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Home My WebLink AboutTSYS MERCHANT SOLUTIONS, LLC (3)A-2018-170-01 MAYOR INSURANCE ON FILE Miguel A. PulidoWORK MAY PROCEED MAYOR PRO TEWiNTIL INS RANCE EXPIRES Juan Villegas -7-0 COUNCILMEMBE �(`,p NGIL.. 2019 Cecilia Iglesias ERK 0 UU [ l� David Penabza DATE'. Vacant Vicente Sarmlento ® r Jose S°'ario CITY OF SANTA ANA Finance and Management Services Agency 20 Civic Center Plaza • P O Box 1988 Santa Ana, California 92702 wWw.santa-ana. ory June 17, 2019 Gavin Cicchinelli, Chief Revenue Officer -Integrated Solutions TSYS Merchant Solutions, LLC 395 N. Service Rd. -Ste. 122-W Melville, N.Y. 11747 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho ACTING CLERK OF THE COUNCIL Norma Mitre -Ramirez Re: A-2018-170, TSYS Merchant Solutions, LLC, formerly TransFirst, LLC — Fourth Amendment to Agreement - Exercise of First of 2 One (1) Year Extension Options Dear Gavin Cicchinelli, Pursuant to the Fourth Amendment to Agreement (A-2018-170), entered into between TSYS Merchant Solutions, LLC, formerly TransFirst, LLC, dated June 19, 2018, the Term of the Third Amended Agreement is one year commencing July 1, 2018 and ending June 30, 2019, with 2 one (1) year extension options exercisable by the City, The City herewith exercises the first one (1) year extension option. Accordingly, the term of this extension shall begin 12 a.m. on July I, 2019 and end on 12 a.m. July 1, 2020. All other terms and conditions of said Fourth Amended Agreement remain unchanged and in full force and effect. If you have any questions regarding this matter, please contact Willard Holt, Treasury and Customer Services Manager in the Finance and Management Services Agency at 714-647-5456. Sincerely, CITT OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM: CITY ATTORNEY Sonia R. Carvalho Byk4a s LisaE. orck Assistant City Attorney RECO AMENDED: Kathryn Downs, Executive Director Finance & Man agement Services Agency TSYS Merc S 'oos, LLC By: Name: Gavin Cicchinelli — Chief Revenue Officer SANTA ANA CITY COUNCIL MlgaalA Pulido Juan Nllegas vicem*saimienW David Penalola Jose sordio Vecenl ceriia Iglesias Mayor Mayor Pro Tem, Ward 5 Wad Word Wadi Wards Weeds mou1do0sanla ana ma lyilleoas(@wl. a,a an isarmienlo2Esenla-ana or doenafozaissere angora-salonod3arda-idl4k m0emaalmmnt.sas as `MW ACORO� CERTIFICATE OF LIABILITY INSURANCE I DATE`1912 YYYYI � 8l9/2019 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 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 endorsements). PRODUCER COACT Connie Whitmer NAME. _. _. -. - J Smith Lanier & Co. Columbus PHONE 706.32A-6871 X Np ?06-576-5607 200 Brookstone Centre Parkway ((Ue. NO. EaI) INCt) - - - Suite 118 AppR ss. cWhilmer@)sne(hianler,com _ Columbus GA 31904 INSURERLSi AFFORDING COVERAGE NAICO- INSURED Total System Services, Inc. Attn: Donna Weeks, Corporate Risk Ins. One TSYS Way; C-4 Columbus GA 31901 sLW A 1 Federal Insurance A++ XV 20281 sui a. Great Northern Ins A++ XV 20303 SURER C : SARERD BARER E OPWICIr1M MI IMRCG• 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. INSN. AUOLSUBRi - POLICY EFF POLICY EVY LIMITS LSH TYPE OF INSURANCE POLICY NUMBER b W TR A X COMMERCIAL GENERAL LIABILITY _._._ Y 358107M 4/12019 I 4/12020 EACH OCCURRENCE - $1 000000 .. ' CLAIMS -MADE I X OCCUR I)REA{I$Ei{ pgm� 4n4u1 ,.4I'Mo00 „ X Conbadual Liab EXP (Any ono Pmon) Si 50p7 PERSONAL B ADV Wuity S1000000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2.000.001) _ POLICYI PEC X IOC PRODUCTS - COMPIOPAGG $Included .. Ce $25,000.000 -- OTHER It AUTOMOBILE LIABILITY 735%M31 COMBINED 4n12020 COMBINED SINGLE LIMIT 012019 (Ep ascedOOD _ J__yOOO,OOp s X ANY AUTO BODILY INJURY (Per person) I S _. ALL OWNED SCHEDULED BODILY INJURY (Par acudene+$ AUTOS "1 NON-OWNED PRpPERTY �AMAGF I s HIRED AUTOS AUTOS X ' Hd COI( X I Heed GOD Hine HMW PN am D-ACV ; S 1,000 Dec. A (UMBRELLA LIAR IOCCUR 79825231 4/12019 4112020 EACH OCCURRENCE 826000 (K) _ 1.X 1EXCESS UAB CLAIM&MADE I AGGREGA1E_2SB00C00 I S DEC, ' RETENTION!, p WORKERS COMPENSATION 71716993 WaD19 41IN020 Xi�ASUT€, OOI I I AND EMPLOYERS' LIABILITY . ANY PROPRIETOWPARTNEWEXECUTIVE I.L.EACH ACCIDENT $100B 00b _. �Y�Irj, OFPICEWMEMINR EXCLUDED? (NIA EL DISEASE •_EA EMPLOYEEI,S 1000 CCO ,(Mandatory In NH) if oe. dewnen DOW, EL. DISEASE - POLICY LIMIT S1,OW.000 r) SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Adc[RMORl Remerae Schaduta. may be aae4bod 11 MOM WOOD brogWrodl Additional Named Insured: TfanSFlrst Holdings Corp. & TSYS Merchant Solutions LLC Additional Insured Scheduled Person of Organization (GL) Additional Insured per form; 80-02-2367 GL Primary and Noncontributory perform: 80-02-2653 Condlllons — Other Insurance — Primary, Noncontributory Insurance Scheduled Person or rganbadion (GL) 45 Day Notice of Cancellation per form' 80-02-9T79 Notice of Cancellation To Scheduled Persons or Organizations (Except Non-payment of Premium) REVIEWED & APPROVED B20�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 26 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Santa Ana Risk Management Divisio 20 Civic Plaza 4th Floor FRANCINE R. VILLAREAL AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 no figR�R-zota ArORO CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD C H U B B" Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued This Endorsement applies to the following forms: GENERAL LIABILITY Who Is An Insured APRIL 1, 2019 TO APRIL 1, 2020 APRIL 1, 2019 3581-07-96 ATL TOTAL SYSTEM SERVICES, INC. FEDERAL INSURANCE COMPANY APRIL 30, 2019 Under Who Is An Insured, the following provision is added. Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additional Insured- Scheduled Person Or Organization Form 80-02-2367 (Rev. 5-07) Endorsement REVIEWED & APPROVED By Risk MANAGEMENT DIVISION R. VILLAREAL o Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED, PURSUANT TO A CONPRACT OR AGREEMENT, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY, All other terms and conditions remain unchanged. Authorized Representative Liability Insurance Additional Insured- Scheduled Person Or Organization I - vda REVIEWED & APPROVEL By Risk MANAGEMENT I MSi0N AI IC 0 C 'Inn last page R. VILLAREAL C H U B B° Liability Insurance Endorsement Policy Period APRIL 1, 2019 TO APRIL 1, 2020 Effective Date APRIL 1, 2019 Policy Number 3551-07-96 ATL Insured TOTAL SYSTEM SERVICES, INC. Name of Company FEDERAL INSURANCE COMPANY Date Issued APRIL 30, 2019 This Endorsement applies to the following forms: GENERAL LIABILITY EMPLOYEE BENEFITS ERRORS OR OMISSIONS STOP GAP STOP GAP - OHIO Under Conditions, the following provision is ad ded [o the condition titled Other lnsurunce. Conditions Other Insurance - If you are obligated pursuant to a written contract or agreoment, to provide the person or Primary, Noncontributory organization described in the Schedule (that Is also Included in the Who Is An Insured section of this Insurance - Scheduled contract) with primary insurance such as is afforded by this policy, then this insurance is primary and Person Or Organization we will not seek contribution from insurance available to such person or organization. Schedule AS REQUIRED BY WRITTEN CONTRACT REVIEWED & APPROVED By Risk MANAGEMENT DIVISION All other terms and conditions remain unchanged. AUG 2 6 2019 ft4 A6A-L e FRANCINE R. VILLAREAL Authorized ReDreaentative ��----��—'xa Liability Insurance conditions - Other Insurance - Primary, Noncontributory Insurance - Scheduled Person or Organization last page Form 90-02-2653 (Rev. 7-09) Endorsement Page I C H U B B° Policy Conditions Endorsement Policy Period APRIL 1, 2019 TO APRIL 1, 2020 Effective Date APRIL 1, 2019 Policy Number 3581-07-96 ATL Insured TOTAL SYSTEM SERVICES, INC. Name of Company FEDERAL INSURANCE COMPANY Date Issued APRIL 30, 2019 This Endorsement applies to the following forms: COMMON POLICY CONDITIONS Under Conditions, the following condition is added. Conditions Notice Of Cancellation To Scheduled Persons Or Organizations When We Cancel When we cancel this policy for any reason, other than oou-payment of premium, we will notify person(s) or organization(s) shown in the Schedule at least 45 days in advance of the cancellation date, Any failure by us to notify such person(s) or organization(s) will not: REVIEWED & APPROVED By Risk MANAGEMENT DIVISION • impose any liability or obligation of any kind upon us; or 262019 • invalidate such cancellation. Schedule Person(s) or Organization(s): IF YOU ARE OBLIGATED, PURSUANT 'PO A WRITTEN CONTRACT OR AGREEMENT, TO PROVIDE PERSON(S) OR ORGANIZATION(S) Address: WITH NOTICE OF CANCELLATION, THEN WE WILL NOTIFY SUCH PERSON(S) OR ORGANIZATION(S) PROVIDED THAT WITHIN 15 DAYS OF THE DATE WE SEND NOTICE OF CANCELLATION TO THE FIRST NAMED INSURED, THE FIRST NAMED INSURED OR Notice of Cancellation To Scheduled Persons Or Organizations - 45 Days continued Policy Conditions (Except Non -Payment Of Premium) Page 1 Form 60-62-6564 (Ed. 9-17) Endorsement Conditions (continued) Address: PRODUCER OF RECORD PROVIDES US WrrH A SPREADSHEET CONTAINING THE NAME, MAILING ADDRESS AND, IF AVAILABLE, F-MAR., ADDRESS OF THE PERSON(S) OR ORGANIZATION(S). All other terms and conditions remain unchanged. Authorized Representative C\Lsl REVIEWED & APPROVED By RISK MANAGEMF.NT D!VISi0N AT&ML FRAN R. VILLAREAL Notice Of Cancellation To Scheduled Persons Or Organizations - 45 Days Policy CondBbne (Except NoniPayment Or Premium) feet page Form 80-02.8564 (Ed. 9-17) Endorsement Page 2