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HomeMy WebLinkAboutCOI - Global Payments Inc. - Expires 2024-04-01ACG'RD® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYYY) 3/30/2023 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 Marsh & McLennan Agency, LLC 2000 Brookstone Centre Pkwy Suite 118 Columbus GA 31904 CONTACT Allison Peak PHONE FAX (A/C. No. Ext): 706-324-6671 1 (A/C, NO 706-576-5607 ADDRESS: Allison.Peak@MarshMMA.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company A++ XV 20281 INSURED 3OGLOBALPAYM Global Payments Inc. & It's Subsidiaries 3550 Lenox Rd NE Suite 3000 Atlanta GA 30326 INSURER B : Great Northern Insurance Company A++ XV 20303 INSURER C: ACE American Insurance Company A++ XV 22667 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:1716231203 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 LTR TYPE OF INSURANCE _ ADDL _ x$D_ SUBR NM POLICY NUMBER POLICY EFF (MM/DD YYYY) POLICY EXP (MM/ DYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 36048071 4/1/2023 4/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE X LIMIT APPLIES JEC . X PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 Gen Agg Cap $ 100,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO OWNED X SCHEDULED 73614277 4/1/2023 4/1/2024 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Hired Phy Dmg -ACV $ 1,000 Deds A X UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE 79894591 4/1/2023 4/1/2024 EACH OCCURRENCE $25,000,000 AGGREGATE $ 25,000,000 DED RETENTIONS $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORJPARTNERJEXECUTIVE OFFICER/MEMBER EXCLUDED') (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 71750292 71750293 4/1/2023 4/1/2023 4/1/2024 4/1/2024 PER X ISTATUTE OTH- 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 Gilroy, its officers, officials and employees (AU) Additional Insured per form: 16-02-0292 Commercial Automobile Broad Form Endorsement (GL) Additional Insured per form: 80-02-2367 Additional Insured Scheduled Person or Organization (UMC) Follows Form per form: 07-02-0815 Commercial Excess & Umbrella Insurance Contract R EgLM OWADD APR - 5 2023 GILROY CITY CLERK'S OFFICE CERTIFICATE HOLDER City of Gilroy, its officers, officials and employees 7351 Rosanna St Gilroy CA 95020 CANCELLATION 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 ud4A—cSF © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD