HomeMy WebLinkAboutCAG1993-0577 - Insurance Certificate - 1993 Certificate of Insurance - 08/30/1993 We're taking television
into tomorrow:
SM //I TCI Cablevision of Washington, Inc.
August 30, 1993
City Clerk
City of Kent
220 Fourth Ave S
Kent, WA 98032
Dear Sir:
Enclosed please find TCI ' s Certificate of Insurance as
required by the City of Kent for the renewal of Franchise
Ordinance 3108. If there are any questions, please contact
me at 833-9675, extension 3001 .
Sincerely,
Claire Brown
Administrative Assistant
Auburn Office
4020 Auburn Way N.
Auburn,WA 98002
(206)833-9026
FAX(206)939-6235
An Equal Opportunity Employer
DATE(MM/DD/YY)
ERTIFICM OF INSURANCE __ _ W A
N
�
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER O I F A
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DESPOT NELSON & COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURANCE BROKERS, INC.
COMPANIES AFFORDING COVERAGE
6312 S. FIDDLER'S GREEN CIR #435N COMPANY AGRICULTURAL INSURANCE COMPANY
ENGLEWOOD, CO 80111
A
INSURED COMPANY OLD REPUBLIC INSURANCE COMPANY
TCI OF SEATTLE, INC. B
COMPANY
5619 DTC PARKWAY C
ENGLEWOOD, CO 80111 COMPANY
D
QES
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
AFFORDEDCERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE
EXCLUSIONS AND COND T ONS OF SUCH POLICIES.L M TS SHOWN MAYHAVE BEEN REDUCED I BY PAID CLAIMS.HEREIN IS SUBJECT TO ALL THE TERMS,
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY)
LTRGENERAL AGGREGATE 1,000, 000
GENERAL LIABILITY PRODUCTS-COMP/OPAGG 1,000,000
A X COMMERCIAL GENERAL LIABILITY UMB 7946965 01-01-93 01-01-94 PERSONAL&ADV INJURY 1, 000,000
CLAIMS MADE X OCCUR EACH OCCURRENCE 1,000, 000
OWNER'S&CONT PROT
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $ _ ,....
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
B X ANY AUTO MWTB 14112 06-01-93 D1-01-95
BODILY INJURY $
ALL OWNED AUTOS
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
PROPERTY DAMAGE $
—AUTO ONLY-EA ACCIDENT $
GARAGE LIABILITY
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
EXCESS LIABILITY
AGGREGATE $
UMBRELLA FORM $
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY EACH ACCIDENT $
DISEASE-POLICY LIMIT $
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE DISEASE-EACH EMPLOYEE $
OFFICERS ARE: EXCL
OTHER
RE
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS
FRANCHISE_RENERA_L ORIf•# 108 __ _
ENABLING ORD#3107
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED ON THE GENERAL LIAB.
POLICY ABOVE, IF REQUIRED BY WRITTEN CONTRACT
CERT .
...IFICATE_.._.-.HOLD
_-.R.,. CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
P RATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
CITY OF KENT �a DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
220 4TH AVENUE SOUTH
KENT, WA 98032 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
gHT�101 RIZED REPR ENTATI
ATTN: CITY CLERK (L/J/
ACORD 25-S(3/93)
J. MICHAEL O'CONNELL - dD$ 1993