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Home My WebLink About20083220.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE DATE /Y 11/24/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TWO LOGAN SQUARE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PHILADELPHIA,PA 19103-2797 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ann: Comcast.Certs@marsh.com Fax:212-948-0486 05194-ALL-GAWU-08-09 COMC DENVE CO ' INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A:Discover Property And Casualty Ins Co 36463 COMCAST OF CALIFORNIA/COLORADO/TEXAS/ - _... 4700 S.SYRACUSE STREET,SUITE INSURER B:ACE Property And Casualty Ins Co 20699 DENVER, CO 80237 - - -. INSURER Ci Fidelity And Guaranty Insurance Co 35386 INSURER D. INSURER E' 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 I MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND I CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IINSR ADDL POLICY EFFECTIVE'POLICY EXPIRATION LTRI INSRD TYPE OF INSURANCE POLICY NUMBER DATE I IYY)MM/DD ! DATE IMMIDDNYI LIMITS I I GENERAL LIABILITY ' EACH OCCURRENCE $ 4,90000 - - - DAMAGE TO RENTED X I COMMERCIAL GENERAL LIABILITY PRSES(Ea occurence) :$ AEMI 4.900.00 -_} - D001Q00054 12/01/08 12/01/09 _ CLAIMS MADE X OCCUR IMED EXP(Any one person) $ 10,00 _ PERSONAL&ADV INJURY $ 4,900,00 X GENERAL AGGREGATE $ 25 000,00 GENERAL A0 AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMPIOP AG0$ 6000,.00 II POLICY' JECT LOCI • - _ AUTOMOBILE UABILITY 'ANY AUTO '..D001 AB0357(AOS) ICOMcoenINED SINGLE LIMIT 11$ 10,000,00 A X 12/01/08 12/01/09 (Ea accident) A _ ALL OWNED AUTOS D001A00358(MA) 12/01/08 12/01/09 IBODILY INJURY $ A ; , _ SCHEDULED AUTOS D001A00359(TX) 12/01/08 12/01/09 (Per person) HIRED AUTOS BODILY INJURY $ I NON-OWNED AUTOS (Per accident) I PROPERTY DAMAGE _ - _ - i (Per accident) $ GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT$ ANY AUTO 'OTHER THAN EAACC $ I AUTO ONLY $ AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,00 IX I 12/01/08 12101/09 A �.-. OCCUR I CLAIMS MADE XOO G24873304 AGGREGATE $ 5,000,00 B I$ DEDUCTIBLE -- - -r-- • I RETENTION S 1 R I G ; WORKERS COMPENSATION AND D001W00433(AOS) 12/01/08 112/01/09 ';X I WCSTATU- IOTH- I EMPLOYERS'LIABILITY TORY_ LIMITS._ L_ ER A D001W00434(NJ)12/01/08 12/01/09 IL EACH ACCIDENT I$ 2,000,00 ANY PROPRIETOR/PARTNER/EXECUTIVE ---- - - - IQ OFFICER/MEMBER EXCLUDED? I D001W00435(OR,WI) 12/01/08 '. 12/01/09 E.L.DISEASE EA EMPLOYEE$ 2,000,00 C I S yes,deAL scribe under D001W00436(MN) 12/01/08 12/01/09 =L.DISEASE•POLICY LIMIT $ 2,000,00 OTHER _ F DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCWSIONS 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 I POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED.$100,000 PER OCCURRENCE SELF INSURED RETENTION 1;APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CLE-001943243-10 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WELD COUNTY EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ' BOARD OF COUNTY COMMISSIONERS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, • ATTENTION COUNTY CLERK I 915 10TH STREET BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABWTY OF ANY KIND GREELEY,CO 80632 UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 1 - AUTHOR a 7SZSENTATIVE _ An..