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ACORD 101 (2008/01)
<br />The ACORD name and logo are registered marks of ACORD
<br />© 2008 ACORD CORPORATION. All rights reserved.
<br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
<br />FORM NUMBER:FORM TITLE:
<br />ADDITIONAL REMARKS
<br />ADDITIONAL REMARKS SCHEDULE Page of
<br />AGENCY CUSTOMER ID:
<br />LOC #:
<br />AGENCY
<br />CARRIER NAIC CODE
<br />POLICY NUMBER
<br />NAMED INSURED
<br />EFFECTIVE DATE:
<br />25
<br />Charter Communications, Inc. and its subsidiaries
<br />400 Washington Blvd.
<br />Stamford, CT 06902-6641
<br />03/01/2023
<br />One Federal Street
<br />Boston, MA 02110 USA
<br />Certificate of Liability Insurance
<br />Certificate Reference: 410353
<br />WORKERS COMPENSATION POLICY INFORMATION
<br />Insurer Policy Number Effective Date Expiration Date
<br />-------------------------------------------------------------------------------------------
<br />C 15824829 (AOS) 3/1/2023 3/1/2024
<br />C 15824830 (CA) 3/1/2023 3/1/2024
<br />C 15824831 (WI) 3/1/2023 3/1/2024
<br />Charter Communications, Inc. branded Spectrum, Spectrum Business and Spectrum Enterprise and their
<br />- Subsidiaries, associated, affiliated and inter-related companies;
<br />- Controlled or majority (more than 50%) owned partnerships, limited liability companies;
<br />- Interest only in (or its subsidiaries’ interest in) any other partnerships or joint ventures or limited liability companies;
<br />- Interest in (or its subsidiaries’ interest in) any company or organization coming under its active management or control;
<br />- 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.
<br />Bresnan Broadband Holdings, LLC, Bresnan Broadband of Colorado, LLC, Bresnan Broadband of Montana, LLC, Bresnan Broadband of Utah, LLC, Bresnan Broadband of Wyoming, LLC,
<br />Bresnan Digital Services, LLC, Bright House Networks Information Services (Alabama), LLC, Bright House Networks Information Services (California), LLC, Bright House
<br />Networks Information Services (Florida), LLC, Bright House Networks Information Services (Indiana), LLC, Bright House Networks Information Services (Michigan), LLC, CC
<br />Fiberlink, LLC , CC VI Fiberlink, LLC , CC VII Fiberlink, LLC , CCH Holding Company, LLC, CCH I Holdings, LLC, CCH II, LLC , CCHC, LLC, CCO Fiberlink, LLC , CCO Holdings
<br />Capital Corp. , CCO Holdings, LLC , CCO NR Holdings, LLC , Charter Advanced Services (MO), LLC, Charter Communications Holding Company, LLC, Charter Communications
<br />Holdings, LLC , Charter Communications, LLC, Charter Communications Operating Capital Corp. , Charter Communications Operating, LLC, Charter Communications VI, L.L.C.,
<br />Charter Communications, Inc., Charter Distribution, LLC , Charter Fiberlink – Alabama, LLC , Charter Fiberlink – Georgia, LLC , Charter Fiberlink – Illinois, LLC , Charter
<br />Fiberlink – Maryland II, LLC , Charter Fiberlink – Michigan, LLC , Charter Fiberlink – Missouri, LLC , Charter Fiberlink – Nebraska, LLC , Charter Fiberlink – Tennessee,
<br />LLC , Charter Fiberlink CA-CCO, LLC , Charter Fiberlink CC VIII, LLC, Charter Fiberlink CCO, LLC , Charter Fiberlink CT-CCO, LLC , Charter Fiberlink LA-CCO, LLC , Charter
<br />Fiberlink MA-CCO, LLC , Charter Fiberlink MS-CCVI, LLC , Charter Fiberlink NC-CCO, LLC , Charter Fiberlink NH-CCO, LLC, Charter Fiberlink NV-CCVII, LLC , Charter Fiberlink
<br />NY-CCO, LLC , Charter Fiberlink OR-CCVII, LLC , Charter Fiberlink SC-CCO, LLC , Charter Fiberlink TX-CCO, LLC , Charter Fiberlink VA-CCO, LLC , Charter Fiberlink VT-CCO,
<br />LLC , Charter Fiberlink WA-CCVII, LLC , Charter Gateway, LLC, Charter Leasing Holding Company, LLC, Charter Procurement Leasing, LLC, DukeNet Communications, LLC, Innovar
<br />Media LLC, Insight Blocker LLC, Marcus Cable Associates, L.L.C., SCI Aviation, Inc., Spectrum Advanced Services, LLC, Spectrum Captive Holdings, LLC, Spectrum
<br />Communications Indemnity Inc., Spectrum Fiberlink Florida, LLC, Spectrum Gulf Coast, LLC, Spectrum Management Holding Company, LLC, Spectrum Mid-America, LLC, Spectrum Mid-
<br />America WI-FY2022, LLC, Spectrum Mobile Equipment, LLC, Spectrum Mobile, LLC, Spectrum New Jersey, LLC, Spectrum New York Metro, LLC, Spectrum NLP, LLC, Spectrum Northeast,
<br />LLC, Spectrum Oceanic, LLC, Spectrum Originals Development, LLC, Spectrum Originals, LLC, Spectrum Pacific West, LLC, Spectrum Reach, LLC, Spectrum RSN, LLC, Spectrum
<br />Security, LLC , Spectrum Southeast, LLC, Spectrum Stamford, LLC, Spectrum Sunshine State, LLC, Spectrum TV Essentials, LLC, Spectrum Wireless Holdings, LLC, TC Technology
<br />LLC, Time Warner Cable Business LLC, Time Warner Cable Enterprises LLC, Time Warner Cable Information Services (Alabama), LLC, Time Warner Cable Information Services
<br />(Arizona), LLC, Time Warner Cable Information Services (California), LLC, Time Warner Cable Information Services (Colorado), LLC, Time Warner Cable Information Services
<br />(Hawaii), LLC, Time Warner Cable Information Services (Idaho), LLC, Time Warner Cable Information Services (Illinois), LLC, Time Warner Cable Information Services
<br />(Indiana), LLC, Time Warner Cable Information Services (Kansas), LLC, Time Warner Cable Information Services (Kentucky), LLC, Time Warner Cable Information Services
<br />(Maine), LLC, Time Warner Cable Information Services (Massachusetts), LLC, Time Warner Cable Information Services (Michigan), LLC, Time Warner Cable Information Services
<br />(Missouri), LLC, Time Warner Cable Information Services (Nebraska), LLC, Time Warner Cable Information Services (New Hampshire), LLC, Time Warner Cable Information Services
<br />(New Jersey), LLC, Time Warner Cable Information Services (New Mexico), LLC, Time Warner Cable Information Services (New York), LLC, Time Warner Cable Information Services
<br />(North Carolina), LLC, Time Warner Cable Information Services (Ohio), LLC, Time Warner Cable Information Services (Pennsylvania), LLC, Time Warner Cable Information
<br />Services (South Carolina), LLC, Time Warner Cable Information Services (Tennessee), LLC, Time Warner Cable Information Services (Texas), LLC, Time Warner Cable Information
<br />Services (Virginia), LLC, Time Warner Cable Information Services (Washington), LLC, Time Warner Cable Information Services (West Virginia), LLC, Time Warner Cable
<br />Information Services (Wisconsin), LLC, Time Warner Cable, LLC, TWC Administration LLC, TWC Communications, LLC, TWC Employee Disaster Relief Fund, TWC SEE Holdco LLC, TWCIS
<br />Holdco LLC
<br />...and any corporation or other business organization other than a joint venture in which the Named Insured shown in the declarations has or acquires during the policy
<br />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.
<br />DocuSign Envelope ID: E9081D3E-F6DE-4645-98B7-A3587468D401
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