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HomeMy WebLinkAboutInsurance Certificate: Charter Communications 2,12 345-5000 10/13/2016 6:26:40 PM PAGE 2/003 Fax Server • l~ DATE (MMIDD/YYYY) !~C'URO► CERTIFICATE OF LIABILITY INSURANCE 10/1312016 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 CONTACT NAME: Marsh USA Inc. PHONE FAX 701 Market Street, Suite 1100 A/c No Ext : A/C l : St. Louis, MO 63101-1830 E-MAIL Attn: StLouis.CertRequest@marsh.com Fax: 212-948-0811 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 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 : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-006004589-56 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDNYYY A X COMMERCIAL GENERAL LIABILITY MWZY 305715 11/01/2015 12/01/2016 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2,000,000 POLICY [7 PRO- ❑ I LOC PRODUCTS -COMP/OP AGG $ 2,000,000 JECT T OTHERS $ A AUTOMOBILE LIABILITY MWTB 305710 11/01/2015 12/01/2016 COMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X NON-OWNED Per OP PROPERTY DAMAGE $ HIRED AUTOS X AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION MWC 305714 01 11/01/2016 12/01/2016 X ~ PER STATUTE EORH AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE N /A E.L. EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) (See reverse and/or attached for additional 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. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee.~:itit :::c~E~.,~ z•. © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 212 345-5000 10/13/2016 6:26:40 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 405245 LOC St. Louis ACRD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc- CharterCommunications, Inc- 12405 Powerscourt Drive POLICY NUMBER St- Louis, MO 63131 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Charier Communications, Inc- and their: subsidiaries, associated, affiliated and inter-related companies, controlled or majority (more than 5011/o) owned partnerships, limited liability companies-, interest only in (or its subsidiaries' interest in) any other partnerships orjoinl ventures orlimiled liability companies-, interest in (or its subsidiaries' interest in) any company or organization coming under its active management or control-, any entity 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 Cable Entertainment Company, LLC Charter Communications VI, LLC HPI Acquisition Co., L.L.C. Athens Cablevision, Inc- Charter Communications V, LLC Inlerlink Communication Partners, 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- CC10, LLC Dallon Cablevision, Inc. Marcus Cable of Alabama, L-L-C- CC Michigan, LLC Falcon Cable Media, a California 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 California Limited Partnership Peachtree Cable TV, L-P. CCO SoCal I, LLC Falcon Community Cable, L.P. Plattsburgh Cablevision, Inc- CCO Social II, LLC Falcon Community Ventures I Limited Partnership Renaissance Media, LLC Charter Cable Partners, L-L-C. Falcon First Cable of NewYork, Inc- Rifkin Acquisition Partners, LLC Charter Communications Entertainment I, LLC Falcon First Cable of the Southeast, Inc. Robin Media Group, Inc- Charter Communications Entertainment II, LLC Falcon Telecable, a California Limited Partnership Scottsboro TV Cable, Inc- Charter Communications Operating, LLC Falcon Video Communications, L.P. Tennessee, LLC Charter Communications Properties LLC The Helicon Group, L-P- Tioga Cable Company, Inc. Bresnan Communications, LLC Hometown T-V-, 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 Charter Communications VII LLC Bresnan Broadband of Wyoming, LLC Bright House Networks (eff. 5/18/16) BHN Home Security Services 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 Slates of America, its territories or possessions, Puerto Rico or Canada- Entity: Falcon Telecable, a California Limited Partnership The City of Ashland, its officers, empl oyees and agents are added as Additional Insured to the Commercial General Liability policy but only wilh 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 fully executed- ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD