HomeMy WebLinkAbout20053662.tiff MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CLE-001090471-07
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-CAS-05-06 COMC DENVE CO A DISCOVER PROPERTY&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 I I POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER I GATE(MM/DDM'I DATE(MM/DDM')
GENERAL UABILITY
_ _GENERAL AGGREGATE $ 25,000,000--
X COMMERCIAL GENERAL LIABILITY D002O00136 12/01/05 12/01/06
PRODUCTS COMP/OP AGG $ 6,000,000
1 CLAIMS MADE X] OCCUR
�.-- PERSONAL&ADV INJURY $ 1,900,000
_ OWNER'S&CONTRACTOR'S PROT
' EACH OCCURRENCE I$ 1,900,000
-- -- — FIRE DAMAGE(Any one fire) $ 1,900,000
I X $100,000 SIR MED EXP(Any one person) $ 10,000
AUTOMOBILE LIABILITY •
COMBINED SINGLE LIMIT $ 10,000,000
A rX__ ANY AUTO D002A00451 (AOS) 12/01/05 12/01/06
A ALL OWNED AUTOS i D002A00452(MA) 12/01/05 12/01/06 BODILY INJURY
B I,SCHEDULED AUTOS D002A00453(TX) 12/01/05 12/01/06 (Per person) $
_ HIRED AUTOS BODILY INJURY
__ NON-OWNED AUTOS (Peraubent) $
-- --.---- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I $
l ANY AUTO OTHER THAN AUTO ONLY:
_._._ -_ ___. EACH ACCIDENT $ _
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE I$ 5,000,000
C X_ UMBRELLA FORM BE4485046 12/01/05 12/01/06 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM $
I WORKERS COMPENSATION AND •
VJC STATU- 0TH.
EMPLOYERS'LIABILITY X TORY LIMITS ER
D D002W00497(AOS) 12/01/05 12/01/06 EL EACH ACCIDENT _ $ 2,000,000
D THE PROPRIETOR/ X INCL D002W00499(ORM9) 112/01/05 12/01/06 EL DISEASE-POLICY LIMIT i$_ 2,000,000
A OFFICERS ARE: IXCL PARTNERS/EXECUTIVE D002W (NJ) 12/01I05 12/01/06 EL DISEASE-EACH EMPLOYEE 00498 I
R $ 2,000,000
OTHER I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL 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.$100,000 PER OCCURRENCE SELF INSURED RETENTION
APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL_aft DAYS WRITTEN NOTICE TO THE
WELD COUNTY CERTIFICATE HOLDER NAMED HEREN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
BOARD OF COUNTY COMMISSIONERS
ATTENTION COUNTY CLERK LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES.OR THE
915 10TH STREET
GREELEY,CO 80632 ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Mary Radaszewski -_f'Y1a*, cqAzda_vt"'a-oe"
MM1(37^^' VALID AS OF: 11/.30/05
1"/$irG.1/21--fnr1.s 2005-3662 f7e6cx7Q4'
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