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104153 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 4 of 9 2328