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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (6)REVEN-1 OP ID: DID ,d►�oRo CERTIFICATE OF LIABILITY INSURANCE DAT01/18DlYYYY) 01/18/13 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. 2259268510 9624 Brookline Suite 200 - - Baton Rouge, LA 70809 Henry Insurance Service, Inc. '� �� � CONTACT PHONE FAX A/c No Ext : A/C No): ADDRIESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: America First Insurance 12696 INSURED Revenue Recovery Group Inc and King Woolf, DISCOVERY AUDIT SERVICES, LLC 12012 Bricksome Ave. Baton Rouge, LA 70816 INSURER B: Travelers 25666 INSURERC: New Hampshire Insurance Co. 23841 INSURER D : INSURER E : INSURER F : cnVFRAraFs . CFRTIFICATE Nl1MBER: 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 ADDL SUB POLICY NUMBER MM DD/YYYY MM DD/YYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 171 OCCUR X Business Owners BOP8815543 I 01/10/13 01/10/14 EACH OCCURRENCE $ 1,000,000 PAMAGE TO RENTED REMISES Ea occurrence) $ 50,00 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOCI PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS - BA8399777 01/10/13 01/10/14 COMBINED SINGLE LIMIT (Fa accident 1 OOO,OOO $ , BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDANIAGE Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? FY-1 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 01/26/13 01/26/14 STATU- X OTH- Y IMIT R WCICUB9A73207513 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 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 / LOCATIONS / 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 (2010/06) The ACORD name and logo are registered marks of ACORD