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HomeMy WebLinkAboutInsurance Certificate: Charter Communications 416 J`tD-.7000 1U/JU/GU10 `J' : bb: bd PM PAGE 2/003 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE NMYYYY) 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 WNIALA Marsh USA Inc. NAME 701 Market Street. Suite 1100 P✓C N EAR : ❑(/LC. No). - St.Louls, MO 63101-1830 ADDRESS: Attn: StLouis.CertRequest@marsh.com Fax:212-948-C811 INSURERS) AFFORDING COVERAGE NAIC# FTCB y NIDF- INSURER A : Old Republic Insurance Company 24147 INSURED INSURER B : N/A NIA CharterCommun!caLons, Inc. 12405 Powerscourt Drive INSURER C : St. Louis, MO 63131 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-OC6004589.53 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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDMCN 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. U ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE - POLICYNLIMBER NUDO/ MDDYYY LIMITS YY) A x COMMERCIALGENERALUABIUTY MWZY305715 11/01/2015 11/0 V2016 EACH OCCURRENCE $ 2,000,000 CLAIMS MADE OCCUR PREMISES EaoccrrremE $ 500,000 MED EXP (Arty one person) $ 10,000 PERSONAL&ADVINIIURY S 2,000,000 GENLAGGREGATEUMITAPPUESPER: GITIERALAGGREC-ATE $ 2,000,000 X POJCY ❑ PRO- JECT ❑ LOG PRODUCTS-CCMP/OPAm q 2,000,000 OTHER I $ A AUTOMOBILELIABILITY MWTE305710 111/01/2015 11/01'2016 Eaacdderrt) ~ L $ 2,000,000 X ANYAUIO I BODILY IWURY (Per person) $ ~OS ED UTOS HEDULED BODILY INllURI(Paacdder¢) $ _ N10 40M, ED X HI RED AUTOS ❑ AUTOS UMBRELLA LIAB HI OCCUR I EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETEMION$ $ A WORKERSCONPENSATION ( IMWC 305714 00 11/01/2015 11/0172016 X AND EMPLOYERS LIABILITY Y / N STATUTE R _ ANY PROP.RE70R'PAR7NERF-XECU7IVE E.LEACH ACCIDENT $ 2,000,000 OFFICERMEMBEREXCLUDED? F1 N/A (MandatorynNH) EL DISEASE- FA EMPLOY S 2,000,000 If es desaibeurder DEKCAPTION OF OPERATICINIS below EL DISEASE - POLICY JMIT S 2,000;000 DESCRIPTION CF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101. Additional Renwks Schedule, rmy be attached if more space is required) (See reverse ardor a tached'or addtional 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTFIORIZEO REPRESENTATIVE of Marsh USA Inc. Manashi Mtkl-erjee 3~Cr~~ ra~>ti ~ z © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD zlz J4!3-tD000 10/30/2015 9:56:58 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 405245 LOC St- Louis ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 il-~- AGENCY NAMED INSURED Marsh LISA Inc. Charter Ccrnmrimtions, Inc. 12405 Powersoourt Drive POLICY NUMBER R. Lous. MO 63131 CARRIER 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 501/6) owned partnerships, limited liability companies; 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 entity or parry 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 Cable Entertainment Company, LLC Charter Communications VI, LLC HPI Acquisition Co., LL C. Athens Cablevision, Inc. Charter Communications V, LLC Intedink Communication Partner, LLC Ausable Cable TV, Inc. Charter Communications, LLC Long Beach, LLC Cable Equities Colorado, LLC Charter Video Electronics, Inc. Marcus Cable Associates, L L.C. CC13, LLC Dalton Cablevision, Inc. Marcus Cable of Alabama, L.L C. CC Michigan, LLC Falzon Cable Media, a Carifomia Limited Partnership Marcus Cable, Inc. CC Systems, LLC Falcon Cable Systems Company 11, L P. Midwest Cable Communications, Inc. CC VI II Operating, LLC Falcon Cablevision, a California Linited Partnership Peachtree Cable TV, L. P. CCO SOCa-I t, LLC Falcon Community Cable, L.P. Plattsburgh Cablevision, !nc. CCO SoCal II, LLC Falcon Community Ventures I Limited Partnership Renaissance Media, LLC Charter Cable Partners, L.L.C. Falcon First Cable of New, York, Inc Rifkin Acquisition Partners, LLC Charter Communications Entertainment I, LLC Falcon First Cable of the Southeast, Inc. Robn Media Group, Inc. Charter Communications Entertainment 11, LLC Falcon Teleable, a California Limited Partnership Scottsboro TV Cable, Inc. Charter Communications Operating, LLC Falzon Video Communiatiom, L Tennessee, LLC Charter Communications Properties LLC The Helicon Group, L.P. toga Cable 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, LC 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 Pico or Canada. =ntity: Falcon Telecable, a California Limited Partnership The City 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 contractor agreement is fully executed. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Z14 .345-SUVU 1U/JU/ZU1tD U: !DG; b8 PM PAGE 1/003 Fax Server ONE Facsimile Transmittal Sheet MARSH An MW Company From: Rhonda Metech To: City of Ashland Phone: Fax: 541-552-2059 Date: 30-Oct-15 Attention: Time: 09:56 PM Company: CHARTER COMMUNICATIONS Message: The inormation contained in thus facsimile message is confidential, may be privileged, and is intended for the use of the individual or entity tanned above. If yoic the reader of thus message, are not the intended recipient, the agent, or employee responsible for delivering this information to the intended recipient you are expressly prohibited from copying, disseminating, distributing, or in any other way using any of the information contained in th is facsitile message. 0