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HomeMy WebLinkAboutInsurance Certificate: OpenEdge Payments LLC DATE(MM/DD/YYYY) A�o® CERTIFICATE OF LIABILITY INSURANCE 3/29/2022 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: Marsh &McLennan Agency, LLC PHONE Connie Whitmer FAX 2000 Brookstone Centre Pkwy (AIC.No,Ext):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 A++XV 20281 INSURED 30GLOBALPAYM INSURER B:Great Northern Insurance Company A++XV 20303 Ge Payments LLC Globallobal Inc.&it's Subsidiaries INSURER c:ACE American Insurance Company A++XV 22667 Payments, Attn: Devery Gauthier INSURER D: 3550 Lenox Rd NE Suite 3000 INSURER E: Atlanta GA 30326 INSURER F: COVERAGES CERTIFICATE NUMBER:92653924 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED`BEt'QW 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 36048071 4/1/2022 4/1/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X 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 X JEC I X LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: Gen Agg Cap $100,000,000 B AUTOMOBILE LIABILITY 73614277 4/1/2022 4/1/2023 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-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) X Hired Comp X Hired Coll Hired Phy Dmg-ACV $1,000 Deds A X UMBRELLA LIAB OCCUR 79894591 4/1/2022 4/1/2023 EACH OCCURRENCE $25,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 71750292 4/1/2022 4/1/2023 X PER OTH- A AND EMPLOYERS'LIABILITY YIN 71750293 4/1/2022 4/1/2023 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N I 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/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 97520I ea rottg,17S, ,:r-R4' 441.44,5 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD