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GLOBAL PAYMENTS INC - INSURANCE CERTIFICATE (6)
A6 "® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 06/07/2017 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 Willis Insurance Services of Georgia, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230-5191 CONTACT NAM PHONE g77-945-7378 FAX P✓ N xT: A/ N 888-467-2378 E-MAIL AD R certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # 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 NE North Tower Atlanta, GA 30328 INSURERD: INSURER E: INSURER R COVERAGES CERTIFICATE NUMBER: 25510749 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. INSR -rypE OFINSURANCE DDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR y HNGLSA-158D7542-17 6/1/2017 6/1/2018 EACHOCCURRENCE $ 1,000,000 �OME ?& ocTED 11 aoccurence) $ 11000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1.000.000 GENT AGGREGATE LIMIT APPLIES PER: POLICY �1-7 PRO- JECT [] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANYAUTO OWNEDNLY AUTOS SCHEDULED AUTOS O X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY y HOCAP-158D7566-17 6/1/2017 6/1/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY(Per person) $ BODILYINJURY(Peraccident) $ PROPERTYDAMAGE Per accident _ $ UMBRELLA LIABH EXCESS LIAB OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED 'RETENTION$ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYj aN, OFFICER/MEMBER EXCLUDED? L_ (Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below N/A HROUB-118D8912-17 HC2HUB-2333L415-17 6/1/2017 6/1/2017 6/l/2018 6/1/2018 X I PER TH- T T I ER 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, 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. CERTIFICATE HOLDER CANCELLATION 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:5085255 Tn1:2152007 Cert:255n749©1988-2015ACORD CORPORATION. All rightsreserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD