HomeMy WebLinkAbout992862.tiff A / r ' AI A GATE(MM/DD/YY)C RTI I : RN s � ,, UM . .,. . .,,. . . i 11/19/99 PRODUCER -. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Marsh USA,Inc. - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
6 PPG Place,Suite 300 - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Pittsburgh, PA 15222 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
412-552-5209 COMPANIES AFFORDING COVERAGE
Attn: Karen Weaver ?' ---
COMPANY
05194-cas99-all-98/00 SCH A Pacific Employers Insurance Company
INSURED i,-' _. COMPANY
Comcast SCH Holdings, Inc. I 'i':- -- B CIGNA Insurance Company
Comcast Lake County
d/b/a/Comcast Communications COMPANY
1500 Market Street C American Guarantee&Liability
Philadelphia,PA 1 91 02-21 48
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE IMM/DENY) DATE(MM/DD/YY)
A GENERAL LIABILITY OGLG19660928 12/01/99 12/01/00 GENERAL AGGREGATE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 1,000,000
CLAIMS MADE X OCCUR PERSONAL SADV INJURY $ 1,000,000
OWNERS B CONTRACTOR'S PROT EACH OCCURRENCE __$ 1,000,000
FIRE DAMAGE(Any one fire) $ 100,000
MED EXP(My one person) $ 5,000
B AUTOMOBILE LIABILITY H0757043-0 12/01/99 12/01/00
COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
__ PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $ _
G EXCESS LIABILITY AU08384714-04 12/01/99 12/01/00 EACH OCCURRENCE $ 5,000,000
X UMBRELLA FORM AGGREGATE $ 5,000,000
I
OTHER THAN UMBRELLA FORM i $
A WORKERS COMPENSATION AND WLRC42467339 12/01/99 12/01/00 X STATUTORY LIMITS _
EMPLOYERS'LIABILITY EACH ACCIDENT
$ 500,000
A THE PROPRIETOR/ INCL FOR GARDEN STATE 12/01/99 12/01/00 DISEASE-POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL 'WLRC42467212 ' DISEASE-EACH EMPLOYEE $ 500,000
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
County of Weld,Colorado,is named as Additional Insured only under General Liability and only as respects the terms of the Franchise Agreement Dated arounc
March 1996.
CERTIFICATE HOLDER ' ' CANCELLATION .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Weld County Board of County Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. Box 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
Greeley,CO 80632
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE /� L
Paul Hoyt r-1 7
ACOPR025-St3/93j _ errnfn.rrTRonrzivlclu s Bg3
Ctnses-t ro& ///c%9/99 992862
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