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HomeMy WebLinkAboutInsurance Certificate: Charter CommunicationsA� EP CERTIFICATE OF LIABILITY INSURANCE DATE /72019D/YYYY) 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 NAME: Marsh USA Inc. PHONE IFAX 701 Market Street, Suite 1100 A/C No Ex : A/C No): E-MAIL St. Louis, MO 63101-1830 Attn: StLouis.CertRequest@marsh.com Fax: 212-948-0811 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Commerce & Industry Insurance Company 19410 _ INSURED Charter Communications, Inc. INSURER B : National Union Fire Ins. Co. of Pittsburgh, PA 19445 INSURER C : New Hampshire Insurance Company 23841 and all Subsidiaries INSURER D : ACE Property and Casualty Insurance Company 20699 400 Atlantic Street Stamford, CT 06901 INSURER E : AIU Insurance CO 19399 INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-009187406-06 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD YYYY POLICY EXP MM/DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 3629906 01/01/2020 01/01/2021 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE a OCCUR DAMAGE ToRENTED PREMISES Ea occurrence) $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER B AUTOMOBILE LIABILITY 1921838 (AOS) 01/01/2020 01/01/2021 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 B X ANY AUTO 1921839 (MA) 01/01/2020 01/01/2021 BODILY INJURY (Per person) $ B OWNED OS ONLY SCHEDULED AUTOS 1921840 (VA) 01/01/2020 01/01/2021 BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per accident $ HIRED FX NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR G28119616005 01/01/2020 01/01/2021 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ C C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 014122399(AOS) 4595566 () OH 014122396 MA, WA, WI, WY ( ) 01I01I2020 01I0112020 01/0112 221 01/0112021 01I01/2021 XSTATUTE ER PER OTH- E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E If yes, describe under DESCRIPTION OF OPERATIONS below 12716987 (NY) 01/01/2020 01/01/2021 E.L. DISEASE - POLICY LIMIT $ 2,000,000 C Workers Compensation / 014122397 (AZ,IL,KY,NC,NH,NJ,PA,UT, 01/01/2020 01/01/2021 2,000,000 Employers Liability VA,VT) 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) l.tK 1 IrII.A 1 t HULUtK UANI r-LLA I IUIV City of Ashland 20 East Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 11AA-"e—*%AAJ, lts- ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102616700 LOC #: St. Louis ACOR" Anr)lTlr)MAl RFMARKR SrWl=nl II F AGENCY Marsh USA Inc. POLICY NUMBER CARRIER ADDITIONAL REMARKS NAIC CODE NAMEDINSURED Charter Communications, Inc. and all Subsidiaries 400 Atlantic Street Stamford, CT 06901 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance WORKERS COMPENSATION CONT'D: CARRIER: AMERICAN HOME ASSURANCE COMPANY POLICY NUMBER: 014122398 (CA) EFFECTIVE DATE: 01/0112020 EXPIRATION DATE: 0110112021 LIMITS: REFER TO WORKERS COMP LIMITS ON CERTIFICATE CARRIER: ILLINOIS NATIONAL INSURANCE CO. POLICY NUMBER: 014122400 (FL) EFFECTIVE DATE: 01/0112020 EXPIRATION DATE: 01101/2021 LIMITS: REFER TO WORKERS COMP LIMITS ON CERTIFICATE Charter Communications, Inc. Branded Spectrum, Spectrum Business, Spectrum Enterprise and their: subsidiaries, associated, affiliated and inter -related companies; controlled or majority (more than 500%) 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. 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 Digital Services, LLC; Bresnan Microwave of Montana, LLC; Bright House Networks Information Services (Alabama), LLC; Bright House Networks Information Services (California), LLC; Bright House Networks Information Services (Florida), LLC; Bright House Networks Information Services (Indiana), LLC; Bright House Networks Information Services (Michigan), LLC; Bright House Networks, LLC; CC Systems, LLC; CCH II, LLC (CCHII); Charter Advanced Services VIII (MN), LLC; Charter Communications Entertainment 1, LLC; Charter Communications Holding Company, LLC; Charter Communications Holdings, LLC; Charter Communications Operating, LLC; Charter Communications VI, LLC; Charter Communications VII, LLC; Charter Communications, Inc.; Charter Communications, LLC; Charter Fiberlink - Alabama, LLC; Charter Fibedink - Georgia, LLC; Charter Fiberlink - Illinois, LLC; Charter Fibedink - Maryland 11, LLC; Charter Fibedink - Michigan, LLC; Charter Fiberlink - Missouri, LLC; Charter Fibedink - Nebraska, LLC; Charter Fiberlink - Tennessee, LLC; Charter Fiberlink CC VIII, LLC; Charter Fibedink CCO, LLC; Charter Fibedink CT-CCO, LLC; Charter Fibedink LA-CCO, LLC; Charter Fibedink MA-CCO, LLC; Charter Fibedink MS-CCVI, LLC; Charter Fibedink NGCCO, LLC; Charter Fibedink NH-CCO, LLC; Charter Fibedink NV-CCVII, LLC; Charter Fiberlink NY-CCO, LLC; Charter Fiberlink OR-CCVII, LLC; Charter Fibedink SC-CCO, LLC; Charter Fiberlink TX-CCO, LLC; Charter Fibedink VA-CCO, LLC; Charter Fibedink VT- CCO, LLC; Charter Fiberlink WA-CCVII, LLC; Charter Gateway, LLC; Charter Helicon, LLC; Coaxial Communications of Central Ohio LLC; DukeNet Communications, LLC; Falcon Cable Communications, LLC; Insight Blocker LLC; Insight Communications Company LLC; Marcus Cable Associates, LLC; Spectrum Advanced Services, LLC; Spectrum Captive Holdings, LLC; Spectrum Gulf Coast, LLC; Spectrum Management Holding Company, LLC; Spectrum Mid -America, LLC; Spectrum Mobile LLC; Spectrum New York Metro, LLC; Spectrum NLP, LLC; Spectrum Northeast, LLC; Spectrum Oceanic, LLC; Spectrum Pacific West, LLC; Spectrum Reach, LLC; Spectrum RSN, LLC; Spectrum Security, LLC; Spectrum Southeast, LLC; Spectrum Stamford, LLC; Spectrum TV Essentials, LLC; The Helicon Group, L.P.; Time Warner Cable Business, LLC; Time Warner Cable Enterprises LLC; Time Warner Cable Information Services (Alabama), LLC; Time Warner Cable Information Services (Arizona), LLC; Time Warner 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 Warner 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, LLC; TWC Administration LLC; TWC Sports Newco LLC and any corporation or other business organization other than a pint 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. Paae 2 of 3 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102616700 LOC #: St. Louis A� RD ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMED INSURED Marsh USA Inc. Charter Communications, Inc, and all Subsidiaries POLICY NUMBER 400 Atlantic Street 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 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD