HomeMy WebLinkAboutCOMCAST OF CALIFORNIA/ COLORADO, LLC - INSURANCE CERTIFICATE�'�R�� CERTIFICAT� OF LIABILITY INSURANCE °a1119�""�°°""W,
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONIY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THlS
CERTIFICATE QOES NpT AFFiRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 9ETWEEN THE ISSUING IMSURER{S}, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
iMPOR7ANT: 1f the certificate holder is an ADDITIONAL iNSURED, the policy(ies) must have ADD{TIONAt 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 certlficate does not confer riahts to the ceRiflcate holder in lieu of such endorsemenilsf.
PRODUCER
Marsh USA LLC
1717 Arch SVeet
Philadelphia, PA 19103-2797
Attn: Cortwast.Certs(�Dmarsh.com Fax: 212-948-0.360
INSURED
COMCAST OF CALIFOWJIAICOLORADO, LLC
8000 E.ILIFF AVE.
DENVER,CO 80231
iNsuREa e:}ndemniry Ins Co 01 North Miaiq
iNsuReR c: ACE Properh Md Casualty Ins Co
�HSurtErt �: ACE Fire Undenvriters Ins. Ce.
22667
43575
20699
20702
COVERAGES CER71FlCATE NUMBER: CLE-00548926&26 REVISION NUM9ER:
THIS IS TO CERTIFY TiiAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE lNSURED NAMED ABOVE FOR TNE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION aF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC7 TO WHICH THIS
CERTiFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRlBED HEREIN IS SUBJECT 70 ALL THE TERMS,
EXCLiJSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOUVN MAY HAVE BEEN REDUCED BY PAID CLAIMS
��� TYPE OF INSURANCE BR POLICY NUMBER MMIODY� M IM DDYlYY Y L1MIT5
A X COM4MERCIALGEN£RALLIABSIJTY XSLG47307314 1210112023 12/O1Y1024 EACHOCCURRENCE S �4��,0�
CLAIMS-/AAOE � OCCUR PREMISE Ea ocarrence t 14.�,�0
X SIR: 5100,000 MED EXP (M ane person) t ����
PERSONAL&ADVINJURY S 14����
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE _ �����
X POLICY P�� LOC PRODUCTS - COMPIOP AGG t � 5��.�
JECT
OTHER s
A AUTOMOBILELIABILITY ISA H107fl0161 12/Q112O23 �71�1�/ZQZq C MBINED INGLE LIMIT E 15,0(l�,�11�
Ee accident
X ANY AUTO BODILY INJURY (Par parsany Z
OVIMED SCHEDULED BODILY INJURY (Per acudenl� S
AUTOS ONLY AUTOS
HIRED NON-ONMED PROPERTYOANL4GE s
Al{TOS ONLY AUTOS ONLY Per accidenl
s
X UMBRELLALIAB x OCCUR XEUG27924840009 lilii112023 ti2iO1CIOZ4 EACHOCCURRENCE S ������
E%CESSUAB CLAIMS-MA�E AGGREGATE f ������
OED RETENTION S S
B WORKERSCOMPENSA7fON VYLR C70318568 (AOS} X
AND EMPLOYERS LFABILITY PTATUTE ER
A ANYPROPRIETQRlPARTNERlEXECUTIVE Y� N mR C7O31860A (CAfMA) 12JO1/2023 iZ/O1/ZO24 z�pp p�
0 OFFICERIMEMBEREXCLUDED? � N!A El EACHACCIDENT i
(Mandatory in NH) $�F C7�$l��i (WI) 12/I}112�2$ �?l0�I2024 E L DISEASE - EA EMPLOYEE E 2���
Itye s, descnbe urdar 2��
DESCRIPTION OF OPEf2AT10NS Delow E.L OISEAS£ - POLICY LIMIT S
A F�ccess Wakers Canpensation WCU C70518647 (WA) 121(i112Q23 1210112024 Ea AccJ�is EmpbyeelDis Pof 2,000,000
SIR 5,000,000
DESCRlPT10N OF OPERATIONS 1 LOCATIONS ! VEH{CLES (ACORD 101, Addtdonal R�m�rlcs Schedul�, may be �ttaclrod Ii more �pacs b requlred�
CITY Of FORT COLLINS, COLQRADO
ATTN: CABLE ADMINIS7RATOR
PO BOX 580
Ff. COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEDREPRESENTATNE
ACORD 25 (2016l03)
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