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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 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD