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HomeMy WebLinkAboutInsurance certificate- OpeEdge Payments LLC _ Page 1 of 1 ACORO® DATE (MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 06,07,2018 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 have ADDITIONAL INSURED provisions or 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: _ Willis Insurance Services of Georgia, Inc. PHONE FAX A/C No Ext: 1-877-945-7378 A/C No: 1-888-467-2378 c/o 26 Century Blvd E-MAIL P.O. Sox 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA _ INSURER(S AFFORDING COVERAGE, NAICf1 INSURERA: Phoenix Insurance Company 25623 INSURED INSURER B: Travelers Indemnity Company of America 25666 OpenEdge Payments LLC Global Payments Inc. INSURERC: Charter Oak Fire Insurance Company 25615 Three Alliance Center INSURER D: 3550 Lenox Road NE, Suite 3000 Atlanta, GA 30326 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: W6445468 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 WITH 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. POLICY EFF POLICY EXP INSR TYPE OF INSURANCE INSD U D POLICY NUMBER MM/ D/YYYY MM LTR / D/YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 J DAMAGE TO RENTED CLAIMS-MADE ~ X OCCUR PREMISES Ea occurrence $ 11000,000 A MED EXP (Any one person) $ 10,000 EJ HNGLSA-158D7542-18 06/01/201806/01/2019 PERSONAL BADVINJURY $ 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY ^ PRO LOC PRODUCTS - COMP/OPAGG $ 2,000,000 L_ JECT L-1 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ ~OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER B 'ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A HC2NUB-23337415-18 06/01/2018 06/n1_n19 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 C Workers' Compensation HROUB-118D8912-18 106/01/2018 06/01/2019 Each Accident $1,000,000 IPer Statute Disease-Policy Limit $1,000,000 Disease-Each Employee$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland, Oregon and it's elected officials, officers and employees are Additional insureds where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE Attn: Rariann Olson 90 N Mountain Avenue y.'t~o Ashland, OR 97520 V U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16265591 BATCH: 740619