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HomeMy WebLinkAboutInsurance Certificate: OpenEdge Payments LLC ARD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYI) 3/27/2021 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 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: Connie Whltmer Marsh&McLennan Agency, LLCPHONE FAX 2000 Brookstone Centre Pkwy ' (AIC .No.Extl:706-324-6671 (AIC.No):706-576 -5607 Suite 118 ADDRESS: Connie.Whitmer@MarshMMA.com - -• Columbus GA 31904 . INSURER(S)AFFORDING COVERAGE NAIC# . INSURER A:Federal insurance Company, 20281 INSURED 30GLOBALPAYM INSURER B:Great Northern Insurance Company 20303 OpenEdge Payments LLC Global Payments, Inc.&it's Subsidiaries INSURER c:ACE American Insurance Company . 22667 • Attn: Devery Gauthier INSURER D: Atlanta GA 30326INSURER E ' INSURER F: COVERAGES CERTIFICATE NUMBER:758333253 REVISION NUMBER: I 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. . INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTRINSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 36048071 4/1/2021 4/1/2022 EACH-OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE n OCCUR PREMISES Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 - PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $2,000,000 POLICY PROT- n LOC PRODUCTS-COMP/OPAGG $2,000,000 JEC OTHER: Gen Agg Cap $100,000,000 B AUTOMOBILE LIABILITY ' 73614277 . 4/1/2021 4/1/2022 COMBINED SINGLE.LIMIT $ _ (Ea accident) 1 000.000 X .ANY AUTO - - - - - • ' . BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) .$ AUTOS _ AUTOS _ NON- WNED PROPERTY DAMAGE — X HIRED AUTOS X AUTOSO (Per accident) • $ _ X Hired Comp X Hired Coll Hired Phy Dmg-ACV $1,000 Deds A X UMBRELLA LIAB X OCCUR 79694591 4/1/2021 4/1/2022 EACH OCCURRENCE . $25,000,000 EXCESS LIAB CLAIMS-MADE • AGGREGATE $25,000,000 DED X I RETENTION$$0 Deduct $ R. C WORKERS COMPENSATION 71750292 4/1/2021 .4/1/2022 X ST TUTE 0TH A AND EMPLOYERS'LIABILITY YIN71750293 4/1/2021 4/1/2022 ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? Ej. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION.OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 _ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 (GL)Additional Insured per form: 80-02-2367 Additional Insured Scheduled Person or Organization CERTIFICATE HOLDER CANCELLATION .' . . •, ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 'NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kariann Olson 90 N Mountain Avenue AUTHORIZED REPRESENTATIVE . Ashland OR 975206.. m o , , 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD