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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20093185.tiff
ACOREI CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY 11/19/2009 ,PRODUCER MARSH USA INC TWO LOGAN SQUARE PHILADELPHIA, PA 19103-2797 Attn: Comcast.Certs@marsh.com Fax: 212-948-0360 05194 -ALL-GAWU-09-10 COMC DENVE CO INSURED COMCAST CABLEVISION OF COLORADO I, LLC 8000 EAST ILIFF AVENUE 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. 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS LTR INSRD DATE (MMIDDIYYYY) DATE IMMIDD,YYYYI GENERAL LIABILITY EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X , OCCUR $100,000. SIR GENERAL AGGREGATE LIMIT APPLIES PER: X �' POLICY' JECT I LOC AUTOMOBILE LIABILITY X ANY AUTO _ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS XSL G24936855 12/01/2009 DAMAGE TO RENTED -�$ 12/01/2010 PREMISESIEa occurrence) _ MED EXP (Any one person) i$ PERSONAL & ADV INJURY $ 4,900,00 4,900,00 10,00 4,900,00' GENERAL AGGREGATE $ 25,000,00 PRODUCTS - COMP/OP AGG$ 6,000,00' A ISA H08581447 (AOS) 12/01/2009 12/01/2010 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ 5,000,00' $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC T$ AGG $ OTHER THAN AUTO ONLY: EXCESS I UMBRELLA LIABILITY X OCCUR CLAIMS MADE XOO G24874266 DEDUCTIBLE RETENTION $ 12/01/2009 12/01/2010 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 $ C WORKERS COMPENSATION AND IA EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN A I OFFICERIMEMBER EXCLUDED' N I A (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS beldv WLR C4 5707064 (AOS) WLR 045707040 (CA) WLR O45707052 (MN) SCF 045707076 (WI) 12/01/2009 12/01/2009 12/01/2009 12/01/2009 12/01/2010 12/01/2010 12/01/2010 12/01/2010 W'C STATU- I0TH- .. TORY UMITD_-1E,- _. L. EACH ACCIDENT $ 2,000,00 E.L. DISEASE - EA EMPLOYEE $ 2,000,00 E.L. DISEASE - POLICY LIMIT $ 2,000,00 A OTHER EXCESS AUTO LIABILITY XSA H08583365 12/01/2009 12/01/2010 LIMIT $5,000,00( DESCRIPTION OF OPERATIONSILOCATIONSWEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS TERM OF CONTRACT: 2/26/96-226/2011. 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 CLE-002138089-14 WELD COUNTY BOARD OF COUNTY COMMISSIONERS ATTENTION COUNTY CLERK 915 10TH STREET 1 GREELEY, CO 80632 CANCELLATION 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, Aof MarshEUSAPIncSENTATIVE —111424 -[a PIPLo P -A, -d ,- { L l72//1f_/_24L '�1 c1 ACORD 25 (2009/01) / —7> ,1 Mary Radaszewski © 1998-2009 ACORD CORPO 2009-3185 The ACORD name and logo are registered marks of ACORD 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)
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