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HomeMy WebLinkAboutInsurance Certificate: Charter Communications Inc ACo CERTIFICATE OF LIABILITY INSURANCE A0TE(M 1D ) 41.......----- 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 (A/C.No.Eat): (A/C,No): St.Louis,MO 63101-1830 AE-MAIL DDRESS: Attn:StLouis.CertRequest@marsh.com Fax:212-948-0811 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Commerce&Industry Insurance Company 19410 INSURED INSURER B:National Union Fire Ins.CO.of Pittsburgh,PA 19445 Charter Communications,Inc. and all Subsidiaries INSURER C:AIU Insurance Co 19399 400 Atlantic Street INSURER D:ACE Properly and Casualty Insurance Company 20699 Stamford,CT 06901 INSURER E:New Hampshire Insurance Company 23841 INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-009187406-11 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 3629906 01/01/2021 01/01/2022 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR DAMAGETORENTED PREMISES l{Ea occurrence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ ' 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 1921838(AOS) 01/01/2021 01/01/2022 CO aBINEDt)SINGLE LIMIT $ 2,000,000 B X ANY AUTO 1921839(MA) 01/01/2021 01/01/2022 BODILY INJURY(Per person) $ B OWNED SCHEDULED 1921840(VA) 01/01/2021 01/01/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ _ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) _ $ D X UMBRELLA LIAB X OCCUR XEU G28119616 006 01/01/2021 01/01/20225,000,000 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 014122399(AOS) 01/01/2021 01/01/2022 X PER OTH- B AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE 4595566(OH) 01/01/2021 01/01/2022 E.L.EACH ACCIDENT $ 2,000,000 E OFFICER/MEMBER N N/A 014122396(MA,WA,WI,WY) 01/01/2021 01/01/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 C If yes,describe under 014122398(CA) 01/01/2021 01/01/2022 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Workers Compensation/ 014122400(FL) 01/01/2021 01/01/2022 See Limit Above Employers Liability . 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. 1 Manashi Mukherjee .,]irtp,.vi,s,kr.j,t,:• -.„ tr_t,e a . ©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 AR ADDITIONAL REMARKS SCHEDULE Page 2 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 Charter Communications,Inc.Branded Spectrum,Spectrum Business,Spectrum Enterprise 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. Bresnan Broadband Holdings,LLC; Spectrum Fiberlink Florida,LLC; Bresnan Broadband of Colorado,LLC; Spectrum Gulf Coast,LLC; Bresnan Broadband of Montana,LLC; Spectrum Management Holding Company,LLC; Bresnan Broadband of Utah,LLC; Spectrum Mid-America,LLC; Bresnan Broadband of Wyoming,LLC; Spectrum Mobile Equipment,LLC; Bresnan Digital Services,LLC; Spectrum Mobile LLC; Bright House Networks Information Services(Alabama),LLC; Spectrum New Jersey,LLC; Bright House Networks Information Services(California),LLC; Spectrum New York Metro,LLC; Bright House Networks Information Services(Florida),LLC; Spectrum NLP,LLC; Bright House Networks Information Services(Indiana),LLC; Spectrum Northeast,LLC; Bright House Networks Information Services(Michigan),LLC; Spectrum Oceanic,LLC; CCH I Holdings,LLC; Spectrum Pacific West,LLC; CCH II,LLC(CCHII); Spectrum Reach,LLC; CCHC,LLC; Spectrum RSN,LLC; CCO NR Holdings,LLC; Spectrum Southeast,LLC; • Charter Communications Holding Company,LLC; Spectrum Stamford,LLC; Charter Communications Holdings,LLC; Spectrum Sunshine State Networks Information Services(Alabama),LLC; Charter Communications Operating,LLC; Spectrum Sunshine State Networks Information Services(California),LLC; Charter Communications VI,LLC; Spectrum Sunshine State Networks Information Services(Florida),LLC; Charter Communications VII,LLC; Spectrum Sunshine State Networks Information Services(Indiana),LLC; Charter Communications,Inc.; Spectrum Sunshine State Networks Information Services(Michigan),LLC; Charter Communications,LLC; Spectrum Sunshine State,LLC; Charter Fiberlink-Alabama,LLC; Spectrum TV Essentials,LLC; Charter Fiberlink-Georgia,LLC; Time Warner Cable Business,LLC; Charter Fiberlink-Illinois,LLC; Time Warner Cable Enterprises LLC; • Charter Fiberlink-Maryland II,LLC; Time Warner Cable Information Services(Alabama),LLC; Charter Fiberlink-Michigan,LLC; Time Warner Cable Information Services(Arizona),LLC; Charter Fiberlink-Missouri,LLC; Time Warner Cable Information Services(California),LLC; Charter Fiberlink-Nebraska,LLC; Time Warner Cable Information Services(Colorado),LLC; Charter Fiberlink-Tennessee,LLC; ' Time Warner Cable Information Services(Hawaii),LLC; Charter Fiberlink CC VIII,LLC; Time Warner Cable Information Services(Idaho),LLC; Charter Fiberlink CCO,LLC; Time Warner Cable Information Services(Illinois),LLC; Charter Fiberlink CT-CCO,LLC; Time Warner Cable Information Services(Indiana),LLC; Charter Fiberlink LA-CCO,LLC; Time Warner Cable Information Services(Kansas),LLC; Charter Fiberlink MA-CCO,LLC; Time Wamer Cable Information Services(Kentucky),LLC; Charter Fiberlink MS-CCVI,LLC; Time Warner Cable Information Services(Maine),LLC; Charter Fiberlink NC-CCO,LLC; Time Warner Cable Information Services(Massachusetts),LLC; Charter Fiberlink NH-CCO,LLC; Time Warner Cable Information Services(Michigan),LLC; Charter Fiberlink NV-CCVII,LLC; Time Warner Cable Information Services(Missouri),LLC; Charter Fiberlink NY-CCO,LLC; Time Warner Cable Information Services(Nebraska),LLC; Charter Fiberlink OR-CCVII,LLC; Time Warner Cable Information Services(New Hampshire),LLC; 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 v 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 Charter Fiberlink SC-CCO,LLC; Time Warner Cable Information Services(New Jersey),LLC; Charter Fibedink TX-CCO,LLC; Time Warner Cable Information Services(New Mexico),LLC; Charter Fiberlink VA-CCO,LLC; Time Warner Cable Information Services(New York),LLC; Charter Fiberlink VT-CCO,LLC; Time Warner Cable Information Services(North Carolina),LLC; Charter Fiberlink WA-CCVII,LLC; Time Warner Cable Information Services(Ohio),LLC; Charter Gateway,LLC; Time Warner Cable Information Services(Pennsylvania),LLC; Charter/Altice Master Cable Advertising,LLC; Time Warner Cable Information Services(South Carolina),LLC; Charter/Cox master Cable Advertsing,LLC; Time Warner Cable Information Services(Tennessee),LLC; Coaxial Communications of Central Ohio LLC; Time Warner Cable Information Services(Texas),LLC; Cujo Parent,LLC; Time Warner Cable Information Services(Virginia),LLC; Cujo,LLC; Time Warner Cable Information Services(Washington),LLC; DukeNet Communications,LLC; Time Warner Cable Information Services(West Virginia),LLC; Insight Blocker LLC; Time Warner Cable Information Services(Wisconsin),LLC; Insight Communications Company LLC; Time Warner Cable Northeast LLC Marcus Cable Associates,LLC; Time Warner Cable,LLC; Spectrum Advanced Services,LLC; TWC Administration LLC; Spectrum Captive Holdings,LLC; TWC Sports Newco 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 Dear Certificate Holder: As many companies have moved to a remote working environment, mailing Certificates of Insurance to a physical address can cause unnecessary delays in providing you proof of insurance. To streamline delivery and in an effort to support our firm's commitment to sustainability,going forward,we would like to distribute your Certificates of Insurance electronically if possible. We are kindly requesting Certificate Holders provide us an email address where we can deliver your COI in the future. Please send your response to: USOperations.email@marsh.com and provide the following information so that we can expedite your COI delivery: • Certificate#(Shown below Insured Name—e.g.:ABC-123456789-01) • E-Mail for future delivery: For undeliverable email addresses,our system is configured to automatically redirect the Certificate for delivery via USPS. Lastly, if you no longer need this COI please respond to USOperations.emailPmarsh.com with the Certificate number and we will inactive the record in our system to avoid future automatic delivery. Thank you. US Operations, Marsh USA, Inc. 0003108 SP 0009 -C01-P03109-1 City of Ashland 20 East Main Street Ashland,OR 97520