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<br /> AGENCY CUSTOMER ID:
<br /> LOC#:
<br /> A�® ADDITIONAL REMARKS SCHEDULE Page of
<br /> AGENCY NAMED INSURED
<br /> One Federal Street Charter Communications, Inc. and its subsidiaries
<br /> Boston, MA 02110 USA 400 Washington Blvd.
<br /> Stamford, CT 06902-6641
<br /> EFFECTIVE DATE; 0 3/0 1./2 0 2 5
<br /> ADDITIONAL REMARKS
<br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
<br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
<br /> Certificate Reference: 464863
<br /> City of Santa Ana, City of Santa Ana, its officers, employees, agents, volunteers and representatives are added as
<br /> Additional Insured to the Commercial General Liability policy but only with respects to the requirements of the
<br /> written contract or agreement with the Named Insured. Additional Insured status becomes effective once the written
<br /> contract or agreement is fully executed.
<br /> This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of
<br /> the operations of the named insured and where required by written contract.
<br /> WORKERS COMPENSATION POLICY INFORMATION
<br /> Insurer Policy Number Effective Date Expiration Date
<br /> ___________________________________________________________________________________ ____
<br /> B 086326490 (AOS) 3/1/2025 3/l/2026
<br /> B 086326492 (WI) 3/l/2025 3/l/2026
<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 /> e created or acquired,
<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 b
<br /> BHN IF Enabled Services, LLC, Bresnan Broadband Holdings, LLC, Bresnan Broadband of Colorado, LLC, Bresnan Broadband of Montana, 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, CCI Green, LLC, CCO EIP Financing,
<br /> LLC, CCO Fiberlink, LLC , CCO Holdings Capital Corp. , CCO Holdings, LLC CCO NR Holdings, LLC , Charter Communications ABC, LLC, Charter Communications Holding Company,
<br /> LLC, Charter Communications Holdings, LLC , Charter Communications Operating Caput al Corp, Charter Communications Operating, LLC, Charter Communications SSC, LLC,
<br /> Charter Communications VI HoldCo, LLC, Charter Communications VI, L.L.C., Charter Communications, Inc„ Charter Communications, LLC, Charter Distribution, LLC Charter
<br /> Fi her link - Alabama, LLC , Charter Fiberlink -Georgia, LLC , Charter Fiberlink - Illinois, LLC , Charter Fiberlink -Maryland II, LLC , Charter Fiberlink - Michigan, LLC
<br /> Charter Fiberlink - Missouri, LLC , Charter Fiberlink -Nebraska, LLC Charter Fiberlink - Tennessee, LLC , Charter Fiberlink CA-CCO, LLC , Charter Fiberlink CC VIII, LLC,
<br /> Charter Fiberlink CCO, LLC, Charter Fiberlink CT-CCO, LLC , Charter Fiberlink LA-CCO, LLC Charter Fiberlink MA-CCO, LLC Charter Fiberlink MS-CCVI, LLC , Charter
<br /> Fiberlink NC-CCO, LLC Charter Fiberlink NH-CCO, LLC, Charter Fiberlink NV-CCVII, LLC , Charter Fiberlink NY-CCO, LLC Charter Fiberlink OR-CCVII, LLC Charter Fiberlink
<br /> SC-CCO, LLC , Charter Fiberlink TX-CCO, LLC Charter Fiberlink VA-CCO, LLC Charter Fiberlink VT-CCO, LLC , Charter Fiberlink WA-CCVII, LLC , Charter IP Enabled Sorvices,
<br /> LLC, Charter Leasing Holding Company, LLC, Charter Procurement Leasing, LLC, DukeNet Communication., LLC, Fusion Merger Sub 1, LLC, Fusion Merger Sub 2, Inc., In beove
<br /> Media
<br /> LLC, Insight Blocker LLC, SCI Aviation, Inc., Spectrum Advanced Services, LLC, Spectrum Captive Holdings, LLC, Spectrum Communication. 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 Cattle 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 Wainer 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 Wainer
<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 Service. (Tennessee), LLC, Time
<br /> Wainer Cable Information Services (Texas), LLC, Time Warner Cable Information Services (Virginia), LLC, Time Warner Cable Information Services (Washington), LLC, Time
<br /> Warner Cable Information Servi cea (West Virginia), LLC, Time Warner Cable Information 3erviees (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.
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<br /> O 2008 ACORD CORPORATION. All rights
<br /> hts reserved.
<br /> ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD
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