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HomeMy WebLinkAboutInsurance Certificate: Charter Communications Inc (2) 212 345-5000 10/18/2013 9:19:47 PM PAGE 2/003 Fax Server 11 ACU CERTIFICATE OF LIABILITY INSURANCE DATE (MM➢D YWYI iN182013 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 COCONTACT ME Marsh USA Inc. PHONE FAX 701 Medcel Street, Suite 1100 A/C No Ext : A/C, No St. Louis, MO 63101-1830 E-MAIL Attn: stlovis.certrequeet@marsh.com (fax) 212-9480811 ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC P 405245-ALL-GII3.14 FCSCII INSURER A : Old Republic Insurance Co 24147 INSURED Charts Communicators, Inc INSURER B : North Amencan Ehte Insurance Company 29700 . 12405 Powefscour( Drive INSURER C : St Louis, MO 53131- INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: CHI.003949642.39 REVISION NUMBER:4 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. MISR ADDI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DD (MMflDfh)YYY) LIMITS INSR _V= A GENERAL LIABUTY MWZY 300722 111012013 111012014 EACH OCCURRENCE S 2,000,000 X COMMERCIAL GENERAL LIABILITY 500,000 PREMISES Ea occurrence S CLAIMS-MADE 171 OCCUR MED EXP(Myone Rersdn) $ 10,000 PERSONAL B ADV INJURY S 2,000,000, GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER'. PRODUCTS - COMP/OP AGO S 2,000,000 X POLICY PRO- LOC $ IFCT F7 A PORADBLELIABILITY MWTB 300106 11/012013 11/012014 COM aaBINED S 2,000,000 ANY AUTO BODILY INJURY (Per person) S ALL O ED SCHEDULED BOCLY NJURY (Per acaden0 S AUTOS AUTOS HIRED AUTOS X NON ED PROPERTY DAMAGE $ AUTOS i Per acdaent $ B X UMBRELLAUTA OCCUR UMB 0007893-00 111012013 11/012014 EACH OCCURRENCE $ 5,000,000 EXCESSLSAB CLAIMS-MADE AGGREGATE IS 5,000,000 DEC) RETENTION S S A AND WORKERS EMPLOYERS' LOCOMPENSATIONIBILITY MWC 30072100 111012013 11/012014 X WOSTATU- "ER ANY R20PRIEfOR/PARTNER/EXECUTIVE YIN E. L. EACH ACCIDENT $ 2,000000 OFFICEWMEMBER EXCLUDED? F MIA IMundatory in NMI EL DISEASE - EA EMPLOYE S 2,000,000 k es, essence under 2,000,000 DESCRIPTION OF OPERATIONS Wow. EL DISEASE - POLICY LIMIT $ DESCRMTION OF OPERATIONS/LOCATIONS/ VEHICLES (AUnch ACORD 101. Additional Remarks Schedule if more space Is required) (See reverse and/or attached far additions information) CERTIFICATE HOLDER CANCELLATION City of Ashand 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 ACCORDANCE WITH THE POLICY PROVISIONS. ` AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 0 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 9:19:47 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 405245 LOCtt: St. Louis ACORO ADDITIONAL REMARKS SCHEDULE. Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Charter Communications, Inc 12405 Powerscourt Dnve POLICY NUMBER St. Louis, MO 63131 CARRIER NAIL LODE 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. and their. - subsidiaries, associated, affiliated and inter-rel aced companies: controlled or majority (more than 50%) owned partnerships, limited liabiity companies; - interest day in (or its subsidiaries' interest in) any other partnerships orjoim ventures or limited liabiity companies; interest in (or its subsidiaries' inleresl in) any company or organization coming under its active management or control; any enhty or party required to be insured under any contract or agreement which may now exist, may have previously existed, or may hereafter be created or acquired. American Cad a Entertainment Company,LLC Charier Communications VI, LLC HPI Acquisition Co., LLC Athens Cabevisioo, inc. Charter Communications V, LLC inledink Communication Partners, LLC Addable Cade TV, Inc. Charter Communications, LLC Long Beach, Li Cable Equities Cborado, LLC Charter Video Electronics, Inc. Marcus Cable Associates, Li CC10, LLC Dalton CableNeion, Inc. Marcus Cable of Alabama, LLC CC Michigan, LLC Falcon Cabe Media, a CA LP Marcus Cade, Inc, CC Systems, LLC FA con Cable Systems Company II, LP Midwest Cable Communications, Inc. CC VIII Operating, LLC Falcon Cab wood, a CA LP Peachtree Cade TV, LP CCO SoCal I, LLC Falcon Community Cade, LP Plattsburgh CabeNsion, Inc. CCO SoCal U. LLC Fal con Community Ventures 1, LP Renaissance Media, LLC Charter Cabe Partners, LLC Falcon First Cad a w New York, Inc. Rifkin Anquailion Partners, LLC Charter Communications Entertainment I, DST Falcon First Cade of the Southeast, Inc. Robin Media Group, Inc. Charter Communications Entertainment 1, Li Falcon Telecad e, a CA LP Scottsboro TV Cabe, Inc. Charter Communications Entertainment 11, LLC Falcon Video Communications, LP Tennessee, LLC Charter Communications Operating, LLC The Helicon Group, LP Tioga Cable Company, Inc. Charter Communications Propedies,LLC Hometown TV, Inc. Vista Broadband Communications,LLC ...and any corporation or other business organization other than a joint venture in which the Named Insured shown in the cessations has or acquires during the policy period an ownership of more than 50% and which is domicied within the United Stales of America, its fanfares or possessions, Puerto Rico or Canada. Entity Falcon Cable Systems Company IL LP .RE: Ordinance 82258 doled May 17, 1983. Certificate Holder is added as Addihonal Insured to the Commercial Genera Liability policy but any win respects to the requirements of The writlen contract or agreement with the Named Insuretl. Additional Insured status becomes effective once the written contract or agreement is fitly executed. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 212 345-5000 10/18/2013 9:19:47 PM PAGE 1/003 Fax Server Facsimile Transmittal Sheet MARSH AnA 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 privilegeet and is intendedfor the use ofthe 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 thisfacsimile message. nNEENNEENNE ~~0147mffiq\