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Home My WebLink About474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (2)REVEN-1 OP ID: DO CERTIFICATE OF LIABILITY INSURANCE DAT01/18DIYYYY) F ovlanz 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, 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 endorsements . PRODUCER 225-927-0451 Henry Insurance Service,lnc. 225-926-8510 9624 Brookline Suite 200 NAMEACT PNONE FAX AIC No E,1 : AIC No E-MAIL s: ADDRE Baton Rouge, LA 70809 Henry Insurance Service, Inc. INSURERS AFFORDING COVERAGE NAIC N INSURER A: America First Insurance 12696 INSURED Revenue Recovery Group Inc. INSURER B:Traveler5 25666 P O Box 77738 Baton Rouge, LA 70879 INSURER C : American Safety Indemnify Co. INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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. INS, LT, TYPE OF INSURANCE INSR UB POLICY NUMBER MMIDD YY1'Y M M/DD/YYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Business Owners BOP8815543 01/10/12 01I10/13 EACH OCCURRENCE S 1,000,00 pREMISEs Ea occunence $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS-COMPIOP AGG $ 2,00D,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BA8399777 01/10/12 01/10/13 COMBINED SINGLE LIMIT Ea accident I S 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ Ll AGGREGATE $ DED R I $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? FYI (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA UB9A73207512 01/26/12 01/26/13 WC STATU- OTH- T ELEACHACCIDENT S 1,DD0,00 EL DISEASE - EA EMPLOYEE $ 1,000,00 EL DISEASE -POLICY LIMIT I $ 1,000,00 C Professional Liab 170PGIPF005103 06/11/11 06/11/12 Aggregate 1,000,00 Ea. Claim 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CITYOF2 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 h © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD