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AGENCY CUSTOMER ID:
<br />LOC #:
<br />A ADDITIONAL REMARKS SCHEDULE Page of
<br />AGENCY
<br />One Federal Street NAMED INSU2lED
<br />BcStOn, MA 02110 USA Charter Cocumnications, Inc.
<br />400 Atlantic Street
<br />Stamford, CT 06901
<br />EFFECTIVE DATE: Q1�Q1�2O19
<br />ADDITIONAL REMARKS
<br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
<br />FORM NUMBER: 25 FORM TITLE: Certificate of Liah; 1 i f-1 TY,�,,,--r,..e
<br />City of Wants Me Risk Management Division, City of Sant. Me, its officer.employee., .....B, voluntnra ado
<br />r.pra.mcativee are added a. MLicln.l xh..mad to the CutserClal Oenerel Liability Polity Ma only with ...Want.
<br />to the re enrttemn
<br />nta of the written ntrIen er aguetent with the NuA
<br />amed xured. Iditloul :n-uCad status becannv
<br />t
<br />efecti" the written contract or egre.ment is fully executed,
<br />Thia Inmate.. I. Primary and n - avory Over my txi,u,g inauz.nce end limited oa liactl icy arisLp tome 0f
<br />the opantio m f the arced lnroa eibu
<br />ad what- required by written contract.
<br />wOPK6NS COW.ATIM: POLICY IIM MRTIW
<br />Insurer
<br />Policy Number
<br />Matti" Date
<br />Hnpira[ton Dste
<br />9
<br />B
<br />ID12231. (NYI
<br />1/1/2011
<br />1/1/2020
<br />P
<br />we
<br />NC 14122397 IMA,NO,NA,N:,NY)
<br />1/1/3019
<br />1/I/2620
<br />P
<br />NC 14122390 (Ce) IL, RY, NC,dM, NJ, PA, IIT, VA, Vf)
<br />1/1/2019
<br />1/1/2020
<br />9
<br />NC 14122399 (CA1
<br />MC 14123400 02
<br />.11/201.
<br />1/1/2020
<br />0
<br />WC 141 1111 9L1
<br />I/1/2019
<br />l/1/2020
<br />1/l/2419
<br />1/l/2020
<br />:nuurer 0: Minnie National Insurance Company
<br />Charter Cone—i--1-on, Inc. branded spectrum, Bpectrvm Business and Spectrum anterpriae ado xtmir
<br />sub.ldiaries, ens laced, affiliated .M Inteareland .mpnie..
<br />Nocrolied or majority Imra than 501) owed pertnervhips, ilmfta' iiab111Cy Oompaefeq in .at only in (or it. aubsiditrlee' interest 1-1 my other pmnerabipa or loin[ v r limited liability wmpanf ne;
<br />Mtere.c In (Or Its subvidfe[iu' interest in) srcanpany or m9salretfon toning unti rtit. .time wanagemone o ntrol;
<br />- Any entity or petty required to be insured .der any emieracc or my now eclat, way have fowl
<br />agreemmc .Rich prev y exl.ted, or may h.[nfter he Crested ee
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<br />Pa mho Rrelecabl0, a California LiNLed Partnersat hip , Heeetow T.�1LLI, H;
<br />Time Warner Cable LLC , a.im-ance Media LLC, Rifkin AcguisihlM Parmarv, P[dfic West, LLC. Sl--I[um Security, LLC, BpaOttwe BeuGhueG, LLC The Mgl
<br />(Aolorad ) LLC, Tips Warner Cable Information Sarvivu Inzl[.q, LLC Tte
<br />(Colorado) L[.C, Time Warner Ostia Intormtln mien (Ravafi). LLC, Tlae
<br />�Illincivl. LLC, Time Marnei Cable Inf.t.Cln "_I.. lindlanal. LLC, Tina
<br />Nentuckyl. LLC , Tiro Warner Cable nInfeuatin 8arvluv 1141ne1, LLC, TlTimeIWIdllgl, LLC, Ties Cable Inforatin 6e ,W. IMis*hmmll, LLCTie
