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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP AND KING WOOLF - INSURANCE CERTIFICATEREVEN-1 OP ID: DID ,a►`� CERTIFICATE OF LIABILITY INSURANCE DAT01118D/YYYY) 01118/13 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 endorsements . PRODUCER 225-927-0451 Henry Insurance Service,lnc. 225-926-6510 9624 Brookline Suite 200 Baton Rouge, LA 70809 Henry Insurance Service, Inc. II II � � LX LV 1 CONTACT NAIII PNONE FA% ac NNE., o Ext: I INC, No: E MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC tl INSURER A: America First Insurance 12696 INSURED Revenue Recovery Group Inc and INSURER B: Travelers 25666 King Woolf, DISCOVERY AUDIT SERVICES, LLC INSURERC: New Hampshire Insurance Co. 23841 12012 Bricksome Ave. NsuRER 0: INSURERE: Baton Rouge, LA70816 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 TR TYPE OF INSURANCE ADDL UB NUMBER POLICPOLICY MM/DDYIYYYY MMIODIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A COMMERCIAL GENERAL LIABILITY X BOP8815543 01110/13 01/10/14 A _RENTED PREMISES PREMISES Ea urrence $ 50,00 CLAIMS -MADE MOCCUR MED EXP(Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 X Business Owners GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,00 POLICY F7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea occident $ 1,000.00 BODILY INJURY (Per person) $ A X ANY AUTO X BA8399777 01/10/13 01/10/14 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ S WORKERS COMPENSATION WC STATUS X OTH- TRY B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED' � (Mandatory in NH) NIA ICU69A73207513 01 /26113 01126114 E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 C Professionial Lia G24286940001 06106112 06106/13 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) CITYOF2 City of Fort Collins Jessia Ping-Smaill 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