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HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (7)74/30/12019
(MMDD:YYYY)
ACORO® CERTIFICATE OF LIABILITY INSURANCE
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 - FAX
6000 Freedom Sq Dr, Ste 400 - 216-447-1050 A/c No): 216-447-4088
Independence OH 44131 ADDRESS: salt .har er(gh lant.com
-INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A:
Ace Property 8 Casualty Insurance C mpany
20699
INSURED
SHERCOM-01
INSURER B :
ACE American Insurance Co
22667
The Sherwin-Williams Company
101 W. Prospect Avenue
INSURER c :
Indemnity Ins Co of N America
43575
Cleveland OH 44115
INSURERD:
ACE Fire Underwriters Ins Co
20702
[INSURER E
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 1047620825
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 — v��LI'UBR - --- - -- POLICY EFF POLICY EXP — LIMITS
L R POLICY NUMBER MMIDD/YYYY MM�DDIYYYY
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
HDOG71235099
HDOG71235051
5/1/2019
5/1/2019
5/1/2020
5/1/2020
EACH OCCURRENCE
$2,000,000
AMAG T ENT D
PREMISES Ea occurrence
$ 2,000,000
MED EX"(n one rson
$
PERSONAL 8 ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 10,000,000
POLICY ❑ JE T LOC
PRODUCTS - COMP/OP AGG
$ 10,000,000
Prod/Comp Ops Ea Occ
$ 5,000,000
OTHER
B
AUTOMOBILE
LIABILITY
aBINED SINGLE LIMIT
EOident
$ 5,000,000
X
BODILY INJURY (Per person)
$
, ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X
BODILY INJURY (Per accident)
$
X
PROPERTYDAMAGE
APeraccident)
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
A
X
UMBRELLA UAB
X
OCCUR
XOOG27974983004
5/1/2019
511/2020
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
EXCESS LIAB
CLAIMS -MADE
DIED ! RETENTION
$
C WORKERS COMPENSATION
D AND EMPLOYERS' LIABILITY Y / N
6 ANYPROPRIETOR/PARTNEREXECUTIVE
WLRC65895596
SCFC65895675
WLRC64789016
5/1/2019
5/1/2019
5/1/2018
5/1/2020
5/1/2020
5/1/2019
IX I PTATUTE OERH
E.L. EACH ACCIDENT
$2,000,000
OFFICER/MEMBER EXCLUDED? N
NIA
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
(Mandatory In NH)
IF yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
B j Excess Workers' Comp
WCUC65895717
5/1/2019 5/1/2020
Workers' Comp
Statutory
i and Employers Liab
i
Employers Liab
$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,MI,MO,NJ,NY,NV,NC OH,OK,PA,SC,TN,TX,VA
City of Fort Collins
PO Box 580
Fort Collins CO 80524
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
i u;-Z '�') t
©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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