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Home My WebLink About474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (8)ACC )RLD� � CERTIFICATE 4F LIABILITY INSURANCE DATE (MMrDDIYYYY) 10/15/2018 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 have ADDITIONAL INSURED provisions or 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 Arthur J Gallagher Risk Management Services Inc 235 Hlghlandia Drive Suite 200 Baton Rouge LA 70810 Renee MeaL7X _NAME:_ PHONE t : 225 906 1271 n;c, No): 225.292-3893 E-MAIL ADDRESS: renee meaux a, com INSURER(S) AFFORDING COVERAGE I NAiC # INSURER A: American Fire and Casualty Company 24066 INSURED REVEREC-02 Revenue Recovery Group, Inc , Discovery Audit Sery 12012 Bricksam Avenue INSURER B : Ohio Casualty Insurance Company 24074 INSURER c : Travelers Casualty and Surety Company 19038 iNsuRERo:Illinois Union Insurance Company Baton Rouge. LA 70816 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:1613290032 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. »Ab$CI FAT —_. _ ._.,_ _T.__ POLICY y POLL yy LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DKYY X COMMERCIAL GENERAL LIABILITY N BZA57693820 6116/20,16 6/16/2019 EACH OCCURRENCE $2,000,000 �DAMACETORENTED 'CLAIMS -MADE I OCCUR j PREMISES Ilia otxUrrenCel $ S0 ODD _.� — , I MED EXP (Any one person) -y $ 5,000 PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $40_00.000 _.._ _ X POLICY JLCT LOC ; PRODUCTS - COMPIOPAGG $4.000,000- $ OTHER A AUTOMOBLE LIABILITY BZA57693820 6116/2018 ' 6/16/2019 C01v1BINED SINGLE LIMI T $1.000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED AUTOSX ,NLY AUTOS HIRED NON -OWNED AUTOHIRED OX __ ONLY AUTOS ONLDY I BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident} $ I $ B X UMBRELLA LIA13 X I OCCUR N i US057693820 6116/2018 8/16/2019 EACH OCCURRENCE $ 1 000 000 ' �00:��._ ? EXCESS LIAB CA MS -MADE _ ___ DED RETENTION $ .AGGREGATE : $ - G WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR PARTNER'EXECUTIVE OFFICER MEMBEfl EXCLUDED? N / A N UBOL0607511842G 6/1612018 6/1612D19 X TR OTH- E.L.EACH ACCIDENT $1.00D,0D0 _ __....._._ (Mandatory In NH) E.L. DISEASE EA EMPLOYEE $1,000.000 If yes descrme under DESCRIPTION OF OPERATIONS below E.L.. DISEASE - POLICY LIMIT $1.0.00. 000 A rmplovee F3enefrts LoUlrty N C.Protesslona+Lability N BZA57693820 ,116/2018 6118/2D19 EONLAF112758374 1/16/2018 t 6/16/2019 Aggregate Lmit Aggregate; AggregateI-Mit f $3,000,000 DESCRIPTION OF OPERATIONS: LOCATIONS + VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Complete Named Insured for the Liability Policy: Revenue Recovery Group, Inc and King Woolf Discovery Audit Services, LLC Complete Named Insured for the Workers Compensation Policy Revenue Recovery Group, Inc. Discovery Audit Services, LLC See Attached. City of Fort Collins PO Box 580 Fort Collins CO 80522 LSA 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 V 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 3 3237