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Home My WebLink About474315 REVENUE RECOVERY GROUP INC AND DISCOVERY AU - INSURANCE CERTIFICATE (3)A ® F76/5/2019 E (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME.,_Renee Meaux Arthur J. Gallagher Risk Management Services, Inc. PHONE 225-906-1271� A,c No): 225-292 3893 235 Highlandia Drive, Suite 200 E-MAIL. Baton Rouge LA 70810 A • renee meaux a' .com INSURED Kt V CKCG-ud Revenue Recovery Group, Inc. and Discovery Audit 12012 Bricksom Avenue Baton Rouge, LA 70816 INSURER E : INSUREfl S AFFORDING COVERAGE NAIC # American Fire and Casualty Company 24066 Ohio Casualty Insurance Company_ _ �Y _ �24074 r^r%VFRAY_FC CFrZTIFIIl hit IRARFR• 109dRaSnSa RFVICION NIIMRFR- 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 HAVE BEEN REDUCED BY PAID CLAIMS. _ _ _._.__.,_ .__ _- UC ILTR TYPE OF INSURANCE ihtlbL7Subii POLICY NUMBER (MM DD YYYY M YYYY LIMITS A X COMMERCIALG ENERAL LIABILITY `-'--' I l I BZA57693820 6/16/2019 6/16/2020 l EACH OCCURRENCE AG"�TfSRENTED $2,000,000 CLAIMS -MADE X OCCUR 1 a pccurrence)_ $ 50,WO 5,000 „� - MED F,CPAr1� one�Ierson� _ $ PERSONAL ADV INJURY & GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 4,000,000 PCTS µCOMP/OPAGG RODU __. $4,0 -- 00,000.. —...._—�_ X POLICY—' PRO- (�� ( JECT L__� LOC OTHER: $ A AUTOMOBILE LIABILITY BZA57693820 6/16/2019 6/16/2020 COMBINED INGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED ( SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per a t) cidecn t) $ ____ ..c PROPERTYDAMAGE $ X I HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ¢r eCcidQn� $ UMBRELLA UAB X I OCCUR US057693620 6/1612019 6/16/2020 1 EACH OCCURRENCE �$1 000 000 EXCESS UAB ? �aCLAIMS•MADE AG EGR GATE $1 000 000 DED 1 X 1 RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ! N USOL5678141942G 6/16/2019 6/16/2020 X I PTAS RTUTEL ERH ANYPROPRIETORIPARTNEPJEXECU7IVE OFFICER/MEMBEREXCLUDED? �INIA I E.L. EACH ACCIDENT j I---.---------___.__ $ 1,000,000 __ ____._ — (Mandatory in NH) i E.L. DISEASE • EA EMPLOYEE u — $ 1,00_0,00_0 iI yes. describe under DESCRIPTION OF OPERATIONS below ? ! E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Employee Benefits Liability BZA5769382D 6/16/2019 6/16/2020 Aggregate Limit $2,000,000 D Professional Liability EONLAF112758374 6/16/2019 6/16/2020 Aggregate Limit $3,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 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... CERTIFICATE HOLDER CANUIZLL.AIIUry City of Fort Collins P.O. Box 580 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 C0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 3 14792 ACORa AGENCY CUSTOMER ID: REVEREC-02 LOC #: AnnITIrIMAl pruARKC crucnl 11 c AGENCY NAMED INSURED Arthur J. Gallagher Risk Management Services, Inc. Revenue Recovery Group, Inc. and Discovery Audit 12012 Bdcksom Avenue POLICY NUMBER Baton Rouge, LA 70816 CARRIER NAIC CODE EFFECTIVE DATE: AUUI IIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25____ FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE General Liability Endorsement: Additional Insured (Owners, Contractors or Lessors) - Blanket When Required by Written Contract - 6P04020106 Commercial Umbrella Endorsement: Waiver Transfer Rights of Recovery Against Others - CU64951207 Cyber Liability - 6/6/2018 - 6/6/2019: Policy Limit of Liability - $10,000,000 Each Claim or Event Rentention - $10,000 Aggregate at;UKU 101 (200B/01) The ACORD nal Deno 4 of 4