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HomeMy WebLinkAboutInsurance Certificate: Charter Communications Inc 212 345-5000 11/1/2011 3 : 56: 26 PM PAGE 2/003 Fax Server ,acv�z CERTIFICATE OF LIABILITY INSURANCE °"ro1`12011 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 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 Marsh USA lnc. NAMe: 701 Market Street Suite 1100 PHONE FAX VIN EXt: SL Louis,MO 63101-1830 EAWL Attn:stdouis.certtequeA @rnarsh.corn(fax)212-9489811 ADDRESS: INSURERS AFFORDING COVERAGE NAIC It 405245-ALL-GAWU-11.12 FTCB y MDF- INSURER A: National Union Fire Ins Co of PA 19445 INSURED Charter Communications Inc. INSURER S;See Attached For Cartier Listings 12405 Povrerscourt Drive INSURER C: NIA N/A SL Louis,MO 631313674 INSURER 0: INSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: CHIM3954149-29 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POUCYEFF POLICY E%P LTR TYPE OF NSURANCE POLICVNUMBER MM/DD MM/DDM' OMITS A GENERA I-IABILITV 2704960 1110772011 111012012 EACH OCCURRENCE S 2,0110.000 X COMMERCIAL GENERAL LIABILITY PREMISES EaunrYan® $ •� M CLA IA&MADE M OCCUR MED EXP(My me Denson) $ 10,000 PERSONALSADVINJURV $ 2,000,000 GENERAL AGGREGATE $ 2,000,00() GENL AGGREGATE UMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X PDUCV PRO- LOC $ lFrIT A AUTOMOBILE UAB1UTy 4309644(ADS) 111012011 11/012012 aacdaenl 2,000.000 A X ANV AUTO 4W9646(MA) 111012011 11/072012 BODILY INJURY(Par peram) $ A AUTO ED ���D 4309645(VA) 11/012011 111012012 BODILY INJURY(Per acOdent) $ X HIRED NON OWNED AUTOS X AUTOS PROPERTY DAMAGE $ a-andem S UMBRELLALUIB OCC EACH DCCURRENCE $ UR EXCESS LIAR CLAIMS-MADE AGGREGATE g OED RETENTION S $ B WORKERS COMPENSATION See Attached 111012011 11/012012 X I MSTATU- I OTH- AND EMPLOYERS'WBILITY 1,/N TORY ANY PROPRIETCRIPARTNEWEXECImVE $ ir�gg 000 OFFICERIMEMBER EXCLUDED] N/A E.L EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd S 1•500•0oo hYas,dIMPM I-O OESCRIPmON 6OPERAmONS below F.L.DISEASE POLICY LIMIT S 11500.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remerke Schedule,llmare apace Is raqulrod) See reverse andlor attached for addit oral inbnratbn) CERTIFICATE HOLDER CANCELLATION of Ashland 20 East SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Ashland',O OR R Stied 97531 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTArr E Of Marsh USA Inc. Manashi Mukheljele ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 212 345-5000 11/1/2011 3 : 56: 26 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 405245 LOC#: St. Louis ACORO® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Maw USA Ina Charter Canmunicatbns Inc. POLICY NUMBER 12405 PuwM30Dun Dnve St Lmis,MO 63131.3674 CARRIER NAIC CODE - EFFECTIVE DAIS: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, _ FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance WORKERS COMPENSATION AND EMPLOYERS'LIABILITY: Carrier. New Hampshim Insurance Company Policy Number.015884304(ADS) Pdcy Number.015884305(CA) - Policy Number.015884308(ND,OH,WA WI,WY) Cartier. Insurance Company of the Slate of Pemsylvarua Policy Number 015884306(MA) Policy Number.015884307(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 vemures 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 parry required to be insured under any contract or agreement which may now a cst may have previously ensted,or may hereafter be created or acquired. American Cable Entertainment Company.LLC Charter Communications.LLC Intenink Communication Partners,LLC Athens Cabledsion,Inc Charter video Electronics,Inc. Long Beach,LLC Ausable Cade TV,Inc Dalton Cablevision,Inc. Marcus Cable Associates,LLC Cable Equities Colorado,LLC Falcon Cable Media,a CA LP Marcos Cable of Alabama,LLC CC10,LLC Falcon Cable Systems Company 11,LP Marcus Cade,Inc CC Michigan,LLC Falcon Cahlevision,a CA LP Midwest Cable Communications,Inc CC Systems,LLC Falcon Community Cable,LP Peachtree Cable N,LP CC VIII Operating,LLC Falcon CommunryVemures 1,LP Plattsburgh Cablevision,Inc. Charter Cable Panniers,LLC Falcon First Cable of New York,Inc. Renaissance Media,LLC Charter Communicators Entertainment 1,DST Falcon First Cable ofthe Southeast,Inc. RifdnAoauisillon Partners,LLC Charter Communications Entertainment l,LLC Falcon Telemble.a CA LP Robin Media Group,Inc Charer Communications Entertainment It.LLC Falcon Video Communications,LP Scottsboro TV Cable,Inc. Charier Communications Operating,LLC The Helicon Group,LP Tennessee,LLC Charter Communications Properties,LLC Hometown TV.Inc. Toga Cable Company,Inc. Charter Communications V.LLC HPI Acquisition Co.,LLC Vista Broadband Communications,LLC Charter Communicators VI,LLC ...and any corporation or other business organization other than a joint venture in which the Named Insured shown in the declarations has oracquires during the policy period an ownership of more than 50%and which is domiciled within the lhtited Sates of America,its temodes orpossessions,Puerto Rim or Canada. ___________________ Emily: 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 mayappear. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD