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HomeMy WebLinkAboutComcastACCMEO CERTIFICATE OF LIABILITY INSURANCE D11/20/2018DrvyyY) �...,. - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: MARSH USA INC. 1717 Arch Street PHONE E t • A/C. /C No): Philadelphia,FECEN-c—Di- E-MAIL ADEss:AttCmasCersLmarshcom Fax: 212-948-03 12101/2019 EACH OCCURRENCE $ 4,900,000 INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 NOV 16 2018 INSURED COMCAST OF CALIFORNIA/OHIO/PENNSYLVANIA/ INSURER B : Indemnity Ins Cc Of North America 43575 INSURER C: ACE Property And Casualty Ins Co 20699 UTAHMASHINGTON, INC. INSURER D : ACE Fire Underwriters Ins. Co. 20702 12647 ALCOSTA BLVD., SUITE 200 TOWN OF LOS ALTOS HILLS. P.O. BOX 5147 PERSONAL & ADV INJURY $ 4,900,000 SAN RAMON, CA 94583 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: CLE -005483068-20 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER CY EFF MM/POLDD YYYY MM DD YYCY YP LIMITS A X COMMERCIAL GENERAL LIABILITY XSLG71209313 12/01/2018 12101/2019 EACH OCCURRENCE $ 4,900,000 CLAIMS -MADE � OCCUR DAMAGES (a TED PREMISES Ea occurrence) $ 4,900,000 MED EXP (Any one person) $ 10,000 X SIR: $100,000 PERSONAL & ADV INJURY $ 4,900,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY F] JECTPRO [:]LOC PRODUCTS -COMP/OP AGG $ 6,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISA H26275354 12/0112018 12101/2019 COMBINED SINGLE LIMIT $ jEa accident) 10,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY r PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIAB X OCCUR X00 G27924840 004 12/0112018 1210112019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ $ B A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N/A WLR C65440398 (AOS) WLR C6544043A (CA, MA) SCF WI ( ) 1210112018 12101/2018 12101120 9 1210112019 1210112019 X STATUTE ERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Excess Workers Compensation WCUC65440477 (WA) 1210112018 12101/2019 Ea Acc/Dis Employee/Dis Polic 2,000,000 SIR 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY POLICY AND AUTOMOBILE LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION TOWN OF LOS ALTOS HILLS, CALIFORNIA ATTN: CITY MANAGER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26379 FREEMONT ROAD ACCORDANCE WITH THE POLICY PROVISIONS. LOS ALTOS HILLS, CA 94022 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee+t t�«at,w ►,�r ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD