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Home My WebLink About20113093.tiff AFRO® CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYYY) 112212011 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 tc 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). ^•a PRODUCER CONTACT MARSH USA INC, PHONE TWO LOGAN SQUARE ACNE I INC, ,';'+, PHILADELPHIA,PA 19103-2797 - .Eabt_----- (A/ No):t_ � E-MAILADDRE Attn.Corncast.Certs@marsh corn Fax:212-948-0360 ADDRESS: _ -_. - INSURER(S)AFFORDING COVERAGE , NAIC0 05194-ALL-GAWU-11-12 COMCA DENVE CO INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:ACE Property And Casualty Ins Co _ 20699 COMCAST OF CALIFORNIA/COLORADO/TEXAS/ - ------ - 4700 S.SYRACUSE STREET,SUITE INSURER C: Indemnity Ins Co Of North America 43575 DENVER,CO 80237 INSURER D - ) INSURERE: CO INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-003255028-14 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 ADDL SUER POLICY EFF POLICY EXP LT TYPE OF INSURANCEM/ LIMITS LTR INSR WVD POLICY NUMBER (MDDIYYYq (MMIDDIYYYYI GENERAL LIABILITY EACH OCCURRENCE $ 4,900,1 A X XSL G25532867 12/01/2011 12701/2012 DAMAGE TO RENTED 4,900,1 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ __— I CLAIMS-MADE L XJ OCCUR MED EXP(Any one person) $ 1Q( PERSONAL B ADV INJURY $ 4,900,1 X $100,000 SIR GENERAL AGGREGATE $ 25,000,1 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 6,000,( X POLICY n PROT- LOC $ EG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 10,000,1 __ (Ea accident) $ A X ANY AUTO ISA H08692506 12/01/2011 12/01/2012 BODILY INJURY(Per person) $ ALL.OWNED I— SCHEDULED BODILY INJURY(Per accident) $ AUTOS __. AUTOS _ _ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,( B EXCESS LIAB CLAIMS-MADE XOO G25833892 12/01/2011 12701/2012 AGGREGATE $ 5,000,( DED RETENTION$ $ C WORKERS COMPENSATION WLRC46771473(AOS) 12/01/2011 12/01/2012 X I WC STATU- I OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WLRC46771485 (CA) 12/01/2011 12/01/2012 E L EACH ACCIDENT $ 2'000'( A OFFICER/MEMBER EXCLUDED? N N/A MN 2,000,( (Mandatory in NH) WLRC46771497( ) 1210112011 12/0112012 E.L.DISEASE-EA EMPLOYEE $ A If yes describe under SCFC46771503(WI) 12/01/2011 12/01/2012 2,000,( DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) TERM OF CONTRACT'.8/16/110-8/15/2012. 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. CERTIFICATE HOLDER CANCELLATION WELD COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BOARD OF COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTENTION COUNTY CLERK ACCORDANCE WITH THE POLICY PROVISIONS. 915 10TH STREET GREELEY,CO 80632 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee -MauaoI--k c••••••+' ©1988-2010 ACORD CORP ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 2011-3093 Qnv n wra.tj&*t\3 ( a- 5- ( i C t) 9y A�® CERTIFICATE OF LIABILITY INSURANCE DATE /2011 /YYYY) 11/22/2011 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 CONTACT NAME: MARSH USA INC. FAX PHOTWO LOGAN SQUARE (NC No.norI INC,No): PHILADELPHIA,PA 19103-2797 E-MAIL ADDRESS: Attn:Comcast.Certs@marsh.com Fax:212-948-0360 INSURER(S)AFFORDING COVERAGE NAICII - 05194-ALL-GAWU-11-12 COMCA DENVE CO INSURER A:ACE American Insurance Company 22667 r:?t INSURED INSURER B:ACE Property And Casualty Ins Co c 20699 COMCAST CABLEVISION OF COLORADO I,LLC -- ----- -- 8000 EAST ILIFF AVENUE INSURER C: Indemnity Ins Co Of North America `J 43575 DENVER,CO 80231 INSURER D: _ INSURER E: .... INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-003259149-15 REVISION NUMBER: ,] THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1Fkli 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 TYPE OF AD DL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MWDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 4,900,000 A X COMMERCIAL GENERAL LIABILITY XSL 025532867 12/01/2011 12/01/2012 DAMAGE TO RENTEDPREMISES(Ea occurrence) $ 4,900,000 CLAIMS-MADE X OCCUR MED EXP(My one person) $ 10,000 PERSONAL 8 ADV INJURY $ 4,900,000 X $100,000 SIR GENERAL AGGREGATE $ 25,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 6,000,000 PRO- Ilg POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 10,000,000 (Ea accident) $ A _J ANY AUTO ISA H08692506 12/01/2011 12/01/2012 BODILY INJURY(Per person) $ ALL OWNED ' SCHEUULEU BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE XOO 625833892 12/01/2011 12/01/2012 AGGREGATE $ 5,000,000 DED I f RETENTION$ $ C WORKERS COMPENSATION WLRC46771473(AOS) 12/01/2011 12/01/2012 X WCSTATU- I OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER _0 A ANY PROPRIETOPJPARTNERIEXECUTIVE Y/N WLRC46771485 (CA) 12/01/2011 12/01/2012 E.L.EACH ACCIDENT $ 2'000'00 A OFFICER/MEMBER EXCLUDED? N N/A MN 12/01/2011 12/01/2012 2,000,000 (Mandatory in NH) WLRC46771497( ) E.L.DISEASE-EA EMPLOYEE $ A If yes,describe under DESCRIPTION OF OPERATIONS below SCFC46771503(WI) 12/01/2011 12/01/2012 E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) TERM OF CONTRACT: 2/26/96-2/26/2011. 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. CERTIFICATE HOLDER CANCELLATION WELD COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BOARD OF COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTENTION COUNTY CLERK ACCORDANCE WITH THE POLICY PROVISIONS. 915 10TH STREET GREELEY,CO 80632 AUTHORIZED REPRESENTATIVE of Marsh LISA Inc. Manashi Mukherjee -Mauuos.� �4,.A2.eas --r- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Czi>“\�UYu \ SYvS 1a- c-D- ( ( Hello