Loading...
HomeMy WebLinkAboutGLOBAL PAYMENTS INC - INSURANCE CERTIFICATE (3)Page 1 of 1 acoRo`�' CERTIFICATE OF LIABILITY INSURANCE DATE(MOS/30/20190'/ 2019 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(les) must have ADDITIONAL INSURED provisions or 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 CONTACT Willis Insurances Services of Georgia, Inc. NAME: PHONE ------ - FAX - c/o 26 Century Blvd • 1-877-945-7378 A/C _ 1-888-467-2378 E-MAIL P.O. Sox 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA INSURED Global Payments Inc 3550 Lenox Road NE, Atlanta, GA 30326 & its' Subsidiaries Suite 3000 INSURERS) AFFORDING COVUM%xc NAIC1$ INSURER A : Phoenix Insurance Company 25623 INSURERB: Charter Oak Fire Insurance Company 25615 INSURERC: Travelers Indemnity Company of America 25666 E: COVERAGES CERTIFICATE NIJMRER- W11444012 RFVISIr1N1 NI IURFR- 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 ADDL SUBR POLICV EFF POIJCY EXP LTR TYPE OF INSURANCE INSD WVDPOLICYNUMBER MMIDD/YY MM D/YY LIMITS X COMMERCIAL GENERAL LIABILITY ' I EACH OCCURRENCE $ 1,000,000 CLAIMS MADE X OCCUR _ DAMAGE TO RENTED P� F,�L4-4 ilrr ram . $ 1,000,000 MED EXP An one rson A $ 10,000 HN 660 158D7542-PHX-19 06/01/2019., 06/01/2020 PERSONAL SADV INJURY $ 1,000,000 GENERAL AGGREGATE GEN'L AGGREGATE APPLIES PER: ii $ 2,000,000 %E POLICY IPRO JECT LOC I PRODUCTS • COMPlOP AOG $ 2, 000, 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea ac6i lgnt)—_._--- $ 2,000,000 —__---_. 1 X ANY AUTO BODILY INJURY (Per parson) $ B OWNED SCHEDULED AUTOS ONLY AUTOS Y HOCAP-15SD7566-19 06/01/2020 BODILY INJURY (Pereccidant) $ HIRED NON -OWNED i PROPERTVQAMAGE I AUTOS ONLY AUTOS ONLY �06/01/2019 Lft.r_accidQnt) $ UMBRELLA LIAR _.I OCCUR EACHOCCURRENCE 1 $ EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION X TATV-TE,-__ - -- - -- AND EMPLOYERS' LIABILITY Y ! N .,. — $ 1,000,000 - ---- C ANYPROPRIETORIPARTNER,'EXECUTIVE OFFICER!MEMBER EXCLUDED? ❑ N!A E.L. EACH ACCIDENT HC2HUB-2333L41-5-19 06/01/2019 06/01/2020 - _- --- (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE_ $ 1,000,000 9 yes. describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,000 B workers' Compensation and HROUB-ILODS912-19 06/01/2019 06/01/2020',Each Accident $1,000,000 Employers Liability - Disease -Policy Limit $1,000,000 Per Statute '.Disease -Each Employee$1, 000, 000 DESCRIPTION OF OPERATIONS! LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability as per written contract, %,r-n I Irlt,ta I r nULUMM t;ANGtLLA 1 IUN 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 18036659 BATCH: 1221175 2 of 2 13343