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HomeMy WebLinkAboutInsurance Certificate: Charter Communications ACORD CERTIFICATE OF LIABILITY INSURANCE I D2/2920»D,YYY) 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 have ADDITIONAL INSURED provisions or 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 Marsh USA Inc. NAME: PHONE FAX 701 Market Street,Suite 1100 IA/C.No,Ext); (A/C,No): St.Louis,MO 63101-1830 E-MAIL Attn:StLouis.CertRequest @marsh.com Fax:212-948-0811 ADDRESS: INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A:Commerce&Industry Insurance Company 19410 INSURED INSURER B:National Union Fire Ins Co Pittsburgh PA 19445 Charter Communications,Inc. 400 Atlantic Street INSURER C:New Hampshire Insurance Company 23841 Stamford,CT 06901 INSURER D:ACE Property and Casualty Insurance Company 20699 INSURER E:Insurance Company State Of Pennsylvania _ 19429 INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-008870169-02 REVISION NUMBER: 0 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 INSD VJVD R TYPE OF INSURANCE ADDL SUER POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS LT A X COMMERCIAL GENERAL LIABILITY 3629906 01/01/2018 01/01/2019 EACH OCCURRENCE _ $ 2,000,000 DAMAGE TO RETE CLAIMS-MADE X OCCUR PREMISES jEa occur ence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X JECT OTHER: $ B AUTOMOBILE LIABILITY 1921838(AOS) 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT $ 2,000,000 (Ea accident) B X ANY AUTO 1921839(MA) 01/01/2018 01/01/2019 ' BODILY INJURY(Per person) $ B AUTOOWNED ONLY SCHEDULED 1921840(VA) 01/01/2018 01/01/2019 BODILY INJURY(Per accident) $ X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ D X UMBRELLA LIAB X OCCUR G28119616003 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 014122399(AOS) 01/01/2018 01/01/2019 X PER 0TH- AND EMPLOYERS'LIABILITY STATUTE €R E Y/N 014122396(MA,WA,ND,WI,WY) 01/01/2018 01/01/2019 2,000,000 ANY PROP RIE TOR/PAR TNERIEXECUTIVE , , , , E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under See Additional Page Pa 9 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Excess Workers Compensation 4595566(OH) 01/01/2018 01/01/2019 2,000,000 L DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 jy&a &.e t i .,l+ri,na,k€.-+.a -e a.- I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 405245 LOC#: St. Louis AC Ro ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED Marsh USA Inc. Charter Communications,Inc. 400 Atlantic Street POLICY NUMBER Stamford,CT 06901 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 Workers Compensation Continued: Carrier:New Hampshire Insurance Company Policy Number:014122402(MN) Effective Date:01/01/2018 Expiration Date:01/01/2019 Limits:Refer to Workers Comp limits on certificate Carrier:New Hampshire Insurance Company Policy Number:014122397(AZ)(IL)(KY)(NC)(NH)(NJ)(PA)(UT)(VA)(VT) Effective Date:01/01/2018 Expiration Date:01/01/2019 Limits:Refer to Workers Comp limits on certificate Carrier:New Hampshire Insurance Company Policy Number:014122401(ME) Effective Date:01/01/2018 Expiration Date:01/01/2019 Limits:Refer to Workers Comp limits on certificate Carrier:New Hampshire Insurance Company Policy Number:014122398(CA) Effective Date:01/01/2018 Expiration Date:01/01/2019 Limits:Refer to Workers Comp limits on certificate Carrier:New Hampshire Insurance Company Policy Number 014122400(FL) Effective Date:01/01/2018 Expiration Date:01/01/2019 Limits:Refer to Workers Comp limits on certificate/ ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 405245 LOC#: St. Louis AC'O ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMED INSURED Marsh USA Inc. Charter Communications,Inc. 400 Atlantic Street POLICY NUMBER Stamford,CT 06901 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.DBA Spectrum and their: -subsidiaries,associated,affiliated and inter-related companies; -controlled or majority(more than 50%)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,Athens Cablevision,LLC,BHN Home Security Services,LLC,Bresnan Broadband Holdings,LLC,Bresnan Broadband of Colorado,LLC, Bresnan Broadband of Montana,LLC,Bresnan Broadband of Utah,LLC,Bresnan Broadband of Wyoming,LLC,Bresnan Communications,LLC,Bresnan Digital Services,LLC, Bresnan Microwave of MT,LLC,Bright House Networks Information Systems(Alabama),LLC,Bright House Networks Information Systems(California),LLC,Bright House Networks Information Systems(Florida),LLC,Bright House Networks Information Systems(Indiana),LLC,Bright House Networks Information Systems(Michigan),LLC,Bright House Networks,LLC,Cable Equities Colorado,LLC,CC 10,LLC,CC Michigan,LLC,CC Systems,LLC,CC VIII Fibedink,LLC,CC VIII Operating,LLC,CCO SoCal I,LLC,CCO SoCal II,LLC,Charter Advanced Services(AL),LLC,Charter Advanced Services(CA),LLC,Charter Advanced Services(CO),LLC,Charter Advanced Services(CT),LLC,Charter Advanced Services(GA),LLC,Charter Advanced Services(IL),LLC,Charter Advanced Services(LA),LLC,Charter Advanced Services(MA),LLC,Charter Advanced Services (MD),LLC,Charter Advanced Services(MI),LLC,Charter Advanced Services(MN),LLC,Charter Advanced Services(MO),LLC,Charter Advanced Services(MS),LLC,Charter Advanced Services(MT),LLC,Charter Advanced Services(NC)LLC,Charter Advanced Services(NE)LLC,Charter Advanced (NH),LLC Charter Advanced Services(NV),LLC Charter Advanced Services(NY),LLC Charter Advanced Services(OR),LLC Charter Advanced Services(SC),LLC Charter Advanced Services(TN),LLC Charter Advanced Services(TX),LLC Charter Advanced Services(UT),LLC Charter Advanced Services(VA),LLC Charter Advanced Services(VT),LLC Charter Advanced Services(WA),LLC Charter Advanced Services(WI),LLC Charter Advanced Services(WY),LLC Charter Advanced Services VIII(MI),LLC Charter Advanced Services VIII(MN),LLC Charter Advanced Services VIII(WI),LLC Charter Cable Partners,LLC Charter Communications Entertainment I,LLC Charter Communications Entertainment II,LLC Charter Communications Entertainment VII,LLC Charter Communications Operating,LLC Charter Communications Properties LLC Charter Communications VI,L.L.C. Charter Communications,LLC Charter Fiberlink-Alabama,LLC Charter Fiberlink-Georgia,LLC Charter Fiberlink-Illinois,LLC Charter Fiberlink-Maryland II,LLC Charter Fiberlink- Michigan,LLC Charter Fiberlink-Missouri,LLC Charter Fiberlink-Nebraska,LLC Charter Fibedink-Pennsylvania,LLC Charter Fiberlink-Tennessee,LLC Charter Fiberlink AR-CCVII,LLC Charter Fiberlink CA-CCO,LLC Charter Fiberlink CC VIII,LLC Charter Fiberlink CCO,LLC Charter Fiberlink CT-CCO,LLC Charter Fibedink LA-CCO,LLC Charter Fiberlink MA-CCO,LLC Charter Fiberlink MS-CCVI,LLC Charter Fiberlink NC-CCO,LLC Charter Fibedink NH-CCO,LLC Charter Fiberlink NV-CCVII,LLC Charter Fiberlink NY-CCO,LLC Charter Fiberlink OH-CCO,LLC Charter Fiberlink OR-CCVII,LLC Charter Fiberlink SC-CCO,LLC Charter Fiberlink TX-CCO,LLC Charter Fibedink VA-CCO,LLC Charter Fiberlink VT-CCO,LLC Charter Fiberlink WA-CCVII,LLC Charter Video Electronics,LLC DukeNet Communications LLC Falcon Cable Media,a California Limited Partnership Falcon Cable Systems Company II,L.P. Falcon Cablevision,a California Limited Partnership Falcon Community Cable,L.P. Falcon Community Ventures I Limited Partnership Falcon First Cable of the Southeast,LLC Falcon Telecable,a California Limited Partnership Falcon Video Communications,L.P. Hometown T.V., LLC HPI Acquisition Co.LLC Insight Communications Midwest,LLC Insight Communications of Central Ohio,LLC Insight Kentucky Partners II,L.P. Interlink Communications Partners,LLC Long Beach LLC Marcus Cable,LLC Marcus Cable Associates,L.L.C. Marcus Cable of Alabama,L.L.C. Midwest Cable Communications,LLC NaviSite LLC Oceanic Time Warner Cable LLC Peachtree Cable TV,L.P. Renaissance Media LLC Rifkin Acquisition Partners,LLC Robin Media Group,LLC Scottsboro TV Cable,LLC The Helicon Group,L.P. Time Wamer Cable Business LLC Time Warner Cable Enterprises LLC Time Wamer Cable Information Services(Alabama),LLC Time Warner Cable Information Services(Arizona),LLC Time Wamer Cable Information Services(California),LLC Time Warner Cable Information Services(Colorado),LLC Time Warner Cable Information Services(Hawaii),LLC Time Warner Cable Information Services(Idaho),LLC Time Warner Cable Information Services(Illinois),LLC Time Warner Cable Information Services(Indiana),LLC Time Warner Cable Information Services(Kansas),LLC Time Warner Cable Information Services(Kentucky),LLC Time Warner Cable Information Services(Maine),LLC Time Warner Cable Information Services(Massachusetts),LLC Time Warner Cable Information Services(Michigan),LLC Time Warner Cable Information Services(Missouri),LLC Time Warner Cable Information Services(Nebraska),LLC Time Wamer Cable Information Services(New Hampshire),LLC Time Warner Cable Information Services(New Jersey),LLC Time Warner Cable Information Services(New Mexico),LLC Time Warner Cable Information Services(New York),LLC Time Warner Cable Information Services(North Carolina),LLC Time Warner Cable Information Services(Ohio),LLC Time Warner Cable Information Services(Pennsylvania),LLC Time Warner Cable Information Services(South Carolina),LLC Time Warner Cable Information Services(Tennessee),LLC Time Warner Cable Information Services(Texas),LLC Time Warner Cable Information Services(Virginia),LLC Time Warner Cable Information Services(Washington),LLC Time Warner Cable Information Services(West Virginia),LLC Time Warner Cable Information Services(Wisconsin),LLC Time Warner Cable Internet LLC Time Warner Cable Media LLC Time Warner Cable Midwest LLC Time Warner Cable New York City LLC Time Warner Cable Northeast LLC Time Warner Cable Pacific West LLC Time Warner Cable Southeast LLC Time Warner Cable Sports LLC Time Warner Cable Texas LLC TWC Administration LLC TWC Digital Phone LLC TWC News and Local Programming LLC TWC Regional Sports Network I LLC Vista Broadband Communications,LLC,TWC Security LLC,Spectrum Security,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. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD