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Home My WebLink About20090143ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY 12/30/2008 PRODUCER MARSH USA INC. TWO LOGAN SQUARE PHILADELPHIA, PA 19103-2797 Attn. Comcast.Certs@marsh.com Fax: 212-948-0360 105194-ALL-GAWU-08-09 COM DEN CO INSURED COMCAST OF CALIFORNIA/COLORADO/ WASHINGTON, INC., COMCAST OF COLORADO I, LLC COMCAST OF COLORADO 1V, LLC 8000 EILIFF AVE. DENVER, CO 80231 THIS CERTIFICATE 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. XX NO 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 120699 143575 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 LTR INSRD I DATE (MM ODIYY)YL eOLICY E !POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER DATE (M EXPIRATION ) GENERAL LIABILITY Xl COMMERCIAL GENERAL LIABILITY _ CLAIMS MADE X OCCUR _X_$100,000 SIR GENERAL AGGREGATE LIMIT APPLIES PER X POLICY PE° 7— LOC AUTOMOBILE UABILITY )( ANY AUTO ALL OWNED AUTOS iXSL G2 3749099 12/31/08 12/01/09 EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES(Ea occurence. MED EXP (Any one person) $ PERSONAL 8 ADV INJURY ' $ GENERAL AGGREGATE i$ PRODUCTS - COMP/OP AG4 490000 4,900,00 10 ,00 4,900,00' 25,000,00' 6.000,00 SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ISA H08252361 (AOS) Ili 12/31/08 12/01/09 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY '1$ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ 5,000,00 GARAGE UABILITY ANY AUTO AUTO ONLY - EA ACCIDENT ,$ OTHER THAN EA ACC $ AUTO ONLY L$ AGG EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 $ BI' EXCESS/UMBRELLA LIABILITY XI OCCUR DEDUCTIBLE RETENTION $ CLAIMS MADE XOO G24873304 12/01/08 12/01/09 Q WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A I ANY PROPRIETOR/PARTNER/EXECUTIVE I G ' OFFICER/MEMBER EXCLUDED' A l If yes, describe under SPECIAL PROVISIONS below WLR C4 4356697 (AOS) WLR C4 4356776 (CA) WLR 044356739 (MN) SCF C4 435665A (WI) 112/31/08 12/31/08 12/31/08 12/31/08 12/01/09 X iTORYS LIMITS I- 12/01/09 E . EACH ACCIDENT $ 2,000,00 12/01/09 1h . DISEASE- EA EMPLOYEE $ 2,000,00 12/01/09 E . DISEASE - POLICY LIMIT $ 2,000,00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS 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 LIABILITY POLICY. CERTIFICATE HOLDER CLE-001953558-05 CANCELLATION WELD COUNTY, COLORADO COUNTY MANAGER 915 10TH STREET GREELEY, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL atilMIl'0®OA MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, lomxidetotxtsxxxxamarmizattomanuatiostrutattnowerotgoo ➢/Btl��ZgW�nDO(XXOf-XXXxiott 8tG(XXXD6XXXXW3f�/DfXJJXXX�ft1(XXR XOEaOCDNEX. AUUIMaRBIlDRAPR SENTATME �� ` ada-evt -aA'- Mary Radaszewski ACORD 25 (2008) O 2009-0143 ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD/YTY1 12/30/2008 PRODUCER MARSH USA INC. TWO LOGAN SQUARE PHILADELPHIA, PA 19103-2797 Attn: ComcastCerts@marsh.com Fax. 212-948-0360 05194 -ALL-GAM-08-09 INSURED COMC DENVE CO COMCAST OF CALIFORNIA/COLORADO/TEXAS/ 4700 S SYRACUSE STREET, SUITE DENVER, CO 80237 THIS CERTIFICATE 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: I INSURER E- NAIC # 22667 20699 43575 COVERAGES 'I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. I 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. INSP. ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION, LIMITS LTRI INSRD DATE IMM/DD/YY) DATE IMM/DDNY) GENERAL LIABILITY I X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I. X I OCCUR I X $100,000 SIR GENERAL AGGREGATE LIMIT APPLIES PER: X POLICY JEC CT j LOC AUTOMOBILE LIABILITY X ANY AUTO li ALL OWNED AUTOS I SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS XSL G2 3749099 12/31/08 12/01/09 EACH OCCURRENCE $ DAMAGE TO RENTED - I PREMISES(Eap curence) MED EXP (Any one person) $ I PERSONAL & ADV INJURY $ I GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ 4,900,0C 4,900,OC 10,00 4,900,OC 25,000,0C 6,000,0( AI ISA H08252361 (AOS) 12/31/08 12/01/09 I COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ 5,000,0( BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY- AGG $ EXCESSIUMBRELLA LIABILITY X OCCUR DEDUCTIBLE RETENTION $ CLAIMS MADE XOO G24873304 IC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE D OFFICER/MEMBER EXCLUDED? A SPECIAL PROVISIIONS below IWLR 044356697 (AOS) IWLR C44356776 (CA) WLR C4 4356739 (MN) SCF C4435665A (WI) 12/01/08 12/31/08 12/31/08 12/31/08 12/31/08 12/01/09 12/01/09 12/01/09 12/01/09 12/01/09 LEACH OCCURRENCE ;;AGGREGATE $ 5,000,00 $ 5.000,0( $ $ C X WC STATU- I OTH- :TORY_LIMITS ER E . EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ 2,000,0( 2,000,0( 2,000U( OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS TERM OF CONTRACT: 8/16/00-8/15/2012 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 CLE-001943243-12 WELD COUNTY BOARD OF COUNTY COMMISSIONERS ATTENTION COUNTY CLERK 915 10TH STREET GREELEY, CO 80632 ( ' )2Ltfu''67t-/z ACORD 25 (2001/08) AU MQRRM1 LISP Pg.Igg. SENTATIVE Mary Radaszewski C1,kika 7 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, IITTS,, AGENTS �J OR REPRESENTATIVES C91 . Q tL�Q.�j[u-dY-- 0 ACORD CORPORATION 198, _ /6f_ 72,7 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMWDD/YYY) 12/30/2008 PRODUCER1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. TWO LOGAN SQUARE PHILADELPHIA, PA 19103-2797 Attn: ComcastCerts@marsh.com Fax: 212-948-0360 05194 -ALL-GAWU-08-09 COMC DENVE CO INSURED COMCAST CABLEVISION OF COLORADO I, LLC 8000 EAST ILIFF AVENUE DENVER, CO 80231 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 NAIC # 22667 INSURER E-. ACE Property And Casualty Ins Co 20699 INSURER C: Indemnity Ins Co Of North America 43575 INSURER D' INSURER E: INSURER A ACE American Insurance Company 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION! TYPE OF INSURANCE POLICY NUMBER IY LTR INSR DATE IMM/DDY) DATE (MM/DD/YY) I A GENERAL LIABIUTY X COMMERCIAL GENERAL LIABILITY I - lI X CLAIMS MADE OCCUR X_ $100,000 SIR GENERAL AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOO. XSL 623749099 12/31/08 '.. I 12/01/09 EACH OCCURRENCE DAMAGE TO RENTED PREMISEsIEa occurence) MED EXP (Any one person) PERSONAL &ADV INJURY $ 4.900.00 $ 4,900,00 $ 10,00 $ 4,900,00 $ 25,000,00 6,000,QC _._. _.... GENERAL AGGREGATE PRODUCTS - COMP/OP AGO$ A AUTOMOBILE LIABILITY — X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - - ISA H08252361 (AOS) 12/31/08 12/01/09 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per Person) $ 5,000,OC $ BODILY INJURY I (Per accident) PROPERTY DAMAGE (Per accident) $ $ GARAGE UABILITY --1 ANY AUTO I AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY' AGG $ $ _ $ I EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE II RETENTION $ XOO G24873304 112/01/08 12/01/09 EACH OCCURRENCE AGGREGATE $ SOOO,OC $ 5,000,0[ $ it o WORKERS COMPENSATION AND --( .. . e.. r., WLR 044356697 (AOS) 12/31/08 12/01/09 X I WC s UMII- LOTH- TORY LIMITS Hal- LIMITS A ANY PROPRIETOR/PARTNERJEXECUTIVE is I OFFICER/MEMBER EXCLUDED? A It yes, describe under SPECIAL PROVISIONS below WLR 04 4356776 (CA) WLR 044356739 (MN) I SCF C4 435665A (WI) 12/31/08 12/31/08 12/31/08 12/01/09 12/01/09 12/01/09 E. L EACH ACCIDENT I.$ 2,000,OC E DISEASE - EA EMPLOYEE $ 2,000,OC 1=. L. DISEASE - POLICY LIMIT $ 2,000,0C OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 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 CLE-001944586-13 WELD COUNTY BOARD OF COUNTY COMMISSIONERS ATTENTION COUNTY CLERK 915 10TH STREET IREELEY, CO 80632 A&D11C/7(,C t -C k 779t�� RD'25>!(2001/08) &L) 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, IMPOSE NO OBLIGATION OR LIABIUTY OF ANY MND ITS AGENTS OR REPRESENTATIVES. —hiv-r /�jIea• l- a4• BUT FAILURE TO DO SO SHALL UPON THE INSURER, AU MORRM1 USAIMSENTATNE Mary Radaszewski O ACORD CORPORATION 1981 C'/— ,c/ (-/`1 Hello