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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7363 ELECTRONIC PAYMENT PROCESSING (8)Phoenix Insurance Company 25623-001 Travelers Property Casualty Company of Am 25674-004 Travelers Indemnity Co. of America 25666-001 877-945-7378 888-467-2378 certificates@willis.com Willis Insurance Services of Georgia, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230-5191 10 Glenlake Parkway NE North Tower Atlanta, GA 30328 X X 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A HNGLSA-158D7542-17 6/1/2017 6/1/2018 X X X B HOCAP-158D7566-17 6/1/2017 6/1/2018 1,000,000 B HROUB-118D8912-17 6/1/2017 6/1/2018 X 1,000,000 1,000,000 1,000,000 C N HC2HUB-2333L415-17 6/1/2017 6/1/2018 City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability as per written contract. Global Payments Inc. Page 1 of 1 06/07/2017 Y Y 25510749 Fort Collins, CO 80522 P.O. Box 580 Purchasing Division City of Fort Collins Coll:5085255 Tpl:2152007 Cert:25510749 DATE (MM/DD/YYYY) PRODUCER INSURED INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS’ LIABILITY Y / N N / A (Mandatory in NH) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE CONTACT NAME: PHONE FAX (A/C, NO, EXT): (A/C, NO): E−MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: EACH OCCURRENCE DAMAGE TO RENTED $ CLAIMS−MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN’L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PRO- POLICY JECT LOC OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO OWNED AUTOS ONLY BODILY INJURY(Per person) $ SCHEDULED AUTOS HIRED AUTOS ONLY BODILY INJURY(Per accident) $ NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS−MADE AGGREGATE $ $ DED RETENTION $ $ PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988−2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE