Loading...
HomeMy WebLinkAboutGLOBAL PAYMENTS INC - INSURANCE CERTIFICATE (5)Page 1 of 1 � RD® ACERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/ 07/2018 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 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 NAME: PHONE 1-877-945-7378 FAX 1-888-467-2378 xt: A/C No: Willis Insurance Services of Georgia, Inc. c/o 26 Century Blvd P.O. Box 305191 E-MAIL ADDRESS: certificates@willis.com INSURERS AFFORDING COVERAGE NAIC# Nashville, IN 372305191 USA INSURER A: Phoenix Insurance Company 25623 INSURED INSURERB: Charter Oak Fire Insurance Company 25615 INSURER C: Travelers Indemnity Company of America 25666 Global Payments Inc. Three Alliance Center 3550 Lenox Road NE, Suite 3000 INSURER D: INSURER E Atlanta, GA 30326 INSURER F : I i.cM-1^AT� AUIRADCD. W644547A RFVIQlr)M NIIMRFR- vTHIS 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 LTR -- TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF /Y MM/DDYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)$ 1,000,000 MED EXP (Any one person) $ 10,000 A Y HNGLSA-158D7542-18 06/01/2018 06/01/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY PRO LOC JECT OTHER: AUTOMOBILE LIABILITY ECOMe acccidentSINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ g OWNED - SCHEDULED AUTOS ONLY AUTOS Y HOCAP-158D7566-18 06/01/2018 06/01/2019 PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- STATUTE ER C AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ (OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A HC2NUB-23337415-18 06/Ol/2018 06/01/2019 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT $ 1, 000,000 If yes, describe under DESCRIPTION OF OPERATIONS below B Workers' Compensation HROUB-IISD8912-18 06/01/2018 06/01/2019 Each Accident $1, 000, 000 Per Statute Disease -Policy Limit $1, 000, 000 '. .Disease -Each Employe $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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. CERTIFICAI h HULUtH NMIY< GLLM I IVn 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 V V I`Joo-LU I Al.VrtU %�%Jnr %JnM I IVIN. M I IU Ra Icacl vcu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16265591 BATCH: 740619