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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (4)REVEN-1 OP ID: DID ''Iteii CERTIFICATE OF LIABILITY INSURANCE DATE O/VVVV) 06/11/12 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-O4S1 Henry insurance $ervlCe,InC. 225-926-6510 9624 Brookline Suite 200 Baton Rouge, LA 70809 Henry Insurance Service, Inc.' NAME: CONTACT PHONE AIc' No EXt: ac No: EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL p INSURER A: America First Insurance 12696 INSURED Revenue Recovery Group Inc. INSURERS: Travelers 25666 P O Box 77738 Baton Rouge, LA 70879 INsuRERc:American Safety 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. INSR LTR TYPE OFINSURANCE ADDL B POLICY NUMBER POLICY EFF MMI00lYYYY POLICY E%P MM/DDIYYYV LIMITS " GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—IOCCUR BOP8815543 01/10/12 01/10/13 DAMA RED PREMISESET EaENToccurzence $ 50,00 MED EXP Any one person) S 6,00 PERSONAL B ADV INJURY S 1,000,00 X Business Owners GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY F_1 PRO LOG ECT PRODUCTS - COMP/OP AGO $ 2,000,00 S AUTOMOBILE LIABILITY COMBINEDt SINGLE LIMIT Ea accitlen $ 1,000,00 X BODILY INJURY (Per person) $ A ANY AUTO BA8399777 01/10/12 01/10/13 AOSCHEDULED AUUTOSS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peracoitlenl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANVPROPRIETORIPARTNER/EXECUTIVEYIN OFFICER/MEMBER EXCLUDED? NIA UB9A73207512 01/26/12 01/26/13 WC STATU- OTH- X T Y T E.LEACHACCIDENT $ 1,000,00 E. L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes describe untler DESCRIPTION OF OPERATIONS below E. L. DISEASE-POLICYLIMIT $ 1,000,00 C Professional Liab G24286940001 06/06112 06/06/13 Aggregate 1,000,00 Ea. Claim 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare space is required) James O'Neill Purchasing City of Fort Collins 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD