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HomeMy WebLinkAboutInsurance Certificate: Charter Communications 212 345-5000 11/14/2016 8:24;30 PM PAGE 2/003 Fax Server 0 DATE (MM/DD/YYYY) ~cvRL7 CERTIFICATE OF LIABILITY INSURANCE 11/1412016 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 FAX PHONE 701 Market Street, Suite 1100 A/e No Ext : A/c No St. Lou s, MO 63101-1630 E-MAIL Attn StLouis.CertRequest(gmarsh com Fax' 212-946-0811 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-006004589-58 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. ADDL SUBR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE INSD POLICY NUMBER MM/DD/YYYY MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 305715 11/01/2015 0110112017 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE F5qOCCUR =IRFMISES Fa occurrence $ 500,000 MED EXP (ATV one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 JFC OTHER' $ A AUTOMOBILE LIABILITY MWTB 305710 11/01/2015 01/01/2017 COMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ $ DED RETENTIONS A WORKERS COMPENSATION MWC 305714 01 11/01/2016 01/0112017 X PER OTH- AND EMPLOYERS LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ~ N /A = L. EACH ACCIDENT $ 2,000,000 OFFICER/MEMDER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If Ves, 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 andfor 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~~hJ9.t•::-c a+,e=l © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 212 345-5000 11/14/2016 8:24:30 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 I 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%o) 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 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 Acquisilion Co., L.L.C. Athens Cablevision, Inc. Charter Communications V, LLC Interlink Communication Partners, LLC Ausable Cable TV, Inc. Charter Commun cations, LLC Long Beach, LLC Cable Equities Colorado, LLC Charter Video Electronics, Inc. Marcus Cable Associates, LL C. CC10, LLC Dalton Cablevision, Inc. Marcus Cable of Alabama, ILL C_ CC Michigan, LLC Falcon Cable Media, a California Limited Partnership Marcus Cab e, Inc. CC Systems, LLC Falcon Cable Systems Company tt, L.P. Midwest Cabe Communications, Inc. CC VIII Operating, LLC Falcon Cablevision, a California 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 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 tt, 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 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 Charter Communications VII LLC Bresnan Broadband of Wyoming, LLC Bright House Networks (ell 5/18/16) BHN Home Securty 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 503'. and which is domiciled within the United Stales of America, is territories or possessions, Puerto Rico or Canada. Emily: Falcon Telecable, a Calill 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 Insurec. Additional Insured status becomes effective once the written contract or agreement is fully executed. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 212 345-5000 11/14/2016 8:24:30 PM PAGE 1/003 Fax Server ■r ■ ■ Facsimile Transmittal Sheet MARSH An MW Company From: Rhonda Metech To: City of Ashland Phone: Fax: 541-552-2059 Date: 14-Nov-16 Attention: Time: 07:17 PM Company: CHARTER COMMUNICATIONS Message: The information contained in this facsimile message is confidential, may be privileged, and is intended for the use of the individual or entity named above. If you, 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 prohibited from copying, disseminating, distributing, or in any other way using any of the information contained in this facsimile message. T hl&i~T S: &::vatta'..1. amn :::t _