HomeMy WebLinkAboutGLOBAL PAYMENTS INC - INSURANCE CERTIFICATE (2)"1✓ �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1
01/21/2015
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, subjectto
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
Willis Insurance Services of Georgia, Inc.
c/o 26 Century Blvd.
P.O. Box 305191
Nashville, TN 37230-5191
CONTACT
NAME:
PHONE g77-945-7378 FAX 888-467-2378
C NO EXT:(A/C
A/ NO:
E6"D,','ss certificates@willis.com
A
INSURER(S)AFFORDING COVERAGE
NAIC9
INSURERA: Phoenix Insurance Company
25623-001
INSURED Global Payments Inc. '
INSURERS:Travelers Property Casualty Company of Am
25674-004
INSURERC:Travelers Indemnity Co. of America
25666-001
10 Glenlake Parkway North
Atlanta, GA 30328
INSURER D:.
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 22705940 REVISION NUMBER: See Remarks
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.
INSR
Lm
rypE OF INSURANCE
DDL
N D
SUB
WVD
POLICY NUMBER
POLICY EFF
MWD
POLICY EXP
D YY
LIMITS
A
X
COMMERCIAL GENERALLIABILITY
CLAIMS -MADE X OCCUR
Y
HNGLSA-158D7542-14
6/l/2014
6/1/2015
EACHOCCURRENCE
$ 1.000.000
r�plV,p�ETQpeaacureence)
PREMISES(t
$ 1,000,000
MEDEXP(Anyodeperva)
$ 10,000
PERSONAL& ADV INJURY
$ 1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
PRO
POLICY PRO ❑OC
OTHER:
GENERALAGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
S 2,000,000
$
13
AUTOMOSILEUABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS NON -OWNED
AUTOS
Y
HJCAP-158D7566-14
6/l/2014
6/1/2015
COMBINED SIRTLE LIMIT
1,000,000
BODILY NJURY(Per person)
S
BODILY INJURY(Per accident)
$
PROPERTYOAMAGE
Peraccidenl
$
S
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACHOCCURRENCE
$
AGGREGATE
$
DED I RETENTION$
$
C
B
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
jMandatory in NH)
f yes, De scribe under
DESCRIPTIONOF OPERATIONS below
-
N/A
-
HC2H-UB-2333L415-14
HRO-UB-11SD8912-14
6/1/2014
- - ---
6/1/2014
6/1/2015
6/1/2015
X ER
TA
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required)
THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 7/9/2014 WITH ID: 21824202
City of Fort Collins is included as an Additional Insured as respects to General Liability and
Auto Liability as per written contract.
City of Fort Collins
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Coll:4607400 TD1:1841384 Cert:
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
ACORD CORPORATION. All rights