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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (5)REVEN-1 OP ID: DD 144camo CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 12131 12/31112 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 endorsement(s). PRODUCER 225-927-0451 Henry Insurance Service,lnc. - - 9624 Brookline Suite 200 2259268510 Baton Rouge, LA 70809 Henry Insurance Service, Inc. CONTACT NAME PHON E FAX AIC No Ell' AIC No): E-MAIL ss: INSURERS) AFFORDING COVERAGE NAIC # INSURER A : America First Insurance 12696 INSURED Revenue Recovery Group Inc and King Woolf, DISCOVERY AUDIT SERVICES, LLC 12012 Brlcksome Ave. Baton Rouge, LA 70816 INSURER B: Travelers 25666 INSURER c: New Hampshire Insurance Co. 23841 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 OF INSURANCE OD US POLICY NUMBER MMI01 CY DIYYYY MM/DDEFFY EXP /YYNY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY X BOP8615543 01/10113 01/10114 PAMAGE TO RENTED REMISES Ea oowrance $ 50,000 CLAIMS -MADE F-IOCCUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,00 X Business Owners GENERAL AGGREGATE $ 2,000,00 DEVIL AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP/OP AGG S 2,000,000 $ RO LOC POLICY PIFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 8 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO X BA8399777 01110/13 01110/14 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS Is UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE YINTNIAICUB9A73207513 OFFICER/MEMBER EXCLUDED' ❑ IMandatory in NH) 01/26/13 01/26/14 WC STAIU- X OTH- EL. EACH ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1,000,00 If yes. desrriee under DESCRIPTION OF OPERATIONS heltay E.L. DISEASE -POLICY LIMIT $ 1,000,00 C Professionial Lia G24286940001 0610/,112 06106/13 Aggregate 1,000,00 Ea. Claim 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, I1 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 Jessia Ping-Smaill AUTHORIZED REPRESENTATIVE P.O. BOX 580 Fort Collins, CO 80522 ( II.J- ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD