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HomeMy WebLinkAboutInsurance Certificate: Charter Communications 212 345-5000 10/29/2014 8:31:12 PM PAGE 2/004 Fax Server CERTIFICATE OF LIABILITY INSURANCE 1 °1029"°a"'"Y' d29l2014 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 endorsements . PRODUCER NLAM I AG I AME: Marsh USA Inc. FAX PHONE Ext: No: 701 Market Street, Suite 1100 St. Louis, MO 63101-1830 AL-MAIL DDRESS: Attn: stlouis.certrequest@marsh.com (fax)212-948.0811 INSUREFKS) AFFORDING COVERAGE NAIC# 405245-ALL-GAWU-14-15 FTCB y MDF- INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: N/A N/A Charter Communications, Inc. 12405 Powerscourt Drive INSURER C : St. Louis, MO 63131 INSURER D: INSURER E : INSLRER F COVERAGES CERTIFICATE NUMBER: CHI.00395414948 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. IN TYPE OF INSURANCE POLICY MaVIBER NUDD'YY LIMITS A GENERAL LIABILITY MWZY 303015 11/01/2014 11/01/2015 EACH OCCURRENCE $ 2,000,000 X OC/vTAEFICIALGENERAL LIABILITY PREMISES Ea occurrence $ 500,000 CLAINAS-MADE M OCCUR N ED EXP (Arry one person) $ 10,000 PERSONAL&ADVINUURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GENLAGGREGATEUv1TAPPLIESPER: PRODUCTS -CCMP/OPAGG $ 2,000,000 X POLICY P LCC $ A AUrOMOBILEUABILITY MWTB 302641 11/01/2014 11/01/2015 Eaecdderrt $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALAfLO ED ~ LED BODILY INJURY (Per accident) $ N94-O MVED X HIRED AUTOS X AUTOS PPFE)IP er acddert $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS~AADE AGGREGATE $ DED RETENTIONS $ A WORKERS CONIPENSAMON MWC30301400 11/01/2014 11/01/2015 T CSTA U OTR AND EIVPLOYEl LIABILITY ANY PROPRIETORIPARTNlERVEXECUTIVE Y/N E.LEACH ACCIDENT $ 2,000,000 OFFICEWMENBEREXCLUDED? N❑ N/A (Mardatoryin r" E.LDISEASE -EABNPLOYE $ 2,000,000 My~ desvlba under DKs'MP-'n&oFOPERAT10Nsl E.LDISEASE - POLICY UNIT $ 2,000,000 DESCFAPTION OF OPERATIONS / LOCATIONS / VEHCLES (Attach ACOFID 101, Additional Remartrs Schedule, If more space is required) (See reverse ar dlor attached for additicnal iftinlEdw) 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _rx~.~xo~s•f.~ .SA +x ~.r.su tic © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 212 345-5000 10/29/2014 8:31:12 PM PAGE 3/004 Fax Server AGENCY CUSTOMER ID: 405245 _ LOC#: St. Louis qc~ ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Charter Camurications, Inc. 12405 PoHerscourt Drive POLICY NLMER St. Louis, MO 63131 CARFIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Charter Communications, Inc, and their: subsidiaries, associated, affiliated and inter-related companies; controlled or majority (more than 50%) owned partnerships, limited liability compares; interest only in (or its subsidiaries' interest in) any other partnerships or joint ventures or limited liability companies; interest in (or its subsidiaries' interest in) any company or organization coming under its active management or control; any e" 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 Cade Entertainment Company, LLC Charter Communications VI, LLC HPI Acquisition Co., L.L.C. Athens Cablevision, Inc. Charter Communications V, LLC Interla Communication Partners, LLC Ausable Cable TV, Inc. Charter Communications, LLC Long Beach, LLC Cade Equities Colorado, LLC Charter Video Electronics, Inc. Marcus Cable Associates, L.L.C. CC10, LLC Dalton Cablevision, Inc. Marcus Cade of Alabama, L.L.C. CC Michigan, LLC Falcon Cable Media, a Calforia Limited Partnership Marcus Cable, Inc. CC Systems, LLC Falcon Cable Systems Company II, L.P. Midwest Cable Communications, Inc. CC VIII Operating, LLC Falcon Cablevision, a Cal"rfomia Limited Partnership Peachtree Cable TV, LP. CCO SoCal I, LLC Falcon Community Cable, L.P. Plattsburgh Cablevision, Inc. CCO Socal II, LLC Falcon Community Ventures I Limited Partnership Renaissance Media, LLC Charter Cable Partners, L.L.C. Falcon First Cade of New York, Inc. Rifkin Acquisition Partners, LLC Charter Communications Entertainment I, LLC Falcon First Cable of the Southeast, Inc. Robin Media Group, Inc, Charter Communications Entertainment 11, LLC Falcon Telecable, a California Limited Partnership Scottsboro TV Cade, Inc. Charter Communications Operating, LLC Falcon Video Communications, L. P. Tennessee, LLC Charter Communications Properties LLC The Helicon Group, L.P. Tioga Cade Company, Inc. Bresnan Communications, LLC Hometown TV., Inc. Vista Broadband Communications, LLC Bresnan Digital Services, LLC Bresnan Broadband Holdings, LLC Bresnan Microwave of Montana, LLC Bresnan Broadband of Utah, LLC Bresnan Broadband of Colorado, LLC Bresnan Broadband of Montana, LLC Bresnan Broadband of Wyoming, LLC and any corporation or other business organization 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 domiciled within the United States of America, its territories or possessions, Puerto Rico or Canada. Entity: Falcon Telecade, a California Limited Partnership The Qty of Ashland, its officers, employees and agents are added as Additional Insured to the Commercial General Liability policy but only with respects to the requirements of the written contract or agreement with the Named Insured. Additional Insured status becomes effective once the written contract or agreement is fumy executed. ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 212 345-5000 10/29/2014 8:31:12 PM PAGE 4/004 Fax Server Becky Hardin Marsh USA Inc. 761. Market Street. Suite 1106 St. Louis, MO 631.61-1630 +1 314 342 2445 Becky.j. hardir@marsh. com www. marsh. com October 29, 2014 Dear Certificate'Holder: In order to serve you better, we wquid like to send future renewal certificates to you.via e-mail. Please send an er7i6l to the following address; providing a copy of the certificate you have recently received and clearly indicating the email address you would like ail future certificates sent to. If the Certificate is no longer required, please indicate this instead of an email address. Email to: stlouis.certrequestCa>marsh.com Thank you for your assistance.. Becky Hardin Client Representative Marsh. USA Inc_ 14 A H&.ta1CLEN NAN