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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP INC AND KING WOOLF D - INSURANCE CERTIFICATEREVEN-1 . OP ID: DID ,a►�oRo CERTIFICATE OF LIABILITY INSURANCE DAT12131112vv) 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 Semice,inc. 225.926-6510 9624 Brookline Suite 200 Baton Rouge, LA 70809 Henry Insurance Service, Inc. CONTACT PHONE FAX AIC No Eat : A/C No : E- RIESS: INSURERS AFFORDING COVERAGE NAIC q INSURER A: America First Insurance 12696 INSURED Revenue Recovery Group Inc and INSURER B: Travelers 25666 King Woolf, DISCOVERY AUDIT SERVICES, LLC INSURER C: New Hampshire Insurance Co. 23841 12012 Bricksome Ave. INSURER D : INSURER E: Baton Rouge, LA 70816 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 OF INSURANCE DL SUER POLICY NUMBER M� DD/YYYY MMIODIYYYY - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY BOP8815543 01/10/13 01/10/14 PREMISES Ea occurrence) $ 60,000 CLAIMS MADE 171 OCCUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY S 1,000,00 X Business Owners GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGO $ 2,000,00 POLICY PRO LOC $ AUTOMOBILE LIABILITY - -- - COMBINED SINGLE LIMIT . Ea accident _ 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO BA8399777 01/10/13 01/10/14 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peracddent $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA ICUB9A73207513 01/26/13 01126114 WC STATU- X OTH- Y LI MIT ER EL EACH ACCIDENT $ 1,000,00 EL.DISEASE - EA EMPLOYEEI $ 1,000,000 IDESCR PTION Odescribe P OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 C Professionial Lia G24286940001 06/06/12 06/06/13 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) 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 (2010/05) The ACORD name and logo are registered marks of ACORD