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HomeMy WebLinkAboutCharter Communications Inc . J . .a A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYYY) 12/30/2016 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 CONTACT NAME: Risk Management Marsh USA, INC. PHONE -- FAX 1166 AVENUE OF THE AMERICAS E-MAIL(A/C. No.EatL (A/C,No): NEW YORK, NY 10036 ADDRRESS: twc.risk.management(irtwcable.com INSURER(S)AFFORDING COVERAGE NAIC# ... COMPANY A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED COMPANY B: New Hampshire Insurance Company 23841 Charter Communications, Inc. 400 Atlantic Street COMPANY C: Commerce and Industry Insurance Company 19410 Stamford, CT 06901 COMPANY D: Ace Property 6 Casualty Insurance Company 20699 COMPANY E: Insurance Company of State of Pennsylvania 19429 COVERAGES CERTIFICATE NUMBER: 213842 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH 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 I INSD SWVD I POLICY NUMBER I IMMIDDIYYVY)I(MMIDDJYYYY) LTR TYPE OF INSURANCE POLICY EFF POLICY ES? --- — -- LIMITS C X COMMERCIAL GENERAL LIABILITY 3629906 1/1/2017 1/1/20113 EACH OCCURRENCE S $3,000,000.00 — _ CLAIMS-MADE X OCCUR DAMAGE TO RENTED X PREMISES(Ea occurrence) 5 $1,000,000.00 MED EX?(Any one person) S $10,000.00 ----- PERSONAL&ADV INJURY S $3,000,000.00 GEN'L AGGREGATE LIMIT APPLIESPER. GENERAL AGGREGATE S 520,000,000.00 X POLICY PRO• I L_-J LOC JECT PRODUCTS-COMP/OP AGG S $5,000,000.00 OTHER: S A AUTOMOBILE LIABILITY 1921838 (ADS) 1/1/2017 1/2/2018 COMBINED SINGLE LIMIT S A X ANY AUTO 1921839 (MA) (Ea accdent) $7,500,000.00 BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY(Per accident) 5 HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) 5 S D x UMBRELLALAB }( OCCUR X00G28119616002 1/1/2017 1/1/2018 EACH OCCURRENCE S $10,000,000.00 EXCESS LIAB CLAIMS-MADE AGGREGATE 5 $10,000,000.00 CEO I RETENTION S WORKERS COMPENSATION S AND EMPLOYERS'LIABILJTY See second page for 1/1/2017 1/1/2018 X I PE STATUTE I ERH ANY PROPRIETOR/PARTNER/EXECUTIVE YIN specific pol icy OFFICER/MEMBER EXCLUDED? Ei NIA information. E.L.EACH ACCIDENT $ $5,000,000.00 (Mandatory in NH) — If yes,tlescrte under E.L.DISEASE-EA EMPLOYEE S $5,000,000.00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S S5,000,000.00 B Excess wC OH ($5M Retention) 6583134 (OH) 1/1/2017 1/1/2018 Employers Liability $5,000,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Please see page 2 for additional insureds and any additional language. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF OSHKOSH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: CITY CLERK ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1130 OSHKOSH, WI 54902 AUTHORIZED REPRESENTATIVE Kimberly Parks - Po ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD