HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (9)ACORD® CERTIFICATE OF LIABILITY INSURANCE
FDATE(MM/DD/YYYY)
4/20/2018
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(fes) 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 endorsements .
PRODUCER
Hylant Group, Inc. - Cleveland
6000 Freedom Sq Dr, Ste 400
Independence OH 44131
CONTACT
NAME: Sally Harper
PHONE FAX
: 216-447-1050 A/C No): 216-4474088
M L
salt .ha r h lant.com
INSURER(S) AFFORDING COVERAGE
NAIC q
INSURER A: ACE American Insurance CO
22667
INSURED SHERCOM-01
The Sherwin-Williams Company
101 W. Prospect Avenue
INSURER B : Indemnity Ins Co of N America
43575
INSURER c: ACE Fire Underwriters Ins Co
20702
Cleveland OH 44115
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:725371140 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.
INS
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FRI OCCUR
HDOG46770924
HDOG46770912
5/1/2018
5/1/2018
5/1/2019
51V2019
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 2,000,000
MED EXP (Any oneperson)
$
PERSONAL 3 ADV INJURY
$ 2,000,000
GENt
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$10,000,000
POLICY D JECTPRO ❑ LOC
X
PRODUCTS - COMP!OP AGG
$10,000,000
Prod/Comp O s Ea Occ
$ 5,000,000
OTHER:
A
AUTOMOBILE LIABILITY
ISAH25156997
5/1/2018
5/1/2019
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
X OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LAB
DED I I RETENTION $
1
$
B
C
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
WLRC6478836A
SCFC64788383
WLRC64789016
5/112018
5/1/2018
5/1,2018
5/1/2019
5/1l2019
5/1/2019
X PER OTHF
STATUTE ER
_-
E.L. EACH ACCIDENT
$ 2.000,000
OFFICER/MEMBER EXCLUDED?
N 1 A
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
If as, describe under
DESCRIPTION OF OPERATIONS below
E.L- DISEASE - POLICY LIMIT
$ 2.000 000
A
Excess Workers' Comp
and Employers Liab
WCUC64788395
5/112018
5/112019
Workers' Comp
Employers Liab
Statutory
$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
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.
CFRTIFICATF HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Purchasing and Risk
AUTHORIZED REPRESENTATIVE
PO BOX 580
Fort Collins CO 80522
C 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD