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Home My WebLink About20093184.tiffAc RO n CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/19/2009 PRODUCER MARSH USA INC. TWO LOGAN SQUARE PHILADELPHIA, PA 19103-2797 Attn ComcastCerts@marshcom Fax'. 212-948-0360 05194 -ALL-GAWU-09-10 COM DEN CO XX INSURED COMCAST OF CALIFORNIA/COLORADO/ WASHINGTON, INC , COMCAST OF COLORADO I, LLC COMCAST OF COLORADO 1V, LLC 8000 E ILIFF AVE. DENVER, CO 80231 THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NO I INSURERS AFFORDING COVERAGE INSURER A' ACE American Insurance Company INSURER B. ACE Property And Casualty Ins Co INSURER C' Indemnity Ins Co Of North America INSURER D' INSURER E' NAIC # 22667 20699 43575 COVERAGES ! 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !NSR AMYLINSRD POLICYEFFECTIVE POLICY DATE(EXPIRATION ILTR.INSRD TYPE OF INSURANCE POLICY NUMBER DATE ImmIDDIYYYY) DATE(MM/DDrYYYY) LIMITS IA GENERAL LIABILITY IIX COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR X W00,000 SIR GENERAL AGGREGATE LIMIT APPLIES PER PRO - X POLICY !1 JECT LOC AUTOMOBILE LIABILITY ,XSL G24936855 12/01/2009 12'01/2010 EACH OCCURRENCE $ 4 900 00( DAMAGE TO RENTED I$ 4,900,00( PREMISES(Ea occurrence) MED EXP(Any one person) rt$ 10,00( PERSONAL & ADV INJURY $ 4,900,00( GENERAL AGGREGATE $ 25,000,00( PRODUCTS - COMP/OP AGG$ 6,000,00( X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ISA H08581447 (AOS) 12/01/2009 12/01/2010 I COMBINED SINGLE LIMIT (Ea accident) ! BODILY INJURY I(Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ $ $ 5,000,00( I GARAGE LIABILITY ANY AUTO ! AUTO ONLY - EA ACCIDENT $ EA ACC I$ AGG $ OTHER THAN AUTO ONLY: B EXCESS I UMBRELLA LIABILITY X OCCUR CLAIMS MADE XOO G24874266 DEDUCTIBLE RETENTION $ 12/01/2009 12/01/2010 EACH OCCURRENCE $ 5,000,001 AGGREGATE $ 5,000,001 $ $ C WORKERS COMPENSATION AND I WLR C4 5707064 (AOS) A I EMPLOYERS' LIABILITY IWLR C45707040 (CA) ' !' ANY PROPRIETORIPARTNERIEXECUTIVE YIN_ WLR 045707052 (MN) ' A OFFICER/MEMBER EXCLUDED? N A SCF C45707076 (WI) •I I (Mandatory in NH) H yes, describe under I I SPECIAL PROVISIONS below OTHER 11 A EXCESS AUTO LIABILITY XSA H08583365 12/01/2009 12/01/2009 12/01/2009 1 12/01/2009 12/01/2009 12/01/2010 12/01/2010 12/01/2010 12/01/2010 )( WSTAT- 0TH- TOCRY I IMIUTS'. Pa - E L. EACH ACCIDENT E . DISEASE - EA EMPLOYS $ E.L. DISEASE - POLICY LIMIT $ 12/01/2010 LIMIT 2,000 00 2,000,00 2,000.00' $5,000,00( DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: FRANCHISE AGREEMENT: GENERAL CONSTRUCTION IN WELD COUNTY, COLORADO CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY POLICY WHERE REQUIRED BY WRITTEN I CONTRACT WITH THE NAMED INSURED. $100,000 PER OCCURRENCE SELF INSURED RETENTION APPLIES ONLY TO THE ABOVE GENERAL I LIABILITY POLICY, CERTIFICATE HOLDER CLE-002144599-06 WELD COUNTY, COLORADO COUNTY MANAGER 915 10TH STREET GREELEY, CO 80632 -4/1?- ACORD 25 (2009/01) / t 'I. 7/„�:. CANCELLATION f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Ao1 MarrshUSAAInc. NTATNE-%%7�^� /<2 Mary Radaszewski © 1998.2009 ACORD CORPC The ACORD name and logo are registered marks of ACORD 2009-3184 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend. extend or alter the coverage afforded by the policies listed thereon. Acord 25 (2009/01) Hello