HomeMy WebLinkAbout104153 SHERWIN-WILLIAMS CO - INSURANCE CERTIFICATE (10)ACOR 1 0
16.�C" CERTIFICATE OF LIABILITY INSURANCE
DATE (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(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 endorsements .
PRODUCER
Hylant Group, Inc. - Cleveland
6000 Freedom Sq Dr, Ste 400
Independence OH 44131
NAMESallyltarper
PHONE FAX
A'c • 216-447-1050 A/C No): 216447-4088
AI
E-ML , sally. har h lant.corn
INSURER(S) AFFORDING COVERAGE
NAIC #
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
INSURER D :
Cleveland OH 44115
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1377846227 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
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 X OCCUR
HDOG46770924
HDOG46770912
5/1/2018
511/201 B
5/11/2019
5/1/2019MAGE
EACH OCCURRENCE
$2,000,000
RENTED
PRF.MtS SO .occurrence
-
$2.000,000
MED EXP (Any oneperson)
$
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$10,000,000
POLICY ❑ PRO ❑ JECT LOC
X
PRODUCTS - COMP/OP AGG
$10,000,000
Prod/Comp O s Ea Occ
$ 5,000,000
OTHER:
A
AUTOMOBILE LIABILITY
ISAH25156997
511/2016
5/1/2019
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
X OWNED AUTOSSCHEDULED
AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
B
C
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y 7 N
WLRC6478836A
SCFC64788383
WLRC64789016
5/1/2018
5/1/2018
5MY2018
5/1/2019
5/1/2019
51V2019
X PER OTH-
STATUTE ER
$ 2.000,000
E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED?
N I A
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
$ 2.000,000
It yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
S 2.000 000
A
Excess Workers' Comp
WCUC64788395
5/1l2018
5/112019
Workers' Comp
Statutory
and Employers Liab
Employers Uab
$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,IN,KS,KY,LA,MD,MA,MI,MO, NJ,NY,NV,NC,OH.OK,PA,SC,TN,TX,VA
Re: Renewal, 6043 Mapo Athletic Field Paint. Certificate Holder Is Additional Insured As Respects General Liability Where Required By Written Contract.
City of Fort Collins
215 North Mason Street, 2nd Floor
PO Box 580
Fort Collins CO 80522-0580
Lal_L' Lei 0
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
/(► ,U 4.,3
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