L. EACH ACCIDENT $2,000,000 OFFICERWEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below - $ 2,000,000 E.L. DISEASE -POLICY LIMIT B Excess Workers' Comp and Employers Liab WCUC65895717 5/1/2019 5/1/2020 Workers' Compp Employers Liab Statutory $2,000,000 DESCRIPTION OF OPERATIONS / 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,I N,KS,KY,LA,MD,MA,M1, MO,NJ,NY,NV,NC,OH,OK,PA,SC,TN,TX,VA City of Fort Collins PO Box 580 Fort Collins CO 85022 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 l/w 4" yt ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 6 of 9 2328