HomeMy WebLinkAboutPAYMENT PROCESSING INC - INSURANCE CERTIFICATE (2)ACORO®
CERTIFICATE OF LIABILITY INSURANCE
GATE IMMIDDIYYYYI
09I1212012
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 thecertificate 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 endorsement(s).
PRODUCER
ONTACT-
AME:
HONE ..
AX ..
'-
Lockton Companies, LLC
5847 San Felipe, Suite 320
!AIC
888-828-8365
A C, No):
_MAIL
Houston, TX 77057
ADDRESS:
INSURERISI AFFORDING COVERAGE
NAIL
NSURER-A: Ace American Insurance Co.
22667
INSURED
NSURER-B:
NSURER-C:
INSPERITY, INC. LICIF
PAYMENT PROCESSING, INC.
NSURER-D:
19001 CRESCENT SPRINGS DRIVE
NSURER-E:
KINGWOOD, TX 77339
NSURER-F
riTilgy ZrNa.�Na:L1arN3\II�.I�hVIGa: :3y9 kiPIP ■0IIL4CIa:
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,
IN
ADDL
SUB
OUCY ERE
POLICY ESP
s
R
INSF
MMIDD/YYYY)
MMIDDIYYYY)
Lr
a
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
OMMERCIAL GENERAL LIABILITY
LAIMS
PREMISES (ES Occurrence)
$
ADE OCCUR
--
MED ERB (Any one person)
$
PERSONAL B ADV INJURY
I .- --
GENERAL AGGREGATE
E N'L AGGREGATE LIMIT APPLIES PER:
PRC-'
PRODUCTS - COMPIOP AGG
$
OLICY JECT LOU
PROFESSIONAL LIABILITY
$
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
NY AUTO
LL OWNED SCHEDULED
(Ea arc idenf -
$
BODILY INJURY Per Person
$
UT05 AUTOS
IRED NON -OWNED
BODILY INJURY (P...... 6ccl)
$
PROPERTY DAMAGE
UTOS AUTOS
(Per accident)
$
MBRELLA LIAB
XCESS LAB
OCCUR
I CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
ED
I I RETENTIONS
ORKERS COMPENSATION
CSTATU-
OTH-
P
AND EMPLOYERS' LIABILITY
C4722343A
18IB1fZB12
1DfD112D13
X,
ORV LIMITS
R
NYPROBR!ETOR/PARTNER/EXECUTIVE
IN
FFICER/MEMBER EXCLUDED'
E L. EACH ACCIDENT
$ 1,000,000
N/A
MANDATORY IN NH)
f es, describe under
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
ESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES (Attach Acord tot, Additional remarks schedule, if more space is required)
' PAYMENT PROCESSING, INC. ( 224a100) IS INCLUDED AS A NAMED INSURED THROUGH ENDORSEMENT.
CITY OF FORT COLLINS
ATTN: FINANCIAL SERVICES PURCHASING DIVISION
215 N MASON ST 2ND FL / PO BOX 580
FORT COLLINS, CO 80522
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
Lb tLUI UIUb/ I ne AUUKU name ano logo are reglsterea marks Ot AGUKU
Acct#: 1170703