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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 />03/01/2024
<br />One Federal Street
<br />Boston, MA 02110 USA
<br />Certificate of Liability Insurance
<br />Certificate Reference: 443430
<br />Orange County, are added as Additional Insured to the Commercial General Liability policy but only with respects
<br />to the requirements of the written contract or agreement with the Named Insured. Additional Insured status becomes
<br />effective once the written contract or agreement is fully executed.
<br />WORKERS COMPENSATION POLICY INFORMATION
<br />Insurer Policy Number Effective Date Expiration Date
<br />-------------------------------------------------------------------------------------------
<br />B WC 086326490 (AOS) 3/1/2024 3/1/2025
<br />B WC 086326491 (CA) 3/1/2024 3/1/2025
<br />B WC 086326492 (WI) 3/1/2024 3/1/2025
<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 />BHN IP Enabled Services, LLC, Bresnan Broadband Holdings, LLC, Bresnan Broadband of Colorado, LLC, Bresnan Broadband of Montana, LLC, Bresnan Broadband of Utah, LLC,
<br />Bresnan Broadband of Wyoming, LLC, Bresnan Digital Services, LLC, Bright House Networks Information Services (Alabama), LLC, Bright House Networks Information Services
<br />(California), LLC, Bright House Networks Information Services (Florida), LLC, Bright House Networks Information Services (Indiana), LLC, Bright House Networks Information
<br />Services (Michigan), LLC, CC Fiberlink, LLC, CC VI Fiberlink, LLC, CC VII Fiberlink, LLC, CCH Holding Company, LLC, CCH I Holdings, LLC, CCH II, LLC, CCHC, LLC, CCI Green,
<br />LLC, CCO Fiberlink, LLC, CCO Holdings Capital Corp., CCO Holdings, LLC, CCO NR Holdings, LLC, Charter Advanced Services (MO), LLC, Charter Communications ASC, LLC, Charter
<br />Communications Holding Company, LLC, Charter Communications Holdings, LLC, Charter Communications, LLC, Charter Communications Operating Capital Corp., Charter
<br />Communications Operating, LLC, Charter Communications SSC, LLC, Charter Communications VI HoldCo, LLC, Charter Communications VI, L.L.C., Charter Communications, Inc.,
<br />Charter Distribution, LLC, Charter Fiberlink – Alabama, LLC, Charter Fiberlink – Georgia, LLC, Charter Fiberlink – Illinois, LLC, Charter Fiberlink – Maryland II, LLC,
<br />Charter Fiberlink – Michigan, LLC, Charter Fiberlink – Missouri, LLC, Charter Fiberlink – Nebraska, LLC, Charter Fiberlink – Tennessee, LLC, Charter Fiberlink CA-CCO, LLC,
<br />Charter Fiberlink CC VIII, LLC, Charter Fiberlink CCO, LLC, Charter Fiberlink CT-CCO, LLC, Charter Fiberlink LA-CCO, LLC, Charter Fiberlink MA-CCO, LLC, Charter Fiberlink
<br />MS-CCVI, LLC, Charter Fiberlink NC-CCO, LLC, Charter Fiberlink NH-CCO, LLC, Charter Fiberlink NV-CCVII, LLC, Charter Fiberlink NY-CCO, LLC, Charter Fiberlink OR-CCVII, LLC,
<br />Charter Fiberlink SC-CCO, LLC, Charter Fiberlink TX-CCO, LLC, Charter Fiberlink VA-CCO, LLC, Charter Fiberlink VT-CCO, LLC, Charter Fiberlink WA-CCVII, LLC, Charter
<br />Gateway, LLC, Charter IP Enabled Services, LLC, Charter Leasing Holding Company, LLC, Charter Procurement Leasing, LLC, DukeNet Communications, LLC, Innovar Media LLC,
<br />Insight Blocker LLC, SCI Aviation, Inc., Spectrum Advanced Services, LLC, Spectrum Captive Holdings, LLC, Spectrum Communications Indemnity Inc., Spectrum Fiberlink
<br />Florida, LLC, Spectrum Gulf Coast, LLC, Spectrum Management Holding Company, LLC, Spectrum Mid-America, LLC, Spectrum Mobile Equipment, LLC, Spectrum Mobile, LLC, Spectrum
<br />New Jersey, LLC, Spectrum New York Metro, LLC, Spectrum NLP, LLC, Spectrum Northeast, LLC, Spectrum Oceanic, LLC, Spectrum Originals Development, LLC, Spectrum Originals,
<br />LLC, Spectrum Pacific West, LLC, Spectrum Reach, LLC, Spectrum RSN, LLC, Spectrum SN, LLC, Spectrum Southeast, LLC, Spectrum SportsNet, LLC, Spectrum Stamford, LLC,
<br />Spectrum Sunshine State, LLC, Spectrum TV Essentials, LLC, Spectrum Wireless Holdings, LLC, Time Warner Cable Business LLC, Time Warner Cable Enterprises LLC, Time Warner
<br />Cable Information Services (Alabama), LLC, Time Warner Cable Information Services (Arizona), LLC, Time Warner Cable Information Services (California), LLC, Time Warner
<br />Cable Information Services (Colorado), LLC, Time Warner Cable Information Services (Hawaii), LLC, Time Warner Cable Information Services (Idaho), LLC, Time Warner Cable
<br />Information Services (Illinois), LLC, Time Warner Cable Information Services (Indiana), LLC, Time Warner Cable Information Services (Kansas), LLC, Time Warner Cable
<br />Information Services (Kentucky), LLC, Time Warner Cable Information Services (Maine), LLC, Time Warner Cable Information Services (Massachusetts), LLC, Time Warner Cable
<br />Information Services (Michigan), LLC, Time Warner Cable Information Services (Missouri), LLC, Time Warner Cable Information Services (Nebraska), LLC, Time Warner Cable
<br />Information Services (New Hampshire), LLC, Time Warner Cable Information Services (New Jersey), LLC, Time Warner Cable Information Services (New Mexico), LLC, Time Warner
<br />Cable Information Services (New York), LLC, Time Warner Cable Information Services (North Carolina), LLC, Time Warner Cable Information Services (Ohio), LLC, Time Warner
<br />Cable Information Services (Pennsylvania), LLC, Time Warner Cable Information Services (South Carolina), LLC, Time Warner Cable Information Services (Tennessee), LLC, Time
<br />Warner Cable Information Services (Texas), LLC, Time Warner Cable Information Services (Virginia), LLC, Time Warner Cable Information Services (Washington), LLC, Time
<br />Warner Cable Information Services (West Virginia), LLC, Time Warner Cable Information Services (Wisconsin), LLC, Time Warner Cable, LLC, TWC Administration LLC, TWC
<br />Communications, LLC, TWC Employee Disaster Relief Fund, TWC IP Enabled Services, LLC, TWC SEE Holdco LLC, TWCIS 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: 1C5C2D10-BF4F-436A-917D-BC76C90E7D38
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