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CERTIFICATE OF NSURAN�, , j CERTIFICATENUMBER
u LE 001090471 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 PROWDED 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/ B USF&G
4700 S.SYRACUSE STREET,SUITE
DENVER,CO 80237 COMPANY
C AMERICAN GUARANTEE&LIABIUTY INSURANCE CO.
COMPANY
D FIDELITY&GUARANTY INS.CO.
' 0 "A S ea IKS$10 an tetH st a i M 00,04 nl ,mu
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 POUCY EXPIRATION UMITS
LTR DATE(MM/DD/YY) DATE(MWDDNY)
GENERAL LIABILITY GENERAL AGGREGRATE $ 25,000,000
A X COMMERCIAL GENERAL LIABILITY D002O00101 12/01/03 12/01/04 PRODUCTS-COMP/OPAGG $ 6,000,000
CLAIMS MADE❑X OCCUR PERSONAL&ADV INJURY $ 2,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000
FIRE DAMAGE(Any ale fire) $ 2,000,000
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
A ALL OWNED AUTOS D002A00192(MA) 12/01/03 12/01/04 BODILY INJURY
SCHEDULED AUTOS (Pa person) $
—
E HIRED AUTOS D002A00193(TX) 12/01/03 12/01/04 BODILY
$
NON-OWNED AUTOS (pa sadden*
— PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY. _'_,= aa,.ok==vsni
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
C ] UMBRELLA FORM AUC 838471408 12/01/03 12/01/04 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND XI WCSTATU- OTH-
's'.-
D EMPLOYERS'LIABILITY D002W00248(AOS) 12/01/03 12/01/04
EL SACH TORY LIMITS
$ 2,000,000
D THE PROPRIETOR/ I I INCL D002W00250(NV,OR,WI) 12/01/03 12/01/04 EL DISEASE-POLICY LIMIT $ 2,000,000
PARTNERS/EXECUTIVE
B OFFICERS ARE: EXCL 0002W00249(NJ) 12/01/03 12/01/04 EL DISEASE-EACH EMPLOYEE $ 2.000,000
OTHER
DESCRIPTION OF OPERATONS/LOCATIONSNEHICLES/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
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 /7
BY:Mary Radaszewsld "IlNJ''3 Jra - u'a''E`
vj T u c,ay Ya� r+r sg a s s'.__a $ Ls sxFrara arrrss � : r ; , r
�i .firJ'!Z IDA80F 1&01//03/ s
/b2 /G—� „: eC.'Ct1 2003-3410 IK
'ry�q p( p j�'ry DATE(MM/DD/YY)
E IONA 4 17 1' 1 i f`iLF.-;1 k111• 47t-11i{ 12/01/03
PRODUCER COMPANIES AFFORDING COVERAGE
MARSH USA INC.
TWO LOGAN SQUARE COMPANY
PHILADELPHIA,PA 19103-2797 E DISCOVER SPECIALTY INSURANCE COMPANY
Attn:STEPHEN THIGPEN FAX:212-948-0360
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
WELD COUNTY
BOARD OF COUNTY COMMISSIONERS
ATTENTION COUNTY CLERK
915 10TH STREET
GREELEY,CO 80632
MARSH USA INC.
BY:Mary RadaszewsM - 41-4"'3
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