HomeMy WebLinkAboutComcast (9)CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/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 DOES NOT CCNSTITUTE 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(ies) must 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. N M
PHONE FAX
1717 Arch Street /c o Ext): AIC'
IC Noll;
Philadelphia, PA 19103-2797 NOV 2
Attn: Comcast.Certs@marsh.com Fax: 212-948-0360 s.
INSURED
COMCAST OF CALIFORNIA/OHIO/PENNSYLVANIA/
UTAHANASHINGTON, INC.
12647 ALCOSTA BLVD., SUITE 200
P.O. BOX 5147
SAN RAMON, CA 94583
INSURER(S) AFFORDING COVERAGE
A: ACE American Insurance Company
Wnity Ins Co Of North America
c ; ACE Property And Casualty Ins Co
D ; ACE Fire Underwriters Co
E ; Agri General Insurance Company
COVFRAGFS CFRTIFICATF NIIMRFR- CLE -004465889-20 RFVISIfIN NI IMRFR-
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
MMIDD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
XSLG27859264
12101/2016
12/0112017
EACH OCCURRENCE
$ 4,900,000
CLAIMS -MADE � OCCUR
DAMAGES( RENTED
PREMISES Ea occurrence)$
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:
GENERAL AGGREGATE
$ 25,000,000
X POLICY ❑ PRO JECT [_—]LOC
PRODUCTS - COMP/OP AGG
$ 6,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
ISAH09051569
12/01/2016
12/01/2017
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
X
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
HIRED AUTOS NON -OWNED
AUTOS
PROPTY DAMAGE
Per acciERdent
$
C
X
UMBRELLA LIAB
X
OCCUR
X00 G27924840 002
1210112016
12/01/2017
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
B
A
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YNN
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
WLRC49105071 (AOS)
WLRC49105083 (CA, MA)
SCFC49105095 WI
( )
12/01/2016
12/01/2016
12101/2016
12/01/2017
1210112017
12/0112017
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 2,000,000
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
E
If yes, describe under
DESCRIPTION OF OPERATIONS below
WLRC49105101 TN
( )
12101/2016
1210112017
E.L. DISEASE -POLICY LIMIT
$ 2,000,000
A
Excess Workers Compensation
WCUC49105113 (WA)
12/01/2016
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)
(:1=RTI1 1rATF WWI nl=P r:AWt'FI I ATI(1A1
TOWN OF LOS ALTOS HILLS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATTN: CITY MANAGER
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 .._WLMAA.raO AAe_, %AA4-e„x.
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
Subject: Comcast Corporation
Certificate of Insurance
Sandra Tall
Marsh USA Inc.
11001 Lakeline Blvd., Bldg 1, Suite 200
Austin, TX 78717
Philadelphia. Certs@rnarsh.corn
Attached is your renewal certificate for the December 1, 2016-17 policy period.
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If your certificate requires a revision, please contact your representative at Comcast Corporation directly,
EMOM
Sandra Tai
MARSH & McLENNAN
COMPANIES