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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