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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