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HomeMy WebLinkAbout20062805 DATE(MMIDDM') ACORD,. CERTIFICATE OF LIABILITY INSURANCE 09/30/2007 09/28/2006 PRODUCER Lockton Companies THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 444 W.47th Street,Suite 900 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (816)960-9000 INSURERS AFFORDING COVERAGE INSURED US CABLE OF COASTAL-TEXAS L.P. INSURER A HARTFORD FIRE 4333 dba US CABLE OF WEST TEXAS INSURER B: 28 WEST GRAND AVENUE INSURER c• FIREMAN'S FUND MONTVALE NJ 07645 INSURFR D• COMMERCE&INDUSTRY(AIG-ST.LOUIS) I INSURFR E• INS.CO OF STATE PA(AIG-ST.LOUIS) THIS CERTIFCATE OF INSURANCE DOES NOT COVERAGES USCAB03 ZH NSURER SI I CONSTITUTE AU HORIZED REPRESENTATIIVECONTRACT R PRODUC R AND THE CERTIFICATE HO)DFR 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 POLICY EFFECTIVE I POLICY EXPIRATION L_Tit TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDIYY) DATE IMM/DDNYI UMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 37UUNAK0159 09/30/2006 09/30/2007 FIRE DAMAGE(Any one fire) $ 300,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO 37UENAK0228(AOS) 09/30/2006 09/30/2007 (Es accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ XXXXXXX X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 C X I OCCUR CLAIMS MADE SU077503688 09/30/2006 09/30/2007 AGGREGATE $ 5,000,000 IIII UMBRELLA $ XXXXXXX DEDUCTIBLE ` I FORM $ XXXXXXX RETENTION $ $ XXXXXXX D WORKERS COMPENSATION AND TBD(AOS) 09/30/2006 09/30/2007 X Wcsuru- I Pr- EMPLOYERS TORY LIMIT$ FR EMPLOVERS'LIABILtT1' E.L.EACH ACCIDENT $ 1,000,000 E TBD(NJ) 09/30/2006 09/30/2007 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 A OTHER 37UUNAK0159 09/30/2006 09/30/2007 ALL RISK FORM.$10,000 DED. REAL&PERSONAL PROPERTY DESCRIPTION OF OPERATONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE ABOVE CAPTIONED POLICY. CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION 1003184 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WELD COUNTY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN ATTN:BILL HAWKINS P.O.BOX 758 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL GREELEY CO 80632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ar bYn.nuuvir.471n t/5 ACORD 25-S(7/977) For questions regarding this certificate,contact the number listed in the'Produce' above and specify theclient cods'USCABW'. ®A OR T�ORATION 1988 4--z3-� ago y&,98720 Hello