<br />Nampahirel, LLC, Time Warner Cable infonpacin S.rvlee. (Pew ..raw,' Lic T
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<br />IPenneylvenlal C LLC •Time M[rn r Cableormation K..h Informatl. ..,Jr.. f5outh perclina
<br />service- (Temp, LLC , Tim W.mer Cable lt9mmWC10. services IVlzginlalr
<br />sereicea (,.atvlrginlal, LLC, Time Warner Cable Itorm tie. 5... Joe. I,"
<br />Northeast LLC, TMC Nlnfniatxett. LLC, 51st" a Advanced Services, LLC, .,at'
<br />Time Nanez Cable PY.1.w, LLC
<br />and Of Nntms, LLC, Brealw, Broadband of Utah, LLC, Bresnan Broadband f N9rmflg,
<br />BeMhoh"tgrb LnfCCtow" lOn S-zvlc-- (I-1i1anaRt 4LLUCsegrlght Nwninformation
<br />Net—,, infozmaticn CC xichlga::, LLC , CC Oyetem, LLC, CCO BOC.l 1, LLC, CM BOCal II, LLC, Charter
<br />t-r Co®nniC.tlm. Boterraineent II, LLc , Charter CpvwlC.ti.ne &,[ertaLMee,[ VI,,
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<br />harter C—,I.Io. I-- V1, L.L,C., M-1.r Crn,nnlcatin.. LLC ,bark.r Pthe[l,ok
<br />better Plberlink - xaryLM IL LCC, Ch-1— Plberlink Mich{gan. LLC, Charter
<br />NVylvnla, LLC. Charter Pn;erllNi - TemMan, LLC, CMztsr BibO[litc G-Crt LLC , 2. Ltq CAn 2- PLMzlink LA-CN, LLc, Charter Plberlink q-CM, LLC Charter Plberlink
<br />PIM[I1nk W-CNTI, LLC, Charter Plberlink Hy-CCO, LLC Charter Pila[1iox OB-CCYr,
<br />rk VA-00o `.LC, Charter Pibarllek W M. LLC , Chezter Plberl Lnk NA-CCVII, LLC, Charter
<br />'.I. Li -red Partnership , salt. Cablevf.lOn, a California Limiter Partnership .
<br />itlon Co. :.<. Long Beach LLC, Warn. Cable Amammlacm, L. L.c., 1a1111Ce LLC , Ian va.it
<br />:taMro T-able, LK are CLrum Grnf Coast, LLC. Bpeetrvm mid-Mmrim
<br />:P, L.P., Tib "roar Cable 6ntarp, LLC , petcr,s.
<br />rin. LLC, Time Narnwr Cabia tnferrL& . lime
<br />:able Intc-rnLl. 6arvlcee ICalifomlel, LLC, Ttge N[m.r Cable Ir,fo[vtisn 9ervlcn Ibie ihfor—ti. Permits. Iidahm), LLC, Tine Werner Cable Iofor rbf.m 6etvicn
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<br />Ibl.elnfo.meti.. Commits. (Wseath....he) TLLC, NTlm[Na[nbar f.blampfom.6tlen 8ezvtcee Xamaz Cable Ipf.;-m.cl. Bervlen INebzaAkal, uc. Time Warner Cable Infozan[f. Berrie[. IN.
<br />e Warner Cable :n:Onnt1. S.rvlcta Has Meeicol, LLC. Time Warner Cab,. fnfn[eatlea 6a:vlcaa
<br />LLCMTime H.ra- eabltoInformation WervicnLlTal L., TimLIC..reer Cab.. CablelInformation,
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<br />i )i LC- TimeCMa,oez Cab atHanaeLLCC. Time Warner CablNewiYepWarner Cable ork City LLC, TimeevW[rnlrn'able
<br />Captive Holdirns, LLC, Sibmtrum NLP, LLC, Wpeotrom RAW, LLC, Spectca, TV 3... otiel.. LLC,
<br />Md any tn[ph—ti.a or other buslmea o[panlration ether than a joint venture in Mich CM1n nmmM INnred .Rom in the declarations hoe oz acquire[ dor,M the policy
<br />Per
<br />iod en eon ,
<br />hip of re than .01 and which L. dgaiciled within GM plfcM atatas of Amrlca it. territories or Pours -ions, Puerto Alto or '..ad..
<br />2008 ACORD
<br />The ACORD name and logo are registered marks of ACORD
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