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HomeMy WebLinkAboutInsurance Certificate: OpenEdge Payments LLC Client#:675030 GLOBAPAYME ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 3/26/2025 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Allison Peak NAME: Marsh&McLennan Agency LLC PHONE Est:706-324-&671 AA_C No: 706-576-5607 200 Brookstone Centre PkWy E-MAIL Allison.Peak@MarshMMA.com 118 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Columbus,GA 31904 INSURER A:Federal insurance Company A++XV 20281 INSURED INSURER B:ACE American Insurance Company A++XV 22667 OpenEdge Payments LLC Attention: Devery Gauthier INSURER C 3550 Lenox Road NE,Suite 3000 INSURER D: Atlanta,GA 30326 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTSR TYPE OF INSURANCE NSR W D POLICY NUMBER MWDDIYYYY MMlLGI D1YYYYY � LIMITS A X COMMERCIAL GENERAL LIABILITY 36048071 4/01/2025 04/01/2026 EACH OCCURRENCE S1 000,000 CLAIMS-MADE X OCCUR DAMAGE TO occurrence $1 000 0a0 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY S1,000,000 CEN'L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�JE° �LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: Gen Agg Ca $100,000,000 A AUTOMOBILE LIABILITY 73614277 4/01/2025 04/01/2026 COMBINED SINGLE LIMIT Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTCS ONLY AUTOS ONLY Per accident S A X UMBRELLA X OCCUR 79894591 4/01/2025 04/01/202 EACH OCCURRENCE S25,000,000 EXCESS LIARB CLAIMS-MADE AGGREGATE s25,000,000 DEC) RETENTIONS g B WORKERS COMPENSATION 7175OZ92 /01/2025 04/01/202 X PER OTH- ANDEMPLOYERS'LiABILITY YIN! A ANY PROPRIETOR/PARTNERIEXECUTIVE❑ 71750293 4/01/2025 04/01/2026 E.L.EACH ACCIDENT $1 000,000 OFFICERWEMBEREXCLUDED? NIA (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 A Hired Auto 73614277 4/01/2025 04/0112026 Actual Cash Value Physical Damage $1,000 Comp Ded. $1,000 Call Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD'101,Additional Remarks Schedule,may be attached if more space is required) First Named Insured: Global Payments Inc.&It's Subsidiaries 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 u_ w City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Kariann Olson ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Avenue N Ashland,OR 97520 AUTHORIZED REPRESENTATIVE �I c� N ©1988-2015 ACORD CORPORATION.All rights reserved. o ACORD 25(2016/03) •1 of 1 The ACORD name and logo are registered marks of ACORD S #Sl4888770/M14888474 ULMAP N O 0 0 O O N O 0 O 000241 0.52 GMS 17429634080028©EF Marsh&McLennan Agency LLC 200 Brookstone Centre Pkwy Suite 1'18 Columbus,GA 31904 CITY OF ASHLAND ATTN: KARIANN OLSON 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 g 0 O P ry 0 M v r r a (7 pN O O O 0 6 P 0 0 0 a N P 0 P