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HomeMy WebLinkAbout474315 REVENUE RECOVERY GROUP INC AND DISCOVERY AU - INSURANCE CERTIFICATEA`CO,RO® CERTIFICATE OF LIABILITY INSURANCE DATE/5/Z019YYY) 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 endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. C ACT NAME- Renee Meaux _ PHON_ F 235 Highlandia Drive, Suite 200 1CXE 225-906-1271 No : 225-292-3893 E-MAIL AD Ess: renee meaux a' .com Baton Rouge LA 70810 .. __INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Fire and Casualty Company 24066 INSURED REVEREC-02 Revenue Recovery Group, Inc. and Discovery Audit INSURER B : Ohio Casualty Insurance Company -- 24074 - -- 19038 12012 Bricksom Avenue INSURERc: Travelers Casualty and Surety Company INSURER D:Illinois Union Insurance Company 27960 Baton Rouge, LA 70816 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:144855678 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. WS'R ..___ ____... _ _._ _ _ _.,.._.__._. �0 6R .. _.___----�_.__— POLICYEEFFTPOLICYEXP LTR TYPEOFINSURANCE POLICY NUMBER rMMIDD/YY MM/OD/YYYY — i — LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE %( OCCUR BZA57693820 8/16/2019 6/16/2020 EACH OCCURRENCE M1$ 2,000,000 pMI Fj)Rc�grrpnoo) _ $ 50 000 MED EXP (Any oneperson) $ 5 ODO PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: X i POLICY JECOT LOC ---i GENERAL AGGREGATE PRODUCTS - COMP/OP AGG __... $ 4,000 D00 $ 4,000,000 - — -- -- OTHER: Is A AUTOMOBILE LIABILITY BZA57693820 6/16/2019 6/16/2020 COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ( BODILY INJURY (Per accident) $ - RYOAMAGE �VLZ:Pi�ent _-,,___--__ $ $ B X UMBRELLA LIAR X ' OCCUR US057693820 6/16/2019 9/16/2020 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,0D0 EXCESS LIAB CLAIMS -MADE DED X !RETENTION $ in—��- --------__- _$—...__.___. C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXEC UTIVE OFFICERIMEMBEREXCLUDED? NiA UBOL5678141942G 8/18/ZOf9 8/16/2020 IX PER TH- r I STATI�TTE E.L.,EACH ACCIDENT A $1,000,000 (Mandatory in NH) It yes, describe under 'DESCRIPTION OF OPERATIONS below I j E,L_ DISEASE EA EMPLOYEE E.L. DISEASE -POLICY LIMIT $1,000,000 — — $ 1,000,000 A Employee Benefits Liability D Professional Liability II 1 BZA57593820 6/16/2019 6/161202D Aggregate Limit EONLAF112758374 6/16/2019 6/16/2020 Aggregate Limit $2,000.000 $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.., r I C nv6.Ur-n L A1YlorLLA I IUIN City of Fort Collins P.O. Box 590 Fort Collins CO 80522 USA 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 3 14791