2018-205-E Health - Elavon credit card fees

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DocuSign Envelope ID: 7BAFA4EF- DE91- 4D64- A904- 630EDDFF2843 A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) I 06/01/2018 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Central, Inc. Minneapolis MN office CONTACT NAME: (A/C.NNo. Ext): (866) 283 -7122 A/C No.): (800) 363 -0105 E -MAIL ADDRESS: 5600 west 83rd Street 8200 Tower, Suite 1100 INSURER(S) AFFORDING COVERAGE NAIC # Minneapolis MN 55437 USA INSURED INSURERA: ACE American Insurance Company 22667 U.S. Bancorp INSURER B: EP- MN -L201 INSURER C: 200 S. 6th street Minneapolis MN 55402 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570071482524 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 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD/ POLICY EXP MM /DD /YYYY LIMITS County Health Department AUTHORIZED REPRESENTATIVE COMMERCIAL GENERAL LIABILITY Attn: Rebecca 7. Crawford 300 W. Tryon Hillsborough NC 27278 USA EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GEMLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE PRO - POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY ( Per person) ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HI RED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAB EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUI CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND PER OTH- I EMPLOYERS' LIABILITY y / N STATUTE ER E.L. EACH ACCIDENT ANY PROPRIETOR / PARTNER I EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ N/A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A Cyber Liability EONG25602894002 11/15/2017 11/15/2018 Aggr Limit $10,000,000 Cyber Liability - Primary SIR applies per policy terms & condi ions DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 aD L N 2 O 2 7 N N N OD r- CD 0 r- LO O Z d R V w N U �fr y_ 2L �z Irtr' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County Health Department AUTHORIZED REPRESENTATIVE Attn: Rebecca 7. Crawford 300 W. Tryon Hillsborough NC 27278 USA ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 aD L N 2 O 2 7 N N N OD r- CD 0 r- LO O Z d R V w N U �fr y_ 2L �z Irtr'