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HomeMy WebLinkAboutInsurance Certificate: Charter Communications Inc 212 345-5000 10/18/2013 9:14:26 PM PAGE 2/003 Fax Server CERTIFICATE OF LIABILITY INSURANCE °IOVlWO13 10'1820 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NACONTAU1 ME: Marsh USA Inc. PHONE FAX 701 Market Street, Suite 1100 A/c Nd Ent : A/C Hof: SL Lois, MO 631011830 E-MAIL Attn: sllouis.cerVequmA@marsh.com (fax) 21294&0811 ADDRESS: INSURER 5 AFFORDING COVERAGE NAIL N 405245-ALL-GAWU-13-14 TICE Y MDR INSURER A: Old Republic Insurance Cc 24147 INSURED INSURER B , N/A N/A Charter Communications, Inc. 12405 Powerscowt Drive INSURER C SL Louis, MO 63131 INSURER D INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: CHI-003954148-39 REVISION NUMBER:5 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 TYPE OF INSURANCE POLICY Err POLICY EXP LTR POLICY NUMBER MWDD/YYYY MMIDDTYYYYLIMITS z8a A GENERAL LIABILITY - MWZY 300722 11/012013 11/012014 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY 500,000 PREMISES E. owunenrn $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY S 2,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S 2,000,000 X POLICY PRO- LOC E JPCT A ROMOBILIELKEHLITY MWTB 300106 11/012013 11/012014 M IN SINGLE LIMIT a accident S 2,000,000 ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY Par accident) S AUTOS AUTOS HIRED AUTOS X NON-OWNED PROPERTY DAMAGE S AUTOS Per accident UMBRELLALMB OCCUR EACH OCCURRENCE $ EXCESS LLAS CLAIMS-MADE AGGREGATE $ DED RETENTION $ S A WORKERS COMPENSATION MAC 30072100 111012013 11/012014 X TSY.TATU- OTH AND EMPLOYERS' LIABILITY LIM o, ANY RROPRIErC ARTNEWEXECU1`IVE YIN EL EACH ACCIDENT $ 2,000,000 OFFICEWMEMBER EXCLUDED? N/A (Mandatory M NH) E L DISEASE - EA EMPLOYE S 2,000,000 Ilyes, desc ide under 2,000,000 DE SCRIPTIONOFOPERATIONS Wow EL DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Aflech ACORD 101. Additional Remarks Schedule, If more space K required) (See reaerse and/or attached far additions' information) CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 East Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland, OR 97520 - ACCORDANCEWITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Masashi Mukherjee _MXa~..neau .SA...a[r-.nuau- © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 212 345-5000 10/18/2013 9:14:26 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 405245 LOC St. Louis ACORO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Charter Communications, Inc. 12405 Powerscourt Drive POLICY NUMBER St. Louis, MO 63131 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: __L5_ FORM TITLE: Certificate of Liability Insurance Charter Communications, Inc. andlheiC - -subsidiaries, associated, striated and inter-related companies; - controlled or majority (more than 509%) owned partnerships, limited liabiity companies; -interest orgy in (or its subsidiaries' interest in) any other partnerships or joint ventures or limited liabtity, companies; -interest in (or its subsidlanesinterest in) any company or organixahon coming under its active management or contrd; -any entity or party required lobe insured under any contract or agreement which may now exist, may have previously existed, or may hereafter be created or acquired. American Cade Entertainment Company,LLC Charter Communications VI, LLC HPIAcquahon CO.,LLC Athens Cadmision, Inc. Charter Communications V. LLC Inledink Communication Partners, LLC Aueade Cade TV, Inc. Charter Communications, LLC Lang Beach, LLC Cade Equities Colorado, LTC Charger Video Electronics, Inc" Marcus Cade Associates, LTC CC10,LLC " Delon Cadevision, Inc. Marcus Cade of Alabama, LTC CC Michigan, LTC Falcon Cade Media, a CA LP Marcus Cade, Inc. CC Systems, LLC FN Con Cable Systems Company 11, LP Midwest Cade Communications, Inc. CC VIII Operating, LLC Fa' con CadeNsion, a CA LP Peachtree Cade TV, LP CCO SaCal I, LLC Falcon Community Cade, LP Plattsburgh CableNsion, Inc. CCO SoCal 11, LLC Falcon Community Ventures I, LP Renaissance Media, LLC Charter Cade Partners, LLC Falcon First Cade of New York, Inc. Rifkin Acquisition Partners, LLC Charter Communicators Entertainment 1, DST Falcon First Cade of the Southeast, Inc" Robin Media Group, Inc. Charter Communications Entertainment 1, LLC Falcon Telecade, a CA LP Scottsboro TV Cade, Inc. Charter Communicators Entertainment II, LLC Falcon Video Communications, LP Tennessee, LLC Charter Communicators Operating, LLC The Helicon Group, LP Tioga Cade Company, Inc. Charter Communicahons Properties, LLC Hometown TV, Inc. Vista Broadband Communications, LLC ...and any corporation or other business organ¢ahon other than a joint venture in which the Named Insured shown in the declarations has or acquires during the policy period an ownership of more than 50% and which is convicted within the United States of America, its tenilodes or possessions, Puerto Rico or Canada. Entity: Falcon Telecade, a California Limited Partnership The C ly of Ash and its officers,emp' oyees and agents are a dried as Additi anal Ins ured to the Com i of General Liabili ty ad icy but any with respects to the requirements of th a written contract or agreement with the Named Insured. Adddmnal Insured status becomes effective once the written contract or agreement is holy executed I ACORD 107 (2008/01) ©21 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 212 345-5000 10/18/2013 9:14:26 PM PAGE 1/003 Fax Server Facsimile Transmittal Sheet MARSH An ANK Company From: Kayla Ray To: City of Ashland Phone: Fax: 541-552-2059 Date: 18-Oct-13 Attention: Time: 09:13 PM Company: CHARTER COMMUNICATIONS Message: The information contained in this facsimile message is confidential, may be privilege4 and is intendedfor the use of the individual or entity named above. Ifyou, the reader of this message, are not the intended recipient the agent, or employee responsible for delivering this information to the intended recipient, you are expressly prohibitedfrom copying, disseminating, distributing, or in any other way using any of the information,contained in this facsimile message.