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Home My WebLink AboutInsurance Certificate: Charter Communication MMC 10/29/2010 6:15:35 PM PAGE 2/003 Fax Server ~ A;CORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDO/YVYY) 1012912010 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 certtflcate holder Is an ADDITlONAL INSURED, the pollcy(les) must be endorsed. n SUBROGATION IS WAIVED, subject to the terms and conditions 01 the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certf1lcate holder In lieu 01 such endorsement(s). PRODUCER NAME; Mvsh USA Inc. P~N,.io EItl'; I r~ No" 701 t.brksISh&t,Suil91100 E-MAIL Sl.lcuis, M) 63101-183:) ADDRESS: Attn: stIolis.certreCJJSstO rrnrsh.com (bx) 212-948-0811 PRODUCER 405245-ALHiAWU-l0-11 INSURER(S) AFFORDING COVERAGE NAlC' INSURED INSURER A . Nalioml Union Fire Ins Co of PA 19445 Char1erComlTl.Jrica~ons Inc. : See Attached Fa Carrier Usmgs 12405 POW8f'SCourt Drive INSURER B Sl.lwis, M:) 63131.3674 INSURER C : INSURER 0 : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER' CHHI03432027-27 REVISION NUMBER' 1 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 REOUIREMENT, TERM OR CONDrTJON 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 CONOrTJONS OF SUCH ~~ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~f~ TYPE OF INSURANCE POLICY NUMBER :3M%j..JY:L I/~g}b~jy~~~ LIMITS A ~NERALLlABILlTY 4361039 11/01~010 11/0112011 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES 'i'E~~~u~~ence\ $ 500,000 l CLAIMS.MADE 0 OCCUR MED EXP (Anyone oorson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 TlN'L AGG~EnE LIMIT AP~t PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY 1:'3.9.; LOC $ A ~OMOBILE LIABILITY 3976736 (ADS) 11/0112010 11/0112011 COMBINED SINGLE LIMIT 2,000,000 (Eaaccident) $ A .2 3976737 (fM) 11/0112010 11/0112011 ANY AlJTO A 3976738 (VA) 1110112010 11/0112011 BODILY INJURY (Per person) $ - ALL OWNED AlJTOS BODILY INJURY (per accidenT) $ - SCHEDULED AlJTOS PROPERTY DAMAGE .2 HIRED AlJTOS (Per accident) $ .2 NON-QWNED AlJTOS $ $ A .2 UMBRELLA L1AB H OCCUR 15972616 11/0112010 11/0112011 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 - DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSA110N See Attached 11101~010 11/0112011 X I T~3T~:,~::.1 IOJ~- AND EMPLOYERS' LIABILITY V,N ANY PROPRIETORIPAR1NERlEXEClfTIVE ~ E.L. EACH ACCIDENT . 1,500,000 OFFICERlMEMBER EXCLUDED? .,. (Mandatory In NH) E,l. DISEASE . EA EMPLOYE $ 1,500,000 11 yes. describe under 1,500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY llMIT $ DESCRIPl10N OF OPERATIONS I LOCAl10NSI VEHICLES (At1ach ACORD 101, AdditIonal Remar1o:s Schedule, 11 more space Is required) (See 19V8IS& andlcr attached lor addifiaul inlorm3tion) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCelLED BEFORE CityofAsl"iand THE EXPIRATION DATE THEREOF, NOTICE WIll BE DELIVERED IN 20 Easl flain SlnIel ACCORDANCE WITH THE POLICY PROVISIONS. Asl"iand, OR 97520 AllTHORIZED REPRESENTAl1VE of Marsh USA Inc. Ka1ey E. Jones \&.-~~ ~'-, ACORD 25 (2009/09) C 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MMC 10/29/2010 6:15:35 PM PAGE 3/003 Fax Server ADDITIONAL INFORMATION CHI,003432027,27 DATE (MMIODIVV) 10/29/2010 PRODUCER Marsh USA Inc. 701 Market Street, Suite 1100 St. Louis. MO 63101.1830 Atln: stIouis.certrequest@marsh.com (fax) 212-948-0811 405245,ALL,GAWU,10,11 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER F: Charter Communications Inc. INSURER G 12405 Powerscourt Drive St. Louis, MO 63131-3674 INSURER H INSURER I: TEXT WORKERS COMPENSATION AND EMPLOYERS' LIABILITY: Carrier: New Hampshire Insurance Company Policy Number: 026149878 lAOS) Policy Number: 026149879 CA) Policy Number: 026149882 TX) Policy Number: 026149883 WA,WI, WY) Carrier: Insurance Company ofthe State of Pennsylvania Policy Number: 026149880 (MA,MI,NY) Policy Number: 026149881 (OR) Charter Communications, Inc. and their: - subsidiaries, assodated, affiliated and inter-related companies; - controlled or majority (more than 500/0) owned partnershIps, limited liability companies; - interest only in (or its subsidiaries' interest in) any other partnerships or joint ventures or limited liability comrany; . interest in (or its subsidiaries' interest in) any company or organization coming under its active managemen 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 Athens Cablevision, Inc. Ausable Cable TV, Inc. Cable Equities Colorado, LLC CC10, LLC CC Michigan, LLC CC Systems, LLC CC VIII Operating, LLC Charter Cable Partners, LLC Charter Communications Entertainment I, DST Charter Communications Entertainment I, LLC Charter Communications Entertainment II, LLC Charter Communications Operating, LLC Charter Communications Properties, LLC Charter Communications V, LLC Charter Communications VI, 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 500/0 and which is domiciled within the United States of America, its territories or possessions, Puerto Rico or Canada Charter Communications, LLC Charter Video Electronics, Inc. Dalton Cablevision, Inc. Falcon Cable Media, a CA LP Falcon Cable Systems Company II, LP Falcon Cablevision, a CA LP Falcon Community Cable, LP Falcon Community Ventures I, LP Falcon First Cable of New York, Inc. Falcon First Cable of the Southeast, Inc. Falcon Telecable, a CA LP Falcon Video Communications, LP The Helicon Group, LP Hometown TV, Inc. H?I Acquisition Co:, LLC Interlink Communication Partners, LLC Long Beach, LLC Marcus Cable Associates, LLC Marcus Cable of Alabama, LLC Marcus Cable, Inc. Midwest Cable Communications, Inc. Peachtree Cable TV, LP Plattsburgh Cablevision, Inc. Renaissance Media, LLC Rifkin Acquisition Partners, LLC Robin Media Group, Inc. Scottsboro TV Cable, Inc. Tennessee, LLC Tioga Cable Company, Inc. Vista Broadband Communications, LLC Entity: Falcon Cable Systems Company II, LP Certificate Holder is named as Additional Insured under the General Liability as respects franchise agreement. Ordinance #2258 dated May 17, 1983.. CERTIFICATE HOLDER City of Ashland 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE 01 Marsh USA Inc. Ka1ey E. Jones ~~~. MMC 10/29/2010 6:21:01 PM PAGE 2/003 Fax Server ~ " .r:]:> CERTIFI.CATE OF LIABILITY INSURANCE I DATE IMMlDD/YVYV) "'lCORD 1OJ2Q!2010 lHlS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON lHE CERTIFICATE HOLDER, lHlS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER lHE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTAllVE OR PRODUCER, AND THE CERllFICATE HOLDER, IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. n SUBROGATION IS WAIVED, subject 10 the terms and condftlons 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 NAME~""I M1rsh USA Inc:. Ir~NJo EIl1\: [r~ Nal: 701 MarKel Steel. Sui. 1100 51. Louis, M:) 63101-1830 E-MAIL ADDRESS- Attn: sIIolis.certreq.J&stGnnrsh.com (blC) 212-948-0811 PRODUCER , a. 405245-ALl-GAWU'10-11 Flea y MCHlR INSUREA{S) AFFORDING COVERAGE NAle. INSURED INSURER A: NalionalUnionFire Inseool PA 19445 Cha/;;frCommJricaions Int. : Sea Attached Fa Carrier usli1gs 12405 POW&l'SCwrt Drive INSURER B 51. Lwis, MJ 63131-3674 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-Q03437936-27 REVISION NUMBER: 3 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 iCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~f: TYPE OF INSURANCE I~~: POUCY NUMBER ,:B.l'fi%YyV/V\ I ,~g}-6%~~) UMITS A ~NERAL.UABIUTY 4361039 1110112010 11/0112011 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRE~;SES {E~~~u~~ence\ $ 500,000 I CLAIMS-MADE 0 OCCUR MEDEXP{Anvoneoorson} $ 10,000 - ~ERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 - TlN'l AGG~nE LIMIT APFt PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY ~fR-r LOC $ A -.;urOMOBIL.E UABIUTY 3976736 (ADS) 11/0112010 11/0112011 COMBINED SINGL.E LIMIT $ 2,000,000 A ..!5.