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Home My WebLink About20093186.tiffACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YYYY 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 OF CALIFORNIA/COLORADO/TEXAS/ 4700 S SYRACUSE STREET, SUITE DENVER, CO 80237 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. 1 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 I POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD I DATEIMM/0DIYYYYI DATE (MMIDD/YYY) GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY , I CLAIMS MADE X OCCUR X $100,000 SIR GENERAL AGGREGATE LIMIT APPLIES PER: PRO - X I POLICY', T LOC AUTOMOBILE LIABILITY XSL G24936855 12/01/2009 1 12/01/2010 I EACH OCCURRENCE $ 4,900,00 DAMAGE TO RENTED $ 4,900,00 PREMISES(Ea occurrence) MED EXP (Any one person) I$ 10,00 PERSONAL B ADV INJURY '$ 4,900,00 GENERAL AGGREGATE $ 25,000,00 • PRODUCTS - COMP/OPAGG$ 6,00000 IX ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS I ISA H08581447 (AOS) 12/01/2009 112/01/2010 COMBINED SINGLE LIMIT $ ( Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) I$ $ PROPERTY DAMAGE (Per accident) Is 5,000,00 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: i$ AGG IB EXCESS / UMBRELLA LIABILITY X OCCUR I CLAIMS MADE IXQQ G24874266 DEDUCTIBLE RETENTION $ '' 12/01/2009 12/01/20W EACH OCCURRENCE AGGREGATE $ 5,000,00 1$ 5,000,00 $ C WORKERS COMPENSATION AND WLR C4 5707064 (AOS) A EMPLOYERS' LIABILITY WLR 045707040 (CA) ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N. WLR C45707052 MN A OFFICER/MEMBER EXCLUDED? 1 ( ) A N 'ISCF 045707076 (WI) 1 (Mandatory in NH) It yes, describe under SPECIAL PROVISIONS below I OTHER A I EXCESS AUTO LIABILITY 12/01/2009 12/01/2009 112/01/2009 12/01/2009 XSA H08583365 12/01/2009 12/01/2010 12/01/2010 12/01/2010 12/01/2010 ' 12/01/2010 X WCSTATU- 1OTH-' TORY I IMITS FR _ - EACH ACCIDENT I E.L. $ 2,000,00 E.L. DISEASE - EA EMPLOYEE $ 2,000,00 EL. DISEASE - POLICY LIMIT I $ 2,000,00 LIMIT $5,000,00 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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-002142125-13 CANCELLATION WELD COUNTY BOARD OF COUNTY COMMISSIONERS ATTENTION COUNTY CLERK 915 10TH STREET .n GREELEY, CO 80632 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. li�/ otMarsUSA I / 4:// AhEPIncSENTATIVE 27 AC 2 2009/0 ) Mary Radaszewski /:2 /70 z r © 1998-2009 ACORD CORPORA y " 2/ /The ACORD name and logo are registered maths of ACORD 2009-3186 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