HomeMy WebLinkAbout20040021.tiff MARSH' CERTIFICATE OF INSURANCE CERTIFICATE
LE l 0109 NUMBER
1
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:STEPHEN THIGPEN FAX:212-948-0360
COMPANIES AFFORDING COVERAGE
COMPANY
05194-COMCA-CAS-03/04 TELVUE A DISCOVER PROPERTY&CASUALTY INSURANCE COMPANY
INSURED COMPANY
COMCAST OF CALIFORNIA/COLORADO/TEXAS/ g USF&G
4700 S.SYRACUSE STREET,SUITE
DENVER,CO 80237 COMPANY
C AMERICAN GUARANTEE&LIABILITY INSURANCE CO.
COMPANY
D FIDELITY&GUARANTY INS.CO.
COVERAGES This certificate supersedes and replaces any previously issued ceridlicate for thepolicy 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 POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MWDONY) DATE(MM/DD/YY) DMITS
GENERAL LIABILITY GENERAL AGOREGRATE $ 24,900,000
A X COMMERCIAL GENERAL LIABILITY D002O00101 12/01/03 12/01/04 PRODUCTS-COMP/OP AGG $ 5,900,000
CLAIMS MADE❑X OCCUR PERSONAL&ADV INJURY S 1,900,000
OWNER'S E.CONTRACTOR'S PROT EACH OCCURRENCE $ 1,900,000
FIRE DAMAGE(Any one fire) $ 1,900,000
X $100,000 SIR MED EXP(Any one person) $ 10,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 10,000,000
A X ANY AUTO D002A00191 (AOS) 12/01/03 12/01/04
B ALL OWNED AUTOS 0002A00192(MA) 12/01/03 12/01/04 BODILY INJURY
SCHEDULED AUTOS (Per person)
E HIRED AUTOS 0002A00193(TX) 12/01/03 12/01/04 BODILY INJURY $
NON-OWNED AUTOS (per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
C UMBRELLA FORM AUG 8384714-08 12/01/03 12/01/04 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM [
WORKERS COMPENSATION AND X I WC STAMITS I ERH
D EMPLOYERS'LIABILITY D002W00248(AOS) 12/01/03 12/01/04
EL EACH ACCIDENT $ 2,000,000
D THE PROPRIETOR/ X INCL D002W00250(NV,OR,WI) 12/01/03 12/01/04 EL DISEASE-POLICY LIMIT $ 2,000,000
PARTNERS/EXECUTIVE -
B OFFICERS ARE: EXCL D002W00249(NJ) 12/01/03 12/01/04 EL DISEASE-EACH EMPLOYEE $ 2,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Term of Contract:8/16/00-8/152012. Certificate Holder Is Included as Additional Insured as respects the General Liability policy where required by written contract with the Named
Insured.
CERTIFICATE HOLDER CANGEU.AT[ON
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
BOARD OF COUNTY COMMISSIONERS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH
ATTENTION COUNTY CLERK NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
915 10TH STREET AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR THE ISSUER OF THIS
GREELEY,CO 80632 CERTIFICATE.
MARSH USA INC �
//�{•/ BY:Mary Radaszewski (Z2 a'st" c-`'4,E.,
l.t 1r1nTh i r put-444i Q S MMti5/02) AS OF 12/16/03
Or, OS--O4 CC : 04- 2004-0021 OKOqii
ADDITIONAL, INFORMATION GLE 00,09047,.05 DATE M,DD,Y
PRODUCER COMPANIES AFFORDING COVERAGE
MARSH USA INC.
TWO LOGAN SQUARE COMPANY
PHILADELPHIA,PA 19103-2797
Attn:STEPHEN THIGPEN FAX:212-948-0360 E DISCOVER SPECIALTY INSURANCE COMPANY
COMPANY
05194-COMCA-CAS-03/04 TELVUE F
INSURED
COMCAST OF CALIFORNIA/COLORADO/TEXAS/ COMPANY
4700 S.SYRACUSE STREET, SUITE G
DENVER,CO 80237
COMPANY
H
TEXT
CERTIFICATE HOLDER
WELD COUNTY
BOARD OF COUNTY COMMISSIONERS
ATTENTION COUNTY CLERK
915 10TH STREET
GREELEY,CO 80632
MARSH USA INC.
BY.Mary Radaszewski �-1 (�dla"ll'*^'a4
page 2
MARSH
To Whom It May Concern:
The attached certificate replaces the certificate previously issued on
12/1/2003, for policy term 12/1/2003-12/1/2004.
There has been a correction to the General Liability coverage limit.
Thank you.
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