- ANY AUTO 3976737 (MA) 11/0112010 11/0112011 (Ea accident) A 311767311(VA) 11fOl12010 1110112011 BODILY INJURY (P9I person) $ - ALL OWNED AUTOS $ BODILY INJURY (P9I acCident) f-x SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per acCiden1) $ ex NON-QWNED AUTOS $ f-- $ I- UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ f-- DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION See Atlach9d 11/0112010 11/0112011 X 1_ WC STATU- IOJ~- AND EMPLOYERS' UASJUTY V,N ANY PROPRIETOR/PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ 1,500,000 OFFICER/MEMBER EXCLUDED,? N" (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 1,500,000 If yes. describe undef 1,500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Addlllonal Remarks Schedule-. If more space-Is requlre-d) (See t8wrse andfa atlaclwd tor additicm.1 information) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City 01 Astund THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2{) Easl ~in Slrgel ACCORDANCE WITH THE POLICY PROVISION$. AstwJd, OR 97520 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Ka1ey E. Jones 1G--~ ~ <r---'- . ACORD 25 (2009/09) Cl1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MMC ~0/29/2010 6:21:01 PM PAGE 3/003 Fax Server ADDITIONAL INFORMATION CHI,00343793e'27 DATE. (MMlOD/VY) 10/29/2010 PRODUCE.R Marsh USA Inc. 701 Market Street, Suite 1100 St. Louis, MO 63101-1830 Attn: stlouis.certrequest@marsh.com (fax) 212-948-0811 405245,ALL,GAWU,10'11 FTCB Y MDF, INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER F: Charter Communications Inc. INSURER G" 12405 Powerscourt Drive 51. Louis, MO 63131-3674 INSURER H" INSURER I TEXT WORKERS COMPENSATION AND EMPLOYERS' LIABILITY: Carrier: New Hampshire Insurance Company Policy Number: 0261498781AOS) Policy Number: 026149879 CAI Policy Number: 026149882 TX Policy Number: 026149883 WA,WI, WY) Carrier: Insurance Company of the State of Pennsylvania Policy Number: 026149880 (MA,MI,NY) Policy Number: 026149881 (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 venbJres or limited liability comfany; - interest in (or its subsidiaries' interest in) any company or organization coming under its active managemen 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 Athens Cablevision, Inc. Ausable Cable TV, Inc. Cable Equities Colorado, LLC CC10, LLC CC Michigan, LLC CC Systems, LLC CC VIII Operating, LLC Charter Cable Partners, LLC Charter Communications Entertainment I, DST Charter Communications Entertainment I, LLC Charter Communications Entertainment II, LLC Charter Communications Operating, LLC Charter Communications Properties, LLC Charter Communications V, LLC Charter Communications VI, LLC ...and any corporation or ather business organization other than ajoint venbJre 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 Charter Communications, LLC Charter Video Electronics, Inc. Dalton Cablevision, Inc. Falcon Cable Media, a CA LP Falcon Cable Systems Company II, LP Falcon Cablevision, a CA LP Falcon Community Cable, LP Falcon Community Ventures I, LP Falcon First Cable of New York, Inc. Falcon First Cable of the Southeast, Inc. Falcon Telecabte, a CA LP Falcon Video Communications, LP The Helicon Group, LP Hometown TV, Inc. HPt Acquisition Co., LLC Interlink Communication Partners, LLC Long Beach, LLC Marcus Cable Associates, LLC Marcus Cable of Alabama, LLC Marcus Cable, Inc. Midwest Cable Communications, Inc. Peachtree Cable TV, LP Plattsburgh Cablevision, Inc. Renaissance Medici, LLC Rifkin Acquisition Partners, LLC Robin Media Group, Inc. Scottsboro TV Cable, Inc. Tennessee, LLC Tioga Cable Company, Inc. Vista Broadband Communications, LLC ------------------------------------- Entity: Falcon Telecable, a California Limited 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 AUTHORIZED REPRESENTATIVE 01 Marsh USA Inc. Katey E. Jones ~l$..~ .'..'.'.'.'.'.'.'.. """'" >.