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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (3)REVEN-1 OP ID: DD 'ARom} CERTIFICATE OF LIABILITY INSURANCE DATE(MMO6/11/12YY) 112 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 Bertificate holder in lieu of such endorsements . " PRODUCER 225-927-0451 Henry Insurance Service,lnc. - 225-926-8510 9624 Brookline Suite 200 Baton Rouge, LA 70809 Henry Insurance Service, Inc. CONTACT PHONE - FAX we No Ed), INC, No: E MAIL ESS: " INSURERS AFFORDING COVERAGE NAIC p INSURER A: America First Insurance 12696 INSURED Revenue Recovery Group Inc. INSURER 8: Travelers 25666 P O Box 77738 Baton Rouge, LA 70879 INSURER 0: American Saf Indemnity 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. INSRrypE LTR OFINSURANLE ADD LSUB POLICY NUMBER MM%OCYIYYYY(MOOYYYY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1,000,00 A COMMERCIAL GENERAL LIABILITY X BOP8815543 01/10/12 01/10/13 DAMA ETORENTED PREMISES Ea o<cunence $ 50,00 CLAIMS -MADE F-IOCCUR - MED EXP (Any one person) 5 5,00 PERSONAL B ADV INJURY $ 1,000,00 X Business Owners GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,00 POLICY 7PRO n LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) I $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO X BA8399777 01/10/12 01/10/13 ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE Per accident S NON -OWNED HIRED AUTOS AUTOS �$ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in Ni NIA UB9A73207512 01/26112 01/26/13 X WC STATU- OTH- T RY LIMI E.L. EACH ACCIDENT $ 1,000,00 EL. DISEASE - EA EMPLOYEE $ 1,000,00 If yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $ 1,000,00 C Professional Liab G24286940001 061/16/12 06106/13 Aggregate 1,000,00 Ea. Claim 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i/ more space is required) CERTIFICATE HOLDER CANCELLATION CITYOF2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD