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Home My WebLink AboutInsurance Certificate: Charter Communication (2) MMC 11/2/2010 6:30:11 PM PAGE 2/004 Fax Server .~.'" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYVYY) '1CORD 11/0212010 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 certtf'cate holder Is an ADDITIONAL INSURED, the pollcy(les} must be endorsed. n 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 certtfleate holder In lieu of sueh endorsernent(s). PRODUCER NAME: M1rsh USA Inc. PHONE I ~t~ No': 701 Markel Steel, Suit& 1100 AJC No Elf! : E-MAIL. SI. lwis, f.I) 6310101830 ADDRESS: Attn: stIol.is.certraqJ&stO rm.rsh.com (bx) 212-948-0811 PRODUCE~ ''''. 40524S.AlLGAWU.l0.11 INSURER(S) AFFORDING COVERAGE HAle, INSURED INSURER A . Nalioml Union Fire Ins Co 01 PA 19445 CharWrComlTlJnicalions Inc:. : Sea Attached Fa Carrier listings 12405 Powerscwrt Drive INSURER B 51. Lcuis. f.[) 63131-3674 INSURER C ; INSURER 0 ; INSURER E ; INSURER F : COVERAGES CERTIFICATE NUMBER' CHI-DQ3432027.2Q REVISION NUMBER' , 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 CONDrTlON 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. tNSR TYPE OF INSURANCE :'B.M%YyV1V\ :.gJ-b~Mr~\ LIMITS LTR POLICY NUMBER A ~NERAL LlABIUTY 4361039 11/0112010 11/0112011 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILIty PR MISES JE~~~u~~ence' $ 500,000 I CLAIMS-MADE 0 OCCUR MED EXP (Anyone person) , 10,000 "- PERSONAL & ADV INJURY $ 2,000,000 "- GENERAL AGGREGATE $ 2,000,000 m'l AGG:EnE ILlMIT APnS PER PRODUCTS. COMPIOP AGG $ 2,000,000 X POLICY i ~.f.9.,: LOC $ A ~UTOMOBILE LIABILITY 39767$ (ADS) 11/0112010 1110112011 COMBINED SINGLE LIMIT 2,000,000 $ A X 'Jl76737 (MA) 11/0112010 11/0112011 {Ea acddent} I- ANY AUTO BODILY INJURY (Per person) A "'76738 (VA) l1fOl12010 11101/2011 $ I- ALL OWNED AUTOS BODILY INJURY (per acddenl) $ I- SCHEDULED AUTOS PROPERTY DAMAGE ~ HIRED AUTOS {Peraccidenl} $ ~ NON-0WNED AUTOS $ $ A ~ UMBRELLA LIAS H ~CCUR 15972616 11/0112010 11/0112011 EACH OCCURRENCE $ 5,000,000 EXCESS LIAS CLAIMS-MADE AGGREGATE $ 5,000,000 - DEDUCTIBLE $ RETENTION $ , B WORKERS COMPENSATION See Attached 11/0112010 11/01/2011 X I T~~~ifJ,~~ I IOJ~- AND EMPLOYERS' LIABILITY VIN ANY PROPRIETORlPARTNER/EXECUTIVlO 0 NIA E.L. EACH ACCIDENT $ 1,500,000 OFFICER/MEMBER EXCLUDED? (Mandalory In NH) E.L. DISEASE- EA EMPLOYEF $ 1,500,000 If yes. desO'"ibeunder 1,500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATlONSI VEHICLES (Attach ACORD 101, Additional Remarks Sehedule,lI more &.pace Is requIred) (See reverse and'cr altached lor adcitianl intonnation) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Astw1d THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Slreel ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 9752O A.UTHORIZED REPRESENTATIVE of Marsh USA Inc. , Katey E. Jones ~l$..~,--. ACORD 25 (2009/09) C 1 B88-2009 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD MMC 11/2/2010 6:30:11 PM PAGE 3/004 Fax Server ADDITIONAL INFORMATION CHI,003432027'29 DATE. (MMiDD/YY) 11/02/2010 PRODUCER Marsh USA Inc. 701 Market Street, Suite 1100 St. Louis, MO 63101-1830 Attn: 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 53131-3674 INSURE R H INSURE R I: TEXT WORKERS COMPENSATION AND EMPLOYERS' LIABILITY: Carrier: New Hampshire Insurance Company Policy Number: 026149878!AOS) Policy Number: 026149879 CA) Policy Number: 026149882 TX) Policy Number: 026149883 WA,W1, WY) Carrier: Insurance Company ofthe State of Pennsylvania Policy Number: 026149880 (MA,MI,NY) Policy Number: 026149881 (OR) ----------------------------------------- Charter Communications, Inc. and their: . subsidiaries, associated, affiliated and inteHelated companies; - controlled or majority (more than 50C0/o) owned partnerships, limited liability companies; . interest only in (or its subsidiaries' interest in) any other partnerships or joint ventures or limited liability comranies; - 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 Ope,atin9, 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 ajoint 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. 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. HPI 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. $cottsboro TV Cable, Inc. Tennessee, LLC Tioga Cable Company, Inc. Vista Broadband Communications, LLC ------------------------------------- Entity: Falcon Cable Systems Company II, LP Certificate Holder is named as Additional Insured under the General Liability as respects franchise agreement. Ordinance #2258 dated May 17, 1983.. CERTIFICATE HOLDER City of Ashland 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Ka1ey E. Jones ~I$. ~'--, MMC 11/2/2010 6:30:11 PM PAGE 4/004 Fax Server Tlm C~een Olsm Reprooent:::i.1lve ~1ARSH Marsh,USA l'nc. 70'1 Marke1 Stre91 ,SUllO 1.1 00 . St. 'Louis, Me eS101-1830 3143422665 Fax -314.342 2QOO Tim.GfQli(1@Marsh.r;om WNw.marsh .com :---ml ~~'SN ~,:H.:RC~R ~R(:>L.t. L~~~ ~U"(:A$W!:NTl:.'R (n..fYi::~\V~1J'Uil October26,2010 Dear Certificate Holder: In order to serve you better, we would like to forwarq future renewa.l certificates via facsimile J e-mail. Plea:;;e clearly indicate your fax number ore"mailaddress on thefront.of the enc:losed Certificate of Insurance and fax to: Marsh USA Inc. 212-948~0811 fax or Emailto:stlouis.certrequest@marsh.com If the Certificate is no longer required, please indicate on the front of the Certificate and fax or ecmail to the number/adqress referenced above. Thank you for your assistance, Z~~ Client Representative Marsh usA Inc. MMC 11/2/2010 6:35:42 PM PAGE 2/004 , Fax Server ~ . .<'::ib CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYVYj "1CORD 11/0212010 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 REPRESENTAllVE OR PRODUCER, AND THE CERllFICATE HOLDER. IMPORTANT: If the cert~lcate holder Is an ADDIllONAL INSURED, the pollcy(les) must be endorsed, ~ SUBROGATION IS WAIVED, subject to the terms and condhlons of the polley, certain policies may require an endorsement A statement on this certificate does not conter rights to the certificate holder In lieu of sueh endorsement(s). PRODUCER NAME: Marsh USA Inc. I p~N~o Ex1\: I F~ No': 701 ~eISnel.SuiI91100 E-MAIL 51. LClJis, MJ 6310,.,830 ADDRESS: Attn: stIouis.certm~stO rmrsh.com (b)l) 212-948-0811 PRODUCER 405245.All-GAWlJ.10.11 FTCB , f.D' -0 R INSURER(5) AFFORDING COVERAGE NAte, INSUREO INSURER A . Nalioml Union Fire Ins Co of PA 19445 ChaJ1a;r ComrTIJnicalons Inc. : See Allached Fa Carrier Us1ilgs 12405 Powerscturt Drive INSURER B 51. Lwis, MJ 63131-3674 INSURER C : INSURER 0 : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-00343793&29 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POllCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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 POllCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. llMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE :~~~r.}Jk ~~~%~~ LIMITS LTR POLICY NUMBER A ~NERAL LIABILITY 4361039 11/0112010 11/0112011 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY I ~~Ea;-S1:s Ea occurrence\ $ 500,000 I CLAIMS-MADE 0 OCCUR MED EXP (Anyone person) $ 10,000 f-- PERSONAL 8. ADV INJURY $ 2,000,000 I- GENEAALAGGREGATE $ 2,000,000 m'L AGG~E~r LIMIT AP~t PER: PRO DUCTS - COMP/OP AGG $ 2,000,000 X POLICY ~!lR.; LOC $ A ~UTOMOBILE LIABILITY ?JJ76738 (AOS) 11/0112010 11/0112011 COMBINED SINGLE LlMrf $ 2,000,000 A X ':!S76737 (MAl 11f0112010 11/0112011 (Ea accident) f.- ANY AUTO BODILY INJURY (Per person) $ A 3078738 (VA) 1110112010 1110112011 f.- ALL OWNED AUTOS BODILY INJURY (Per accident) $ 7 SCHEDULED AUTOS PRO PERTY DAMAGE HIRED AUTOS (Per accident) $ f.i , I- NON-0WNED AUTOS $ $ f.- UMBRELLA LIAB H ~CCUR EACH OCCURRENCE $ EXCESS L1AB CLAIMS-MADE AGGREGATE $ - DEDUCTIBLE $ RETENTION ~ $ B WORKERS COMPENSA110N See Attached 1110112010 11/0112011 X IT~~$lTf'J#~1 [OJ'!:!- AND EMPLOVERS' UABIUTY VIN ANY PROPRIETOR/PARTNER/EXECUTIVE ~ NI' E.L. EACH ACCIDENT $ 1,500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) . E_L DISEASE - EA EMPLOVEF $ 1,500,000 1\ yes. desqibe under 1,500,000 DESCRIPTION OF OPERATIONS Wow E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (At1ach ACORD 101, AddItional Remarks Schedule,lf moreapBce Is requIred) (See reverse andla attached tor addtianl inlomntion) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCElLED BEFORE Cily of Asliand THE EXPlRAll0N DATE THEREOF, NOllCE WILL BE DELIVERED IN 20 East Main Streel ACCORDANCE WITH THE POLICY PROVISIONS. Asliand, OR 97520 AUTHORIZED REPRESENTA11VE otManJh USA Inc. Kaley E. Jones ~'"""~. ACORD 25 (2009/09) <C> 19BB-Z009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MMC 11/2/2010 6:35:42 PM PAGE 3/004 Fax Server ADDITIONAL INFORMATION CHI-003437936-29 DATE (MMlDD/VV) \ 11/02/2010 PRODUCER Marsh USA Inc. 701 Market Street, Suite 1100 St. Louis, MO 63101-1830 Attn: stIouis.certrequest@marsh.com (fax) 212-948-0811 40S245-ALL,GAWU'10,11 FTCB Y MDF, INSURERS AFFORDING COVERAGE NAICII 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 (ADS) Policy Number: 026149879 (eA) 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 inteHelated companies; . controlled or majority (more than 50%) owned partnerships, limited liability companies; . interest only in (or its subsidiaIies' interest in) any either partnerships or jomt venhJres or limited liability comranies; - 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 venhJre 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 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. HPI Acquisition Co., LLC Interlink Communication Partners, LLC Long Beach, LLC MaICUS 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 T elecable, a Caljfornia 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 ~"'" ~c... ..'.. ......., .'.'........ '.'.'.'.'.. ....", .,... MMC 11/2/2010 6:35:42 PM PAGE 4/004 Fax Server T1 m Green OI,Sl'l1 Rspr-s.ssnta1lva ~1ARS H Marsh,USA Inc. 701 Marke1 Stretit Sul1Q 1100 St.louis, Me e::no 1-1630 .3'14 342 2665 Fax ':;14,:342 :2QOO Tim.Gr8~@Marsh.,cpm WNW.marsh ,com :------1 M.ARstH M:;R:::::-ER $\~O!.l., L~~ ~;U'f,~PENn~W 9!.JVE~"VThY\~ October 26, 201 0 Dear Certificate Holder: In order to serve YOl.l better, we would like to forward future renewel certifiCates via facsimile / e-mail. Please clearly indicate your fax number or e.mailaddress on the front of the enclosed Certificate of Insurance and fax to: Marsh USA Inc. 212~948.0811 fax or Email to:stlouis.certrequest@marsh.com If the Certificate is no longer required, please indicate on the front of the Certificate and fax or eemail to the number/address referenced above, Thank you for your assistance, .-Z~~ Client Representative Marsh USA Inc.