HomeMy WebLinkAboutComcast (8)AR�`"�� CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
11/08/2016
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 DIME'.T CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CE
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policieswrept re�niondorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s). ��VV� 9 11 [C..t�1
PRODUCER
MARSH USA INC.
1717 Arch Street 'OWN OF LOS ALTO
Philadelphia, PA 19103-2797EIMAIM
Attn: Comcast.Certs@marsh.com Fax: 212-948-0360
CONTACT
NAME:
��o. Ext): (A/C No
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
INSURER A: ACE American Insurance Company
22667
XSLG27859264
INSURED
COMCAST OF CALIFORNIA/OHIO/PENNSYLVANIA/
Indemnity Ins Co Of North America
INSURER 13: y
43575
INSURER C: ACE Property And Casualty Ins Co
20699
UTAHIWASHINGTON, INC.
12647 ALCOSTA BLVD., SUITE 200
P.O. BOX 5147
SAN RAMON, CA 94583
INSURER D : ACE Fire Underwriters Cc
20702
INSURER E : Agri General Insurance Company
42757
INSURER F:
PERSONAL & ADV INJURY $ 4,900,000
COVERAGES CERTIFICATE NUMBER: CLE -004478018-18 REVISION NIIMRFR-
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYYI
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
XSLG27859264
1210112016
12/0112017
EACH OCCURRENCE $ 4,900,000
PREMISESa oocurrence $ 4,900,000
MED EXP (Any one person) $ 10,000
X SIR: $100,000
PERSONAL & ADV INJURY $ 4,900,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY ❑ PRO- ❑
JECT LOC
GENERAL AGGREGATE $ 25,000,000
PRODUCTS -COMP/OP AGG $ 6,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
ISAH09051569
12/01/2016
12/0112017
COMBINED SINGLE LIMIT $ 5,000,000
Ea accident
X
ANY AUTO
BODILY INJURY (Per person) $
ALL OWNEDSCHEDULED
AUTOS AUTOS
Per accident
( ) BODILY INJURY $
HIRED AUTOS NON -OWNED
AUTOS
r
PROPERTY DAMAGE $
Per accident)
$
C
X
UMBRELLA LIAB
X
OCCUR
X00 G27924840 002
12/01/2016
12/01/2017
EACH OCCURRENCE $ 10,000,000
AGGREGATE $ 10,000,000
EXCESS LIAB
CLAIMS -MADE
DE I I RETENTION $
$
B
A
D
E
WORKERS COMPENSATION
AND
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WLRC49105071 (AOS)
WLRC49105083 (CA, MA)
SCFC49105095 (WI)
WLRC49105101 (TN)
12/01/2016
12/01/2016
1210112016
12/01/2016
12/01/2017
12/01/2017
12/01/2017
12101/2017
X PER OTH-
STATUTE ER
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
WCUC49105113 (WA)
12/0112016
12/01/2017
Ea Acc/Dis Employee/Dis Policy 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.
%.cR I irn.r► r r= nvt_ur—rc GANUtLLA I IUN
TOWN OF LOS ALTOS HILLS, CALIFORNIA
ATTN: CITY MANAGER
26379 FREEMONT ROAD
LOS ALTOS HILLS, CA 94022
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee .,fit.„ca„», Xk0 c aC..x, an e
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
4,4 111"NVA, A R S FI
Subject: Comcast Corporation
Certificate of Insurance
Sandra Tai
Marsh USA Inc,
11001 Lakeline Blvd., Bldg 1, Suite 200
Austin, TX 78717
Philadelphia. Cefts@marsh.corn
Attached is your renewal certificate for the December 1, 2016-17 policy period.
If this certificate is no longer needed, please mark delete and email to Philadelphia.certs@marsh.com or fax
to 212-948-0360. We will then deactivate the certificate so you will no longer receive.
If your certificate requires a revision, please contact your representative at Comcast Corporation directly,
Sincerely,
MARSH & McLENNAN
COMPANIES