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Home My WebLink AboutComcast (3)A►C(:>R"l CERTIFICATE OF LIABILITY INSURANCE FDATE /2021 nYYY) 11119/2021 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 MARSH USA INC. 1717 Arch Street Philadelphia, PA 19103.2797 Attn: Comcast.Certs@marsh.com Fax: 212-948-0360 CONTACT NAME: PHO N AX No): E-MAIL ADDRESS: XSL G72480922 12101/2021 INSURERS AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company 22667 DAMAGE TO RENTED PREMISES Ea occurrence) $ 14,900,000 INSURED COMCAST OF CALIFORNIAIOHIOIPENNSYLVANIAI INSURER B : Indemnity Ins Cc Of North America 43575 INSURER C : ACE PropertV And Casualty Ins Co 20699 UTAHIWASHINGTON, INC. 12647 ALCOSTA BLVD., SUITE 200 P.O. BOX 5147 INSURER D: ACE Fire Underwriters Ins. Co. 20702 INSURER E: SAN RAMON, CA 94583 INSURER F : LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CQVERAGES CERTIFICATE NUMBER: CLE -005483068-25 REVISION NIJMRFR- 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. /LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MO/DDNYYY FF POLICY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X OCCUR X SIR: $100,000 I XSL G72480922 12101/2021 12101/2022 EACH OCCURRENCE $ 14,900,000 DAMAGE TO RENTED PREMISES Ea occurrence) $ 14,900,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 14,900,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO - PRO ❑ LOC POLICY JECT OTHER: GENERAL AGGREGATE $ 60,000,000 PRODUCTS - COMP/OP AGG $ 15,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ISA H25542964 1210112021 1210112022 COMB NED SINGLE LIMIT Ea acg 15,000,000 cident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XEU G27924840 007 1210112021 12101/2022 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I I RETENTION $ $ B A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED? IN I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WLR C68917943 (AOS) WLR 068917980 CA, MA ( ) SCFC68918066 WI ( ) 12/0112021 1210112021 12101/2022 12101/2022 12/0112022 X STAT TE ERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Excess Workers Compensation WCU 068918029 (WA) 1210112021 1210112022 Ea AcclDis EmployeelDis 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 26379 FREEMONT ROAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LOS ALTOS HILLS, CA 94022 AUTHORIZED REPRESENTATIVE ry��. .�r� iI'�F..avYJ t 271_0 @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD