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HomeMy WebLinkAboutInsurance Certificate: Charter Communications MMC 10/29/2009 12:50:02 PM PAGE 2/004 Fax Server AWRb' CERTIFICATE OF LIABILITY INSURANCE DATE (M~DDNYYY) 1.../ 10/29/2009 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 701 Market Street. Suite 1100 HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR S1. Louis, MO 63101-1830 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Atln: stlouis.certrequest@marsh.com 212-948-0811 405245-ALL-GAWU-09-10 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 Charter Communications Inc. 12405 Powers court Drive INSUf~EH B: Commerce And Industry Ins Co 19410 St. Louis, MQ 63131-3674 INSURER c: See Attached For Carrier Ustings INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NS ADD' TYPE OF INSURANCE POLICY NUMBER POUCVEFFECTlVE POLICV EXPIRATION UIWTS LTR INSR OATE(MM'DD'YVYY) OATE(Mt.('DO"''NV) A GENERAL LIABILITY 6506465 11/0112009 11/01/2010 EACH OCCURRENCE 2 t-x COMMERCIAL GENERAl LIABILITY g~~a~~.~~~~~~nce\ $ 500,000 f- W CLAIMS MADE [K] OCCUR MED EXP (Anyone person) $ 10,000 I- PERSONAL & ADV INJURY $ 2,000,000 - GENERAL AGGREGATE $ 2,000,000 GENERAl AGGREGATE LIMIT ~ES PER PROOUCTS - COMPIOP AG 2 000 000 Xl 'n PRO- X POIJCY JECT lOC A AUTOMOBilE LIABIUTY 6647345 (AOS) 11/01/2009 11/01/2010 COMBINED SINGLE LIMIT - $ 2,000,000 A ~ ANY AUTO 6647346 (MA) 11/0112009 11/01/2010 {Eaacddentl A - ALL OWNED AUTOS 6647347 (VA) 11/01/2009 11/01/2010 BOOILYINJURY $ SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS BOOILYINJURY $ ~ NON.OWNED AUTOS (peracciden1) PRa:>ERTY DAMAGE - (Peracddenl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: $ AGG B EXCESS I UMBRELLA LIABILITY 27471523 11/01/2009 11/01/2010 EACH OCCURRENCE $ 5,000,000 b OCCUR 0 ClAlMSMADE AGGREGATE $ 5,000,000 $ R DEDUCTIBlE $ RETENTION $ C WORKERS COMPENSATION AND See Attached 11/01/2009 11/01/2010 X LWC STATU:. I IOTH- EMPLOYERS' LIABILITY $ ANY PRa:>RIETORIPARTNERlEXECUTlVE Y I N .L EACH ACCIDENT 1,500,000 OFFICER/MEMBER EXCLUDED? 0 .L DISEASE - EA EMPLOYE $ 1,500,000 ~~~I~~~~~lb~~b~r:zlbe under .L DISEASE - POliCY LIMIT $ 1,500,000 OTHER DESCRIPTION OF OPERATlONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECtAL PROVISIONS (See reverse and/or attached for additional information) CERTIFICATE HOLDER CHI-002296830-22 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland EXPIRATlON DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAil 20 East Main Street ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ashland, OR 97520 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A~'l~~~Ef.~i~~~NTATIVE ~V< . Mary RadaszeYiSki ACORD 25 (2009/01) co 1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD MMC 10/29/2009 12:50:02 PM PAGE 4/004 Fax Server ADDITIONAL INFORMATION CHI-002296830-22 DATE (MMIDDNV) 10/29/2009 PRODUCER Marsh USA Inc. 701 Market Street, Suite 1100 81. Louis, MO 63101-1830 Attn: stlouis.certrequest@marsh.com 212-948-0811 405245-ALL-GAWU-Q9-l0 INSURERS AFFORDING COVERAGE NAIC# INSUREO INSURER F: Charter Communications Inc. INSURER G: 12405 powerscourt Drive 81. Louis, MO 63131-3674 INSURER H: . INSURER I: ) TEXT WORKERS COMPENSATION AND EMPLOYERS' LIABILITY; Carrier: New Hampshire Insurance Company Policy Number: 42893B91AOS) Policy Number: 4289390 CA) Policy Number: 4289393 TX) Policy Number: 4289394 WI,OH,WA,) Carrier: Insurance Company of the State of Pennsylvania Policy Number: 4289391 (MA,MI,NY) Poticy Number: 4289392 (OR) Charter Communications, Inc. and their: - subsidiaries, associated, affiliated and inter-related companies; - controlled or majority (more than 50%) ownod partnerships, limited liability companies; . interest only in (or its subsidiaries' interest in) any other partnerships or joint ventures or limited liability company; - 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, LLC Interlink Communication Partners, LLC Athens Cablevision, Inc. Charter Video Electronics, Inc. Long Beach, LLC Ausable Cable TV, Inc. Dalton Cablevision, Inc. Marcus Cable Associates, LLC Cable Equities Colorado, LLC Falcon Cable Media, a CA LP Marcus Cable of Alabama, LLC CC10, LLC Falcon Cable Systems Company II, LP Marcus Cable, Inc. CC Michigan, LLC Falcon Cablevision, a CA LP Midwest Cable Communications, Inc. CC Systems, LLC Falcon Community Cable, LP Peachtree Cable TV, LP CC VIII Operating, LLC Falcon Community Ventures I, LP Plattsburgh Cablevision, Inc. Charter Cable Partners, LLC Falcon First Cable of New York, Inc. Renaissance Media, LLC Charter Communications Entertainment I, DST Falcon First Cable of the Southeast, Inc. Rifkin Acquisition Partners, LLC Charter Communications Entertainment I, LLC Falcon Telecable, a CA LP Robin Media Group, Inc. Charter Communications Entertainment II, LLC Falcon Video Communications, LP Scoltsbora TV Cable, Inc. Charter Communications Properties, LLC The Helicon Group, LP Tennessee, LLC Charter Communications V, LLC Hometown TV, Inc. Tioga Cable Company, Inc. Charter Communications VI, LLC HPI Acquisition Co., LLC Vista Broadband Communications, LLC ...and any corporation or other business organization other than a joint venture in which the Named Insured shown in the deciarations 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. Entity: Falcon Cable Systems Company II, LP Certificate Holder is namod as Additional Insured under tho General Liability as respects franchise agreement. Ordinanco #2258 dated May 17, 1983.. CERTIFICATE HOLOER City of Ashland 20 East Main Street Ashland, OR 97520 AcWll~5,~n7:,~AnvE M<lry R<1d<lszewski ~6P"~~';~ .,,{.- ... ......... .. ............ ........ ... ......... ............... ......... ... . .......... ............ ............ ............ ............ ............ ::g~~{ ............ ... .................. ................. ............ ............ MMC 10/29/2009 12:50:44 PM PAGE 2/004 Fax Server /l DATE (MMlODNYYYj ACORD' CERTIFICATE OF LIABILITY INSURANCE 1.../ 10/29/2009 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 701 Market Street. Suite 1100 HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR 31. Louis, MO 63101-1830 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Atln: stlouis.certrequest@marsh.com 212-948-0811 4Q5245-ALL-GAWU-Q9-10 FTCB Y MDF-D INSURERS AFFORDING COVERAGE NAIC# INSUREO INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 Charter Communications Inc. 12405 Powerscourl Drive INSURER B: N/A N/A 31. Louis, MO 63131-3674 INSURER c: S88 Attached For Carrier Listings INSURER 0: INSURER E: 0- COVERAGES 3 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSF ADD' POUCYEFFECTlVE POLICY EXPIRATION LTR INS'R; TYPE OF INSURANCE POLICY NUMBER OATE(t.O.\'DOIVYYYJ OATE(MM'DOIVVYY) UMlTS A GENERAL LIABILITY 6506465 11/01/2009 11/01/2010 EACH OCCURRENCE 2 - ~ COMMERCIAL GENERAL LIABILITY ~~~a~L~:~~~r~nce\ $ 500,000 - ~ CLAIMS MADE [K] OCCUR MEO EXP (Anyone person) $ 10,000 - PERSONAL & AnV INJURY $ 2,000,000 - GENERAL AGGREGATE $ 2,000,000 GENERAL AGGREGATE LIMIT APPLIES PER PRODUCTS - COM PlOP AG . 2 000 000 xl. ( ri PRO- ri- X POliCY JECT LOC A AUTOMOBILE LIABILITY 6647345 (ADS) 11/01/2009 11/01/2010 - COMBINED SINGLE LIMIT $ 2,000,000 A ~ ANY AUTO 6647346 (MA) 11/01/2009 11/01/2010 (Eaacddent) A - ALL OWNED AUTOS 6647347 (VA) 11/01/2009 11/01/2010 BOOILYINJURY $ SCHEDULED AUTOS (Par person) I- HIRED AUTOS 0- BOOIL Y INJURY $ 0- NON-OWNED AUTOS (peraca'dent) PROPERTY DAMAGE I- (Paracdden1) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: $ AGG [JESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBlE $ RETENTION $ I. C WORKERS COMPENSATION AND See Attached 11/01/2009 11/01/2010 X h.WC sT~Ig~ I IOJ,!;'- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERfEXECUTlVE Y I N _L EACH ACCIDENT $ 1,500,000 OFFICER/MEMBER EXCLUDED? []] .L. DISEASE - EA EMPLOYE $ 1,500,000 ~~~I~~~Jro~~lb~~D~~~;lbe under .L DISEASE - POliCY LIMIT $ 1,500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/$PECIAL PROVISIONS (See reverse andlor attached for additional information) CERTIFICATE HOLDER CHI-002301833-23 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 East Main Street ~ DAYS WRIlTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ashland, OR 97520 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A~AA~5tEB~i7:.~~ATlVE ~~ . M<HY Radas2ewski ACORD 25 (2009/01) <C> 1998-2009 ACORD CORPORATION_ All Rights Reserved The ACORD name and logo are registered marks of ACORD MMC 10/29/2009.12:50:44 PM PAGE 4/004 Fax Server ADDITIONAL INFORMATION CHI-002301833-23 DATE (MMIDDNY) 1012912009 PRODUCER Marsh USA Inc. 701 Market Street. Suite 1100 31. Louis, MO 63101.1830 Atln: stlauis.certrequest@marsh.com 212-948-0811 405245-ALL-GAWU-09-10 FTCB Y MDF-O INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER F; Charter Communications Inc. INSURERG: 12405 Powers court Drive 31. Louis. MO 63131-3674 INSURERH: INSURER I: TEXT WORKERS COMPENSATION AND EMPLOYERS' LIABILITY: Carrier: New Hampshire Insurance Company Policy Number: 4289389 (AOS) Policy Number: 4289390 (GA) Policy Number: 4289393 (TX) Policy Number: 4289394 (WI,OH,WA,) Carrier: Insurance Company of the State of Pennsylvania Policy Number: 4289391 (MA,MI,NY) Policy Number: 4289392 (OR) Charter Communications, Inc. 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 company; - 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, LLC Interlink Communication Partners, LLC Athens Cablevision, Inc. Charter Video Electronics, Inc. Long Beach, LLC Ausable Cable TV, Inc. Dalton Cablevision, Inc. Marcus Cable Associates, LLC Cable Equities Colorado, LLC Falcon Cable Media, a CA LP Marcus Cable of Alabama, LLC CC10, LLC Falcon Cable Systems Company II. LP Marcus Cable, Inc. CC Michigan, LLC Falcon Cablevision, a CA LP Midwest Cable Communications, Inc. CC Systems, LLC Falcon Community Cable, LP Peachtree Cable TV, LP CC VIII Operating, LLC Falcon Community Ventures I, LP Plattsburgh Cablevision, Inc. Charter Cable Partners, LLC Falcon First Cable of New York, I nc. Renaissance Media, LLC Charter Communications Entertainment I, DST Falcon First Cable of the Southeast. Inc. Rifkin Acquisition Partners, LLC Charter Communications Entertainment I, LLC Falcon Telecable, a CA LP Robin Media Group, Inc. Charter Communications Entertainment II, LLC Falcon Video Communications, LP Scottsboro TV Cable, Inc. Charter Communications Properties, LLC The Helicon Group, LP Tennessee, LLC Charter Communications V, LLC Hometown TV, Inc. Tioga Cable Company, Inc. Charter Communications VI, LLC HPI Acquisition Co., LLC Vista Broadband Communications, 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 penod an ownership of more than 50% and which is domiciled within the United States of America, its territories or possessions, Puerto Rico or Canada. Entity: Falcon Telecable, a California Umited Partnership The City of Ashland, its officers, employees and agents are named as Additional Insured under the General Liability policies as their interests may appear. CERTIFICATE HOLDER City of Ashland 20 East Main Street Ashland, OR 97520 A~n~~~l,EB~i~~~ATlVE Mary Radaszew-ski ~6P?.;~~- -ri.- ....... ...... ..................... ................ ..... ...... ...... n r~:~: ..... ........ ............. .......... .... ........................ ............ ................. ................. .. ... .............. ................ ................ ................ ............ .. .............. ............. ............. ............ ........h .............