HomeMy WebLinkAboutGLOBAL PAYMENTS INC - INSURANCE CERTIFICATE"CC)R V® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1
07/0 /22014
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 endorsement(s).
PRODUCER
Willie Insurance Services of Georgia, Inc.
c/o 26 Century Blvd.
P.O. Box 305191
Nashville, IN 37230-5191
CONTACT
NAM
PHONE
xi: 877-945-7378 _TiFax N 889-467-2378
ADMAIL certificates@willis.com
INSURER(S)AFFORDING COVERAGE
HAD
INSURER A: Phoenix Insurance Company
25623-001
INSURED Global Payments Inc.
INSURERS: Travelers Property Casualty Company of Am
25674-004
INSURER C: Travelers Indemnity Co. of America
25666-001
10 Glenlake Parkway North
INSURER 0:
Atlanta, GA 30328
INSURER E:
INSURER F:
I - -
COVERAGES CERTIFICATE NUMBER: 21824202 REVISION NUMBER:
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.
ILTR
T1tPEOFINSURANCE
OD'
NSFIC
SUB
MD
POLICY NUMBER
POLICY EFF
POLICY UP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS-Mi OCCUR
Ef
y
HNGLSA-ISBD7542-14
6/l/2014
5/1/2015
EACHOCCURRENCE
$ 11000,000
PREMISES ea6occurence
$ 1,000,000
MED EXP(Anyoneperson)
$ 10,000
PERSONALBADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENIAGGREGATE LIMITAPPLIES PER:
POLICY F-1 PRO LOC
PRODUCTS-COMP/OP AGG
$ 2,000,000
S
H
AUTO MOBILE LIABILITY
X ANY AUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS NON-OWNEDUAMAUE
AUTOS
HJCAP-158D7566-14
6/1/2014
6/1/2015
COMBINED SINGLE LIMIT
Ea accident)
$ 1,000,000
BODILY INJURY(Per person)
$
BODILY INJURY(Per accident)
$
Per accident
$
$
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I IRETENTION $
S
C
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y�
OFFICEWMEMBER EXCLUDED?
fMandadtory in NH)
1 yes, escribe under
DESCRIPTION OF OPERATIONS below
N/A
HC2H-UB-2333L415-14
HRO-UH-118D8912-14
6/1/2014
6/1/2014
6/1/2015
6/1/2015
X RY IM H,
CER
E.L.EACH ACCIDENT
$ 1,000,000
E.L. DISEASE- EA EMPLOYEE
$ 1,000,000
F.L. DISEASE. POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach Acord 101, Additional Remarks Schedule, It more space is required)
City of Fort Collins is included as an Additional Insured as respects to General Liability as per
written contract.
PS11IP19q W]\11aU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins I AUTHORIZED REPRESENTATIVE
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522
Coll:4459671 Tpl:1841384 Cert:2160202®1988-2010ACORD CORPORATION. All rights reserved
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD