HomeMy WebLinkAbout20030525.tiff �+p /�/�^�* r(�, p CERTIFICATE NUMBER
r� H. ERT���LK# i1N R CLE-000892718-04
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 POLICIES DESCRIBED HEREIN.
Attn: Charity Myers COMPANIES AFFORDING COVERAGE
(412)552-5163
COMPANY
05194-1 COMC-1 CAS-02/03 COMCCO A DISCOVER PROP&CAS INS CO
INSURED COMPANY
COMCAST CABLEVISION OF COLORADO II,LLC g USF&G
8000 EAST ILIFF AVENUE
DENVER,CO 80231 COMPANY
C AMERICAN GUARANTEE&LIABILITY INSURANCE CO.
COMPANY
D FIDELITY&GUARANTY INS.CO.
COVERAGES ' ,. T *ga"SAta 4*".$a69.0. same Ia $Oaraeaaw 1prme 0Mya«IlwP l IMO , ,,.. ` t , ,
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(MMIDDNY) DATE(MMIDDNY)
GENERAL LIABIUTY GENERAL AGGREGRATE $ 25,000,000
A X COMMERCIAL GENERAL LIABILITY D002L00040(AOS) 11/18/02 12/01/03 PRODUCTS-COMP/OP AGO $ 6,000,000
B '_?: I CLAIMS MADE El OCCUR D002L00039(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 ale fire) $ 2,000,000
MEDEXP(Any aneperson) $ 10,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10,000,000
B X ANY AUTO DOO2A00100(AOS) 11/18/02 12/01/03
B ALL OWNED AUTOS D002A00101 (MASS) 11/18/02 12/01/03 BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (per acdtleny
POLICY It D002A00102(TX) PROPERTY DAMAGE $
USF&G SPECIALTY
GARAGE LIABIUTY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY e5X a ......................
EACH ACCIDENT $
AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE $ 5,000,000
C UMBRELLA FORM AUC8384714-07 11/18/02 12/01/03 AGGREGATE $ 5,000,000
—{I OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X I Ty RVTLIMIT3I I 24H-
EMPLOYER'S UABIUTY D002W00132(AOS) 11/18/02 12/01/03 EL EACH ACCIDENT $ 2,000,000
D THE PROPRIETOR/ INCA_ D002W00134(OR,WI) 11/18/02 12/01/03 EL DISEASE-POLICY LIMIT $ 2,000,000
PARTNERS/EXECUTIVE
ARE:B OFFICERS ARE: EXCL D002W00133(NJ) 11/18/02 12/01/03 EL DISEASE-EACH EMPLOYEE $ 2,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATONSNEHICLES/SPECIAL ITEMS
Term of Contract: 2/26/96-2/26/2011. Certificate Holder Is included as Additional Insured as respects the General Liability policy where required by written contract with the Named
Insured.
CERWICRTE HOLDER _ GANCELLA'[�N.v ,
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.
zjljyJ MARSH USA INC Al n /
i'/ ✓// BY: //�Paul Hoyt ! '{'-a/.
74.
" r+i&+s(2 1 .. IN 2003-0525
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