HomeMy WebLinkAbout20030524.tiff I I ° s a s CERTIFICATE NUMBER
MgtiritOPWIARSH r' " , * C RTIFICATE CAF INSURANC1�, CLE 000892606.03
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
Six PPG Place,Suite 300 POLICY. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
Pittsburgh,PA 15222-5499 AFFORDED BY THE POUCIES DESCRIBED HEREIN.
At(412)1 552-5163ty Myers COMPANIES AFFORDING COVERAGE
552-5163
COMPANY
05194-1 COMC-1 CAS-02/03 TELVUE A DISCOVER PROP&CAS INS CO
INSURED COMPANY
Comcasl of Califomia/Colorado/Texas/ B USF&G
4700 S.Syracuse Street,Suite
Denver,CO 80237 COMPANY
C AMERICAN GUARANTEE&LIABILITY INSURANCE CO.
COMPANY
D FIDELITY&GUARANTY INS.CO.
COVERAGES o wr:0 aapw m alw+ Ufa W 0,440 4100 r1,00r vw*jv00 P ae IOt . ' ° . ,,.., ,,,
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 MAYBE 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 POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MMIDD+YY) DATE(MWDD/YY)
GENERAL LIABILITY GENERAL AGGREGRATE $ 25,000,000
A X COMMERCIAL GENERAL LIABILITY 00021.00040(AOS) 11/18/02 12/01/03 PRODUCTS-COMP/OP AGG $ 6,000,000
B I CLAIMS MADE❑X OCCUR O002L00039(MAINE) 11/18/02 12/01/03 PERSONAL&ADV INJURY $ 2,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000
FIRE DAMAGE(My ane fire) $ 2,000,000
MED EXP(My one person) $ 10,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10,000,000
B X ANY AUTO D002A00100(AOS) 11/18/02 12/01/03
B ALL OWNED AUTOS 0002AOO101 (MASS) 11/18/02 12/01/03 BODILY INJURY—
$
SCHEDULED AUTOS (Per Form)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident $
POLICY 4 D002A00102(T)Q PROPERTY DAMAGE $
USF&G SPECIALTY
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY: _r.1r'SF^��' I �;v,y,
—{I EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
C ) UMBRELLA FORM AUC8384714-07 11/18/02 12/01/03 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X I WC STAMITS I I ERµ a :1p! m$
D EMPLOYER'S LIABILITY „D002W00132(AOS) 11/18/02 12/01/03 EL EACH ACCIDENT $ 2,000,000
D THE PROPRIETOR/ INCL D002W00134(OR,WI) 11/18/02 12/01/03 EL DISEASE-POLICY LIMIT $ 2,000,000
PARTNERS/EXECUTIVEri
B OFFICERS ARE: EXCL D002W00133(NJ) 11/18/02 12/01/03 EL DISEASE-EACH EMPLOYEE $ 2,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/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.
tiERKFIVPOEMPERMUMIESEMNIIMPSIAMilaigiliiiIMETIERESSICAMPTIONEMENitillogiREMSiiiISISSIOdligiitiging,
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL SO 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.
/ L (p'jJij MARSH USA INC
l/ - BY:Paul Hoyt
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