Laserfiche WebLink
`MW <br />ACORO� CERTIFICATE OF LIABILITY INSURANCE I DATE`1912 YYYYI <br />� 8l9/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsements). <br />PRODUCER COACT Connie Whitmer <br />NAME. _. _. -. - <br />J Smith Lanier & Co. Columbus PHONE 706.32A-6871 X Np ?06-576-5607 <br />200 Brookstone Centre Parkway ((Ue. NO. EaI) INCt) - - - <br />Suite 118 AppR ss. cWhilmer@)sne(hianler,com _ <br />Columbus GA 31904 INSURERLSi AFFORDING COVERAGE NAICO- <br />INSURED <br />Total System Services, Inc. <br />Attn: Donna Weeks, Corporate Risk Ins. <br />One TSYS Way; C-4 <br />Columbus GA 31901 <br />sLW A 1 Federal Insurance A++ XV 20281 <br />sui a. Great Northern Ins A++ XV 20303 <br />SURER C : <br />SARERD <br />BARER E <br />OPWICIr1M MI IMRCG• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSN. AUOLSUBRi - POLICY EFF POLICY EVY LIMITS <br />LSH TYPE OF INSURANCE POLICY NUMBER b W <br />TR <br />A X COMMERCIAL GENERAL LIABILITY <br />_._._ <br />Y <br />358107M <br />4/12019 I 4/12020 EACH OCCURRENCE <br />- <br />$1 000000 .. <br />' CLAIMS -MADE I X OCCUR <br />I)REA{I$Ei{ pgm� 4n4u1 ,.4I'Mo00 <br />„ <br />X Conbadual Liab <br />EXP (Any ono Pmon) <br />Si 50p7 <br />PERSONAL B ADV Wuity <br />S1000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$2.000.001) _ <br />POLICYI PEC X IOC <br />PRODUCTS - COMPIOPAGG <br />$Included <br />.. <br />Ce <br />$25,000.000 <br />-- OTHER <br />It AUTOMOBILE LIABILITY <br />735%M31 <br />COMBINED <br />4n12020 COMBINED SINGLE LIMIT <br />012019 (Ep ascedOOD _ J__yOOO,OOp <br />s <br />X ANY AUTO <br />BODILY INJURY (Per person) <br />I <br />S _. <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Par acudene+$ <br />AUTOS "1 NON-OWNED <br />PRpPERTY �AMAGF <br />I s <br />HIRED AUTOS AUTOS <br />X ' Hd COI( <br />X I Heed GOD Hine <br />HMW PN am D-ACV <br />; S 1,000 Dec. <br />A (UMBRELLA LIAR IOCCUR <br />79825231 <br />4/12019 <br />4112020 <br />EACH OCCURRENCE <br />826000 (K) _ <br />1.X <br />1EXCESS UAB CLAIM&MADE <br />I AGGREGA1E_2SB00C00 <br />I <br />S <br />DEC, ' RETENTION!, <br />p WORKERS COMPENSATION <br />71716993 <br />WaD19 <br />41IN020 <br />Xi�ASUT€, OOI I <br />I <br />AND EMPLOYERS' LIABILITY . <br />ANY PROPRIETOWPARTNEWEXECUTIVE <br />I.L.EACH ACCIDENT <br />$100B 00b _. <br />�Y�Irj, <br />OFPICEWMEMINR EXCLUDED? (NIA <br />EL DISEASE •_EA EMPLOYEEI,S <br />1000 CCO <br />,(Mandatory In NH) <br />if oe. dewnen DOW, <br />EL. DISEASE - POLICY LIMIT <br />S1,OW.000 <br />r) SCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Adc[RMORl Remerae Schaduta. may be aae4bod 11 MOM WOOD brogWrodl <br />Additional Named Insured: TfanSFlrst Holdings Corp. & TSYS Merchant Solutions LLC <br />Additional Insured Scheduled Person of Organization <br />(GL) Additional Insured per form; 80-02-2367 <br />GL Primary and Noncontributory perform: 80-02-2653 Condlllons — Other Insurance — Primary, Noncontributory Insurance Scheduled Person or <br />rganbadion <br />(GL) 45 Day Notice of Cancellation per form' 80-02-9T79 Notice of Cancellation To Scheduled Persons or Organizations (Except Non-payment of Premium) <br />REVIEWED & APPROVED <br />B20�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />26 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City Of Santa Ana <br />Risk Management Divisio <br />20 Civic Plaza 4th Floor FRANCINE R. VILLAREAL AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />no figR�R-zota ArORO CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />