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ACO 6 CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDOIYYYY) <br />�""�1 <br />312 612 01 8 <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(les) 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 Ilou of such endorsement s). <br />PRODUCER J Smith Lanier &Co. Columbus <br />200 Brookstone Centre Parkway <br />Suite 118 <br />Columbus GA 31904--'- <br />NAMEp Connie whitmer <br />_ <br />ND No'Extk706-324-6671 �_ FAX No: 706-576-5607 <br />ADoaess• cw1vtmeLGjaMLthIaqIerjom <br />1NSURER(SIAFFORDINGCOVEFAGE NAICY <br />_ <br />INSURERA: Federal Insurance A++ XV 20281 <br />_ <br />INSURED 3OT07ALSYSTE <br />TotalSystem SON as, Inc. <br />'---` <br />INSURER a: Gi eat Nonhem Insurance A++XV 20303 <br />INSURER C: <br />Attn: Donna Weeks, Corporate Risk Ins. <br />One TSYS Way; C-4 <br />Columbus GA 31901 <br />_ <br />INSURER D: <br />-- <br />INSURER E <br />INSURER F: <br />X <br />_ <br />COVERAGES CERTIFICATE NIIMRFR• 119R3R1A9 oev,e,na, •n lege cn. <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 />INCT <br />ryPE OF INSURANCE <br />AOOLISUBR <br />VIVPOLICY <br />��7 <br />NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY E%P'ry <br />DDIM � <br />"-- <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />Contractual Liab <br />.,�,_._._..._..� <br />Y <br />35810798 <br />4/12018 <br />4/112019 <br />EACH OCCURRENCE <br />11A00,00a <br />DAMAGE TD REi ED <br />MIS�S(�iL cggu lenw <br />51,000,000 <br />X <br />_ <br />MED EXP lAny.one perawl <br />SIDODO <br />PERSONAL &ADV INJURY <br />52K800_0_ <br />GEN'L AGGREGATE LIMIT APPLIEj S PER: <br />. I A <br />POLICY 0 JPERCoT _I LOC <br />GENERAL AGGREGATE_ <br />52,000,000 <br />PRODUCT -COMP/OP AGO <br />1lnclutletl <br />Gap Arn, Cap <br />_ <br />525,000,000 <br />OTHERS <br />B <br />AUTOMOBILE LIABILITY <br />K ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X NON-OWTIED <br />HIRED AUTOS AUTOS <br />X Hired Com X Hired Coil <br />i <br />73550131 <br />41V2018 <br />4/112019 <br />COMBINEDSINGLB LIMIT <br />Ea aLY <br />$�Og0000 <br />IN�e�,_-__ <br />eOULLY IN.IURY (Per porsan) <br />_ <br />1 <br />BODILY INJURY Per accident <br />( 1 <br />PftOPERTf pAMAGE <br />Per acclpgBlj��_A <br />Hired Phy DI <br />5 <br />5 �_ <br />S 1,000 Detls <br />A <br />I X <br />I UMBRELLA LIAR— X <br />OCCUR <br />79825231 <br />4P2018 <br />4/112019 <br />EACHHOOCCURRENCE <br />126000.000 <br />EXCESS LIAR <br />CLAIM&MADE: <br />AGGREGATE <br />525,000,000 <br />OED RETENTIOt4S <br />5 <br />A <br />WORKERS COMPENSATION <br />YIN! <br />'•. <br />71T15993 <br />4/1/2018 <br />4/112019 <br />X FART <br />SAT Tr_�EB <br />E. L. EACH ACCNENi' <br />---y--------_.__ <br />11,000,000 <br />ANY PROPRIETOR/PARTNCRIEXECUTIVE <br />OFFICERIMEMaER EXCLUDED' <br />NIA <br />_ <br />E.L. DISEASE -EA EMPLOYEE <br />1i_000,WO <br />(Mandatory In NH) <br />If yes, descbbe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT <br />11000.000 <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLE$ (ACORO 101, Atltlltlonal RomarNe Sehotlule, maybe aHachaO 11 more apace le required! <br />Additional Named Insured: TransFirst Holdings Corp. & TSYS Merchant Solutions LLC <br />(GL) Additional Insured per form: 80-02-2367 Additional Insured Scheduled Person or Organization <br />(GL) Primary and Noncontributory per form: 80-02-2653 Conditions –Other Insurance –Primary, Noncontributory Insurance Sche Lied Pe son <br />.r,�?f (�P <br />Organization1411 <br />City of Santa Ana <br />20 Civic Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />ACORD CORPORATION. All rights reserved <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />