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HomeMy WebLinkAbout298197 COMCAST OF CALIFORNIA / COLORADO LLC - INSURANCE CERTIFICATEA� o® CERTIFICATE OF LIABILITY INSURANCE DATEJ2011 "YYY) 11/2212011 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 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 .MARSH USA INC. TWO LOGAN SQUARE CONTACT NAME: PHONE NG No IAIC. No. Exit E-MAIL ADDRESS: PHILADELPHIA, PA 19103-2797 Attn: Comcast.Certs@mamh.com Fax: 212-948-0360 INSURERS AFFORDING COVERAGE NAIC N INSURER A: ACE American Insurance Company 22667 05194-ALL-GAWU-11-12 COMCA DENVE CO INSURED COMCAST OF CALIFORNIA/COLORADO, LLC 8000 E. ILIFF AVE. INSURER a ; ACE Property And Casualty Ins Co 20699 INSURER c :Indemnity Ins Co Of North America 43575 INSURER D DENVER, CO 80231 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: CLE-003257946-09 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. INSRADD LTA TYPE OF INSURANCE 111MABfi POLICY NUMBER POLICY EFF fMIWDDIYYYY1 POLICY EXP (MWDDNYYY)LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 4,900,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 '71 OCCUR XSL G25632867 12/0112011 12/01/2012 DAMAGE TO RENTED PREMISES Be occurrence 4,900,000 $ MED EXP(Any one person) $ 10,000 PERSONAL 8 ACV INJURY $ 4,900,000 X $100,000 SIR GENERAL AGGREGATE $ 25000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 $ X POLICY PRO -LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 10,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ISA H08692506 12(0112011 12 O112012 ALL OWNED SCHEDULED AUTOS AUTOS - BODILY INJURY (Per accide... $ PROPERTY DAMAGE Per accid no $ HIRED AUTOS NON OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE XOO G25833892 12JO112011 12/01/2012 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ D WORKERS COMPENSATION WLRC46771473(ADS) 12101/2011 12/1112012 X WC STATU- OTH- A A AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICER/MEMBER E%CLUDED? N (Mandatory in NH) N/A WLRC46771485 (CA) WLRC46771497 (MN) 1210112011 12/01/2011 1210112012 12/0112012 EL EACH ACCIDENT 2,000,000 $ EL DISEASE- EA EMPLOYEE $ 2,000,000 A If DESCRIPTION OF OPERATIONS below es, descrIthe under SCFC46771503 (W) 12/01I2011 12101I2012 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. $100,000 PER OCCURRENCE SELF INSURED RETENTION APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY. CITY OF FORT COLLINS, COLORADO ATTN: CABLE ADMINISTRATOR PO BOX 580 FT. 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. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _TVL'X o" �+'4•..te.na eL. 1988-2010 ACORD CORPORATION. All rights reserved_ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD