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<br />Part 2. Executive Summary <br />Part 2a. Scope Verification <br />Services that were INCLUDED in the scope of the PCI DSS Assessment (check all that apply): <br />Name of service(s) assessed: <br />Type of service(s) assessed: <br />Hosting Provider: <br />Payment Gateway Services <br />Managed Services (specify):Payment Processing: <br />☐ Applications / software ☐ Systems security services ☒ POS / card present <br />☐ Hardware ☐ IT support ☒ Internet / e-commerce <br />☒ MOTO / Call Center <br />☐ ATM <br />☐ Infrastructure / Network <br />☐ Physical space (co-location) <br />☐ Storage <br />☐ Physical security <br />☐ Terminal Management System <br />☐ Other services (specify):☐ Other processing (specify): <br />☐ Web N/A N/A <br />☐ Security services <br />☐ 3-D Secure Hosting Provider <br />☐ Shared Hosting Provider <br />☐ Other Hosting (specify): <br />N/A <br />☐ Account Management <br />☐ Back-Office Services <br />☐ Billing Management <br />☐ Fraud and Chargeback <br />☐ Issuer Processing <br />☐ Loyalty Programs <br />☐ Merchant Services <br />☒ Payment Gateway/Switch <br />☐ Prepaid Services <br />☐ Records Management <br />☐ Tax/Government Payments☒ Clearing and Settlement <br />☐ Network Provider <br />☒ Others (specify): Tokenization <br />Note: These categories are provided for assistance only, and are not intended to limit or predetermine <br />an entity’s service description. If you feel these categories don’t apply to your service, complete <br />“Others.” If you’re unsure whether a category could apply to your service, consult with the applicable <br />payment brand. <br />PCI DSS v3.2.1 Attestation of Compliance for Onsite Assessments – Service Providers, Rev. 1.0 <br />© 2006-2018 PCI Security Standards Council, LLC. All Rights Reserved. <br />June 2018 <br />Page 2