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474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (7)
REVEN-1 OP ID: DD A��Ro CERTIFICATE OF LIABILITY INSURANCE D011211201ATE YYj 01/21/2014 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 endorsementts). PRODUCER `UNIA'' Ross R. Henry Henry Insurance Service,lnc. NAME: PHONE 225-927-0451 FAX No; 225-926$510 9624 Brookline Suite 200 C oEtt, Baton Rouge, LA 70809 FNAJL : Ross R. Henry ADDRESS INSURED Revenue Recovery Group Inc. Sr INSURER B: Travelers 25666 Discovery Audit Services, LLC /� �� IJ INSURER New Hampshire Insurance Co. 23841 12012 Bricksome Ave. 4 Baton Rouge, LA 70816 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 TR I TYPE OF INSURANCE LI U POLICY NUMBER CY EFF (MMIDDYrM i POLICY EXP I IMMIDDiFY"M)LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE C, OCCUR BOPS815543 01/10/2014 01/10/2015 PREMISES Ea occurrence S 60,00 MED EXP (Any one person) $ 6,00 PERSONAL $ ADV INJURY S 1,000,00 X Business Owners GENERAL AGGREGATE $ 2,000,00 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,00 1 $ POLICYFI PR0. LOC AUTOMOBILE LIABLrrY COMBINED SINGLE LIMB a acc dent 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO BAS399M 0111012M 01110/2015 ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS IAUTOS BODILY INJURY (Par accident) $ $ PROPERTY DAMAGE IPER ACCIDEN $ UMBRELLA LUAS OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAINIS-MADE DED RETENTION $ S WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS' LIABILITY YINB ANY PROPRIETOR/PARTNER/EXECUTIVIE IOUB9A73207514 0112611 011=015 E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMB $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below C PROFESSIONAL LIABI G24286940002 OW9612013 06/06/2014 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. James O'Neill Purchasing City of Fort Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522�r— © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD