HomeMy WebLinkAboutGLOBAL PAYMENTS INC - INSURANCE CERTIFICATE 2020-2021A`� o CERTIFICATE OF LIABILITY INSURANCE I°°` 3�26r�a2o '
THIS CERTIFICATE IS FSSUEU AS A MATTER pF INFORMATION OHLY AND CONFERS NO RIGHTS UPON THE CER7�FICA7E HOLDEF�. THI:
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 7HE COVERAGE AFFORDED BY THfl PdlICfH:
BELOW. �H1S CERTIFICATE OF IiVSURANCE DOES NOT CONSTITU7E A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2EC
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 tc
the terms and candikions ot the policy, certain policles may require an endorsement. A statement on this certiflcate does not confer rights ta thE
certiflcate holder in lieu of such sndorsement s).
PRO�UCER COiITACT
Marsh & McLennan Agency, L�C pHONE Connie Whitmer F�
200U BrookStone Centre Plcwy • 706-324-6671 : 706-576-5fi07
Suite 1'I$ E'""a�� , cwhitmer 'smithlaneir.cam
ColumbusGA 31904 ,.,e.,.,��.e, ...,..,.,..,,.,.,,..�...,.� .,.,....
INSUREO
Global Payments Inc.
Attn: Devery Gauthier
3550 Lenox Rd NE Suite 3000
Ailanta GA 30326
: Federal Insurance A++
ACE American Insurance Co A++
OVERAGES CERTIFlCATE NUMBER: 1898661189 REVISIQN NUMSER:
THIS 15 TO CERTIFY TWAT THE POLICIES OF INSURANCE LISTEp BELOW HAVE BEEN 15SUEU TO THE INSURED NAMED ABOVE FOR THE POLICY PERfOC
INDICATED. NOT4VITHSTANDING ANY REQUfREMENT, TERM OR CONDITION OF ANY CONTRACT OFt 07HER DOCUMENT WITH RESPECT TO WHICH THI�
CERTIFICATE N{AY BE ISSUED OR MAY PERTAIN, THE INSl1RANC� AFFOR�ED BY THE POLtCIES D�SGRfeEp HEREIN fS SUBJECF TO ALL THE TERMS
EXCLUSIONS AND CONDIT1pNS OF SUGH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
7� TYPE OF INSURANCE
a X COMLAEFiC1ALGENERALLIABILITY
CLAIMS-MADE � OCCUR
L AGGREGATE LIMIT APPLIES PER:
POLICY � �g� a I.00
B I AVTOMOBII.E LIABILITY
� ANY AUTO
ALt OWNED SCHEDULED
AUTOS AUTbS
x HIREI)AUTOS X NON-0WNED
AUTOS
X Hired Com X Hired Col
A X UIN8RELLA LG1B X OCCUR
exc�ss uas �/11M$�MAO�
DED X R�TENTIDN
� WORKERS COMPENSATION
A AND EINPLOYER8' 11Ae1LITY Y 1 N
ANY PROPR�ETOWPARTNERlEXECUTIVE
OFFICERlMEMBER EICCLUOE�7 ❑N N I A
(Mandatory la NHj
If yes, descrise under
6!fi�"rIril�� tllili'%Yil
411f1020 annorti
411l2020 411l2021
411f1020 41112021
41112D20 411l2021
K? ���?7il
73614277
rsasassti
71750292
71750293
LIMITS
EACH OCCURRENCE S 1 OOD 000
PREMISES (E S 1 D00 000
MED EXP M pn6 8r3pn S 10 000
PERSONAL 8 pDV INJURY S 1 000 000
GENERAL qGGREGATE S 2 000,000
PRODUCTS • COMPlOP RGG S 2 000 000
3en Ca S 140�000,000
MBINED IN LE LJMI7 S
BODILYIMJURY(PBrpersOn) S
BO�ILY IN,fURY (Per eaddeM) S
PROPER7Y DAMA 3
iired Phy Dmp -ACV S 1,004 Oada
EACH OCCURRENCE S 25 OOU 000
AGGREGATE S 25 OW 000
i
X R
E.L. EACH ACCI�ENT S 1 000 000
E.L. DI5EASE - EA EMPLOYE S 1 000 000
E.L DISEASE - POLICY LIMIT S 1.000_000
DESCRIPTION OP OPERATIOl1$ ! LQCATIONS 1 VHHICL�S {ACORD i41, Addltlonal Remarka 9chaduls, may 6e attxhed N moro spsea Is ►puired)
(AU) Additional �nsured per forrn: 16-02-4292 Commercial Automobile Broad Form Endorsement
iG�) Additional Insured per form: 80-02-2367 Additionak Insurad Scheduled Person or Organization
CANCELLATION
City of Fort Collins
Purchasing Division
P.O. Box 580
Fort Collins CO 80522
ACORD 25 (2074l01)
SHOULD ANY OF THE ABOYE DESCRIBED POLICIE5 BE CANCELLED BEFORF
THE EXPIRATlON DATE THEREOF, NOTICE WILL BE DELIVERED I�
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEp REPRESENTA7IVE
�� -�" � F� � • � �}L..t�"S F
OO 1988-2014 ACORD CORPORATION. All rights reservE
The ACORD name and logo are registered marks of AGORD