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Home My WebLink AboutComcast - Certificate of InsuranceACORO moi. ® CERTIFICATE OF LIABILITY INSURANCE DF -01/1 (2207° ) 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(hes) 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. 1717 Arch Street CONTACT NAME' PHONEIAIC No. Pan - EMIL ADDRESS: Philadelphia, PA 19103.2797 Attn: Comcasl.CellsQmarsh.corn Fax: 212-948-0360 INSURERS AFFORDING COVERAGE MAIC If INSURER A: ACE American Insurance Company 22667 XSLG27859264 INSURED COMCAST BUSINESS CLASS SECURITY, LLC DIB/A COMCAST BUSINESS SMARTOFFICE INSURER B: Indemnity Ins Co Of North America 43575 INSURER C: ACE Property And Casualty Ins Co 20699 I INSURER D: ACE Fre Underwriters CD 20702 1701 JFK BOULEVARD PHILADELPHIA, PA 19103 INSURER E: A9n General Insurance Company 42757 INSURER F: COVERAGES CERTIFICATE NUMBER: CLE -005289589-01 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, INBR LTR TYPEOFINSURANCE ADDL AUTHORIZED REPRESENTATIVE POLICY NUMBER MM/DDY/YYYY MMND� UNITS A X COMMERCIAL GENERALLIABILITY XSLG27859264 17/01/2016 12101/2017 EACH OCCURRENCE $ 4,900,000 MAammma,,l CLAIMS -MADE 17 OCCUR _NXIAZE 75 PREMISES(FaE $ 4,900.000 MED EXP (Any we person) $ 10,000 X SIR: $100,000 PERSONAL$ ADV INJURY $ 4,904000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 25,000,000 PRODUCTS-COMP/OP AGO $ 6,000,000 POLICY ❑ PRO- F—] LOC X JECT $ OTHER: A AUTOMOBILE LIABILITY ISAH09051569 1210112016 1210112017 COMBINED SINGLE LIMIT $ 5,000,000 We amidem) BODILY INJURY (Per person) S X ANY AUTO BODILY INJURY (Per awdent) $ ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accidem S C X UMBRELLA MeX OCCUR XOO 627924840002 1210112016 12101/2017 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS UAB CLAIMS -MADE DED I I RETENTION$ $ B A D WORKERS COMPENSATION ANDEMPLOYERS'YIN UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OF Excwoem N❑ (Myandatory In NH) NIA WLRG49105071 (AOS) RC491D5083 (CA, MA) (WI) SCFC49105D95 I 17/0112016 12N7/2016 17/01/2016 12101/2017 1210112017 12JO112017 X PER oTH- ATER E.L. EACH ACCIDENT $ 2A0,00 E.L. DISEASE -EA EMPLOYE $ 2,00,00 E. L. DISEASE - POLICY LIMIT $ E D SCRIPTION OF OPERATIONS below RC49105101 ) 12/0112016 12/01/20172,000,00 A Excess Workers Compensation WCUC49105113 (WA) 17/0112016 1210112017 Ea AcGDis Employea Dis Policy 2,00,000 SIR 5,00,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) RE LICENSE APPLICATION 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 CITY OF SEBASTIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1225 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SEBASTIAN, FL 32958 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _Mnuoo*+w.4.wewau- 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD '� � DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE „�za�2o,z 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(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 co�fer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NnME: 1717 AfCh $U2Et PHONN A/C No : Philadelphia, PA 19103-2797 ADDRIESS: Attn: Comcast.CertsCamarsh.com Fax: 212-948-0360 05194 -ALL-GAWU-12-13 XFINIT PHILA PA NO NO INSURED COMCAST BROADBAND SECURITY, LLC D1BIA XFINITY HOME ONE COMCAST CENTER 1701 JOHN F. KENNEDY BOULEVARD PHILADELPHIA,PA 19103 INSURER S AFFORDING COVERAGE NAIC M A: ACE American Insurance Company 22667 e: ACE Property And Casualty Ins Co 20699 �: Indemnity Ins Co Of North America 43575 INSURER D : F: COVERAGES CERTIFICATE NUMBER: C�E-0038�3214-03 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. INSR 7ypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS L7R POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL 11ABILITY EACH OCCURRENCE $ 4,900,000 A X COMMERCIAL GENERAL LIABILITY XSL G27014598 1210112012 1210112013 DAMAGE TO RENTED q,g00,000 PREMISES Ea occurrence $ CLAIMS-MADE � OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 4,900,000 X$100,000 SIR GENERAL AGGREGATE $ 25,000,000 GEN'� AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG $ 6,000,000 X POLICY PR� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 10,000,000 Ea accident a x ANY AUTO ISA H08712773 1210112012 12101/'2013 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY iNJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE XOO G27049175 12/01I2012 1210112013 AGGREGATE $ 5,000,000 DED RETENTION $ $ C WORKERS COMPENSATION WLRC47127075 (AOS) 12IOlIZO12 12IO1I2O13 X WC STATU- OTH- AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N WLRC47127087 (CA) 1210112012 12I01/2013 E.L. EACH ACCIDENT $ 2,000,000 A OFfICER/MEMBEREXCLUDED? � N�A WLRC47127099(MN) 12IO1I2O12 12IO1/ZO13 2,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ A If yes describe under SCFC47127105 (WI) 1210112012 1210112013 2,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY IIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space ie required) RE: CONTRACTOR REGISTRATION WITH SEBASTIAN, FLORIDA CITY OF SEBASTIAN IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY POLICY AND AUTOMOBILE LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. $100,OIX1 PER OCCURRENCE SELF INSURED RETENTION APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY. :']�;III�C«I_ll�:C�]�U�:i CITY OF SEBASTIAN 1225 MAIN STREET SEBAST4AN, FL 32958 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. � I Manashi Mukherjee _.S+�L.a�+.�vr.�s,: .;�i�"c'",�-e� OO 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD