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HomeMy WebLinkAboutInsurance Certificate: Charter Communications Inc 2 212 345-5000 11/1/2011 4 : 02 : 59 PM PAGE 2/003 Fax Server A CERTIFICATE OF LIABILITY INSURANCE °",a,'MH"°° "' 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(has)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 USAlrc. NAME: PM .N Market Sheet,Suite NNE O Eat SL Louis,MO 63101-1830 A/C E-maL Attn:sdouis.m"uest @marsh.com((ac)212.948-0811 ADDRESS- INSURERJSI AFFORDING COVERAGE NAIC N 405245-ALL-GAWU-1142 INSURER A:National Union Fire Ins Go of PA 19445 INSURED - INeuaeR a:See Asached For Carder Ustirgs Charter Communications Inc. 12405 Powerscourt Drive St C: North AmPJlral Efte Insurance Company 29700 St Louis,MO 63131.3674 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: CHI 003949642-29 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 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 LTR TYPE OF INSURANCE POUCYNUMBER MOU°CCYEFP POUCYe LIMITS A GENERALL1,I131UTY 2704960 11101/1011 11012012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL UABILPY � PREMISES Eaoccunanm $ CLNMSMADE M OCCUR MED EXP(My me wmon) S 10.000 PERSONAL S ADV INJURY $ 2•000.000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG S 2,000,000 X POLICY PR0. LOC $ A AUroMOelLE Unewn 4309644(ADS) 11/012011 111612012 A X aatldat S 2,000,000 MY AUTO 4309616(MA) 111912011 11012012 BODILY INJURY(Per person) $ A ALT ED LLD 4309645(VA) 11012011 111012012 BODILY INJURY(Per a00em) $ X HIRE X AITT PROPS TV DAMAGE eratidenl is - C X UMBRELLA LIXB OCCUR H2UOD00426-M 11012011 11012012 EXCESS LIAR EACH OCCURRENCE $ 5,000,000 CLNMSisADE AGGREGATE g S,000,ODO DED RETENTIgJ B WORKERS COMPENSATION See Attached 11/0120,1 „/912012 X WC STATU- oTH- $ AND EMPLOYERS'LASILITY Y/N My PROPRIETOWPARTNEF EXECImVE 1 � OFFICERIMENBER EXCLUDED? N❑ N/A EL.EACH ACCIDENT S (Mandatory in NH) 1500000 U yea,d eaOfOeunder E.L DISEASE EA EMPLOYE S DESCRIPTION 6OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1.500.000 DESCMPTIONOFOPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional RamanUl Schedule,If more apace is required) See reverse and/or attached bradditori inbma,ion) CERTIFICATE HOLDER CANCELLATION Cty aM 20 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AShLaBrd,nd,OR East Main 975 Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE of Moran USA Inc. Menashi Mukherjee _"-Cv%l O0sr . 'j4--'cr nLw�-ty ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 212 345-5000 11/1/2011 4 : 02 : 59 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 405245 LOC#: St. Louis 4COR0® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Charter Cohnmuniations Inc 12405 Powersmurt Drive POLICY NUMBER SL Louis NO 63131-3674 CARRIER W11C CODE EFFECTIVE DATE: 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,015664304(ADS) Policy Number.015884305(CA) ' Policy Number.015884308(ND,OH,WA,WI.WY) Carrier. Insurance Company of the State of Pennsylvania Policy Number.015884306(MA) Policy Number.015BU307(OR) Charter Communicotons,Ina and their. -subsidiaries,associated,affiliated and inter-related companies; -controlled or majority(more than 50%)owned partnerships,limited liability Companies; -interest qtly in(or its subsidiaries'interest in)any other partnerships or joint ventures or limBed liability companies; -interest in(or its subsidiaries'interest in)any company or organization coming under its active management or CorNol; -any entity or party required to be insured under any cannot 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 Cablemsion,Inc. Charter Moll Electronics,Inc. Long Beach,LLC Ausable Cable N,Ina Dalton Cablevision,Inc. Marcos 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,Ina CC Systems,LLC Falcon Community Cable,LP Peachtree Cable TV,LP CC VN Operating,LLC Falcon Commun4Venlues L LP Plattsburgh Cablevision,Ina Charter Cable Partners,LLC Falcon First Cable of New York,Inc. Renaissance Media.LLC Charter Communications Entertainment 1,DST Falcon Final Cable of the Southeast,Ina RiSdn Acquisition Parshem.LLC Charter Communications Entertainment l,LLC Falcon Teleable,a CA LP Robin Media Group,Ina Charter Communications Entertainment ll,LLC Falcon Video Communications,LP Scottsboro TV Cable,Inc. Charter Communications Operating,LLC The Helicon Group,LP Tennessee,LLC Charter Communications Properties,LLC Hometown TV,Ina Toga Cable Company,Ina Chadic Communications V,LLC HPI Acquisition Co.,LLC Vista Broadband Communisations,LLC Charter Communications VI,LLC ...and any corporation or other business organization other than a joint venture in which tine Named Insured shown in the declarations has oracquires dunng the policy period an ownership of more than 50%and which is domiciled within the Limited States of Amens,its territories orpossessions,Puerto Rim or Canada. Emily. Falcon Cable Systems Company 11,LP Certificate Holder is named asAdditioral Insured under the General Lability as respects franchise agreement Ordilance#2258 dated May 17,1983.. ACORD 101 (2008/01) 02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD