Loading...
HomeMy WebLinkAbout474315 REENUE RECOVERY GROUP INC - INSURANCE CERTIFICATEA� DF CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIODNYY,YI 11hr2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO. RIGHTS UPON. THE CERTIFICATE HOLDER. THIS, CERTIFICATE DOES NOT AFFIRMATIVELY OR Ngg4TIVELY AMEND, EXTEND OR ALTER. THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOESI NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holderis an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed.. If SUBROGATION IS WAIVED, subject to the terms anti conditions of the policy, certain policies may require an endorsement. A statement on this. certificate does not Confer rights to the eertfficate holder in lieu of such. endorsement(s). PRODUCER - Arthur J. Gallagher Risk Management Services, Inc. 235 Highlandia Drive, Suite 200 Baton Rouge LA 70810 INSURED Revenue Recovery Group, Inc. and Discovery Audit 12012 Bricksorrl Avenue Baton Rouge, LA 70816 Renee Meaux American Fire and Casul Ohio Casualty Insurance Travelers Casualty and Illinois Union Insurance Cl1VFRA('.FR L`FRTIFI/`AT= RI IRRQCQ• nC9C4Cene ewme�u u, use r•e�. 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, TEl CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EX_ CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, jSHOWN MAY HAVE,BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBRPOLICY POUCYNUMBER EFF p1Y1' POLICY EXP DlyyY. LIMITS A. X COMMERCIAL GENERAL LIABILITY Y Y BZA57593820 6/16/2019 6/161202O EACH OCCURRENCE .$2,000.000 DAMAGE TO RENTED CLAIMS -MADE FXIOCCUR PREMISES Ea ocmrrenoof $50,000 MED EXP (Any oneperson) $ 5,000 PERSONAL B ADV INJURY $ GEN'L X AGGREGATE LIMIT APPLIES PER:. POLICY ❑PROJECT LOC GENERALAGGREGATE $4,000,000 - PRODUCTS-.COMP/OPAGG �$4,000,000 $ OTHER: A AUTOMOBILE LIABILITY AUTO Y Y BZA57693820 6/16f2019 6/1612020 OMBIdNBDSINGLE LIMIT 81;000,000 BODILY INJURY (Per.person) $ OWNED SCHEDULED AUTOS ONLY lANY BODILY INJURY ( Per accident) s x - HIRED X. NON -OWNED NON-O .AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraccident $ B X UMBRELLALIAB X O.000R - Y Y USO6�693820 6116/2019 6116/2020 EACH OCCURRENCE 51,000,000- AGGREGATE S1,000,000 EXCESS LIAR CLAIMS -MADE I.DED.. I X RETENTION$. __.. _ ..$._. _.. C .WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER(EXECUTIVE. ❑ REXCLUDED? OFFICIEMandatory N/A Y UBOL5678141942G 6I1612018 6/16/2020 X ER STATUTE ER. . E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1;000,000 andan ry In N ($lendetoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY. LIMIT $1,000.000 A D Ernloyee'BenefiitsLlab0lty Pro lescional.Uabinty Y Y BZA57693820 E0NLAF 1,12758374 61162019 6/16/2019 6116/2020 6/16/2020 AggregatsUma Aggregate Limit $2,000,000 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101; AddlUonal Complete Named Insured for the liability Policy:. Revenue Recovery Group, Inc. and King. Woolf Discovery Audit Services, LLC Remarks Schedule, may. be attached if more space Is required) Complete Named Insured for the Workers Compensation Po Revenue Recovery Group, Inc. Discovery Audit Services, LLC icy: See Attached... City of Fort Collins P.O. Box 590 Fort Collins CO 80522 USA SHOULD ANY OFTHE:ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ®1988-2015 ACORD CORPORATION, All rightsreserved. I ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: REVEREC-02 LOC #: ;IC40RD® ADDITIONAL REMARKS SCHEDULE Page 1 of .1 _ .AGENCY - Arthur J. Gallagher Risk Management Services, Inc. - NAMED INSURED Revenue Recovery Group, Inc. and. Discovery Audit 12012.Bricksom Avenue Baton Rouge, LA 70816 POUCY NUMBER CARRIER - -- - NAIC CODE EFFECTIVE DATE:. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORDFORM, cnam rauruRCR• 25 cnolu TM V. CERTIFICATE OF LIABILITY INSURANCE Insured (Owners, Contractors or Lessors) - Blanket cial Umbrella Endorsement: ransfer Rights of Recovery. Against Others - CU64 ability - 6/.16/2019 - 6/16/2020: mit of Liability $10,000,000 Each Claim or Event on - $10,000 Aggregate Required by Written Contract- BP04020106 ® 2008 Al A01 10112 1 The ACORD na �Iogoare®red marks 01 ACORD All