�� 6i4- Mary Radaszewski ACORD 25(2001/08) O I /,-�-h2-C2008-3220 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 The Certificate of Insurance on the reverse side of this form 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(2001/08) Reverse of Page 1 ACORD. CERTIFICATE_ OF LIABILITY INSURANCE DATE IMM/DD/YYYY 11/24/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TWO LOGAN SQUARE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PHILADELPHIA, PA 19103-2797 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I Attn:ComcastCerts@marsh.com Fax:212-948-0486 05194-ALL-GAWU-08-09 COMC DENVE CO INSURERS AFFORDING COVERAGE NAIC# I INSURED INSURER A:Discover Property And Casualty Ins Co 36463 COMCAST CABLEVISION OF COLORADO I,LLC --- - rt -- - --- -- 8000 EAST ILIFF AVENUE INSURER e:ACE Property And Casualty Ins Co .20699 DENVER, INSURER C,Fidelity And Guaranty Insurance Co. 1135386 INSURER D: INSURERS 1 ---- - 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'4 POLICY EFFECTIVE POLICY EXPIRATION! TYPE OF INSURANCE POLICY NUMBERLIMITS LTR JNSRq DATE(MM/DD/VY) I DATE(MM/DDIYY) GENERAL LIABIUTY II EACH OCCURRENCE $ 4900_,00 DAMAGE TO RENTED 4,900,00 :X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) )$ _ 'i. A ---i D001O00054 12/01/08 12/01/09 MED EXP(Any one person) $ 10,00 I CLAIMS MADE 'X-, OCCUR _ PERSONAL AADV INJURY $ 4,900,00 )( .,$10000058 -_. GENERAL AGGREGATE $ 25000,00 I GENERAL AGGREGATE LIMIT APPLIES PER: ' PRODUCTS-COMP/OP AGG$ 6,000,00 PRO- ' I POLICY LOC .I -T -. AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ 10,000,00 D001A00358(M ) 12/01/08 12/01/09 BODILY A X ANY AUTO -.- -.- 1 A _ALL OWNED AUTOS D001 A00358 MA 12/01/08 12/01/09 BODILY INJURY 1$ A SCHEDULED AUTOS (TX) 12/01/08 12/01/09 (Per person) • ' HIRED AUTOS I BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE -- --- -- (Per accident) $ GARAGE UABILITY I AUTO ONLY-EA ACCIDENT$ ANY AUTO OTHER THAN EA ACC $ I I AUTO ONLY: AGG $- --�- EXCESS/UMBRELLA LIABILITY !EACH OCCURRENCE $ 5,000,0( X AGGREGATE 1 OCCUR CLAIMS MADE XOQ G24873304 12/01/08 12/01/09 $ 5,000,00 I e : $ ' — DEDUCTIBLE - , $ RETENTION $ -. - $ WORKERSCOMPENSATIONAND D001 W00433(AOS) 12/01/08 12/01/09 X i WC STATU- I OTH- IC _. ;TORY MTS_,�R.� EMPLOYERS'LIABILITY D001 W00434(NJ) 12/01/08 12/01/09 E.L.EACH ACCIDENT $ 2000,0( A ANY PROPRIETOR/PARTNER/EXECUTIVE Q , OFFICER/MEMBER EXCLUDED, D001W00435(OR,WI) 12/01/08 12/01/09 E.L.DISEASE-EAEMPLOYEH$ 20000( It yes.describe under D001 W00436(MN) 12/01/08 12/01/09 B.L.DISEASE-POLICY LIMIT I$ 2,000O( C SPECIAL PROVISIONS below OTHER I !I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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-001944586-11 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WELD COUNTY EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL BOARD OF COUNTY COMMISSIONERS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTENTION COUNTY CLERK 915 10TH STREET BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND GREELEY,CO 80632 UPON E THE INSURER, ITS AGENTS OR REPRESENTATIVES. AN Mdf911 lISAP SENTATIVE - �<d 4Q� -' Mary Radaszewski `P4„/a ACORD 25(2001/08) O ACORD CORPORATION 198. 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 The Certificate of Insurance on the reverse side of this form 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(2001/08) Reverse of Page 1 Hello