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