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HomeMy WebLinkAboutInsurance Certificate: OpenEdge Payments LLC • DATE(MMIDD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 3/26/2020 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. j 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 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, LLC PHONE. FAx 2000 Brookstone Centre Pkwy (AIC.No.Ext):706-324-6671 _ (Alq No):706-576-5607 Suite 118 ADDRESS: cwhitmer@jsmithlaneir.Com Columbus GA 31904 INSURER(S)AFFORDING COVERAGE NAIC# . INSURER A:Federal Insurance A++XV _ 20281 INSURED 30GLOBALPAYM INSURER B:Great Northern Insurance A++XV 20303 OpenEdge Payments LLC Global Payments, Inc.&it's Subsidiaries INSURER c:ACE American Insurance Co A++XV 22667 Attn: Devery Gauthier INSURER D: Atlanta GA 30326 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:1453562648 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. INSR TYPE OF INSURANCE ADDL SUER - POLICY EFF POLICY EXP WLIMITS INSD VD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY 36048071 4/1/2020 4/1/2021 EACH OCCURRENCE $1,000,000 PDRAEMMAGISEETSO(ERaEoNccT CLAIMS-MADE nlOCCUR uED , , : MED EXP(Any one person) $10,000 — _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES�LIPER: GENERAL AGGREGATE $2,000,000. POLICY a PROT , J- jlLOC PRODUCTS-COMP/OP AGG $2,000,000 JEC OTHER: Gen Agg Cap $100,000,000 B AUTOMOBILE LIABILITY 73614277 4/1/2020 4/1/2021 COMBINED SINGLE LIMIT $ (Ea accident) 1 000.000 X ANY AUTO . BODILY INJURY(Per person) $ T ALL OWNED _—SCHEDULED: BODILY INJURY(Per accident) $ r_ AUTOS -AUTOS NON OWNED (Per PERT accident)X HIRED AUTOS X AUTOS X Hired Comp X Hired Coll Hired Phy Dmg-ACV $1,000 Deds _ A X UMBRELLA LIAB X OCCUR 79894591 4/1/2020 4/1/2021 EACH OCCURRENCE - $25,000,000 -_ T EXCESS LIAB CLAIMS-MADE AGGREGATE - $25,000 000 DED X. RETENTION$$n Deduct $ c WORKERS COMPENSATION 71750292 4/1/2020 4/1/2021 71750293 4/1/2021 x I PER I A AND EMPLOYERS'LIABILITY 4/1/2020 EJ YIN STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (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 its 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 97520 ,5 ,ria,,r,0% R ,z: . .1<fi ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD