HomeMy WebLinkAbout20062944.tiff MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CLE-001090471-OS
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
TWO LOGAN SQUARE POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
PHILADELPHIA, PA 19103-2797 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn:COMCAST.CERTS@MARSH.COM FAX:(212)948-0360 _ COMPANIES AFFORDING COVERAGE
COMPANY
05194-ALL-GAWU-06-07 COMC DENVE CO A DISCOVER PROPERTY 8 CASUALTY INSURANCE COMPANY
INSURED - -- -
COMPANY
COMCAST OF CALIFORNIA/COLORADO/TEXAS/ B DISCOVER SPECIALTY INSURANCE COMPANY
4700 S. SYRACUSE STREET,SUITE - -- -- -- .-- -.
DENVER,CO 80237 COMPANY
C NATIONAL UNION FIRE INS CO OF PITTSBURGH, PA
COMPANY
D FIDELITY 8 GUARANTY INS. CO.
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below::
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DD/YY) DATE(MM/DDM') LIMITS
GENERAL LIABILITY !
GENERAL AGGREGATE $ 25,000,000
A X I COMMERCIAL GENERAL LIABILITY D002O00148 12/01/06 12/01/07 PRODUCTS-COMP/OP AGG $ 6,000,000
] CLAIMS MADE I X I OCCUR PERSONAL&ADV INJURY $ 1,900,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,900,000
X100000
FIRE DAMAGE(Any one fire) !$ 1,900,000
100,000 SIR
MED EXP(Any one person) $ 10,000
AUTOMOBILE LIABILITY
,_-_ COMBINED SINGLE LIMIT $ 10,000,000
A X ANY AUTO D002A00516(AOS) 12/01/06 12/01/07
A ALL OWNED AUTOS D002A00517(MA) 12/01/06 12/01/07 BODILY INJURY
B SCHEDULED AUTOS D002A00518(TX) 12/01/06 12/01/07 (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS IPer accitlent) $
- - PROPERTY DAMAGE $
GARAGE LIABIUTY _AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT I$
AGGREGATE $
EXCESS LIABILITY
EACH OCCURRENCE $ 5,000,000
C X UMBRELLA FORM BE4485800 12/01/06 12/01/07 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC STAT - OTH-I
EMPLOYERS'LIABILITY X TORY LIMITS ER k'
D 0002W00571 (AOS) 12/01/06 12/01/07 EL EACH ACCIDENT I$ 2,000,000
D THE PROPRIETOR/ X INCL ':0002W00573(OR,WI) .12/01/06 12/01/07 EL DISEASE-POLICY LIMIT I$ 2,000,000
PARTNERS/EXECUTIVE
A OFFICERS ARE: EXCL D002W00572(NJ) 12/01/06 12/01/07 EL DISEASE-EACH EMPLOYEE $ 2,000,000
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
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 CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXRRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL_a0 DAYS WRITTEN NOTICE TO THE
WELD COUNTY CERTIFICATE HOLDER NAMED HEREIN.BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR
BOARD OF COUNTY COMMISSIONERS
ATTENTION COUNTY CLERK LIABILITY OF ANY KIND UPON THE INSJRER AFFORDING COVERAGE.RS AGENTS OR REPRESENTATIVES,OR THE
915 10TH STREET ISSUER OF THIS CERTIFICATE.
GREELEY,CO 80632
MARSH USA INC.
BY: Mary Radaszewski - 142,7 't wit 't.— 4 -
7//7
MM1(3/02) VAUD AS OF: 12/04/ 6,,
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