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HomeMy WebLinkAboutInsurance Certificate: Global Payments Inc. Page 1 of 1 t'.0 DATE(MMDD,YYYY) AcoRO- CERTIFICATE OF LIABILITY INSURANCE 05/30/2019 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: It 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 _ _; 1-877-945-7378 __- FAX 1-888-467-2378 c/o 26 Century Blvd .(AC .. --_ o Ext1 _ (A'C,Not: E-MAIL certificates willis.com P.O. Box 305191 ADDRESS: @ Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Travelers Indemnity Company of America 25666 Global Payments Inc. and its' Subsidiaries ---"'-"""- —'-". OpenEdge Payments LLD INSURER C: Charter Oak Fire Ineurance Company 25615 3550 Lenox Road NE, Suite 3000 INSURER D: Atlanta, GA 30326 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER:W11443950 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. ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER (MM DD YYYY) (MM DD V YY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X i OCCUR , 17.13.5.14g.$(EaStcW9V.nce) $ 1,000,000 A MED EXP(Any one person) $ 10,000 RN 660 158D7542-PHX-19 06/01/2019 06/01/2020 PERSONAL BADVINJURY .4.$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: L IGENERALAGGREGATE $ 2,000,000 X POLICY JECT um [PRODUCTS-COMP/OP AGO .$ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY Per person) $ — OWNED —SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY i AUTOS ONLY ,(Per accident) -_. ___.-". $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER PER I 0TH- AND EMPLOYERS'LIABILITY __ _._STATUTE ER . Y,N 8 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT _. .. $ 1,000,000 OFFICER'MEMBEREXCLUDED? N/A HC2HUB-2333L41-5-19 06/01/2019 06/01/2020 {. I(Mandatory In NH) I E L.DISEASE -EA EMPLOYEE $ 1,000,000• If yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below ; E.L.DISEASE-POLICY LIMIT $ C Workers' Compensation and HROUB-118D8912-19 06/01/2019 06/01/2020;Each Accident $1,000,000 Employers Liability - Disease-Policy Limit $1,000,000 Per Statute :Disease-Each Employee$1,000,000 DESCRIPTION OF OPERATIONS'LOCATIONS.VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached it 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: Kariann Olson 90 N Mountain Avenue r-Juq` Ashland, OR 97520 V ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID, 18036659 BATCH: 1221175 2 of 2 7771 i