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Home My WebLink About474315 REENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (4)AC40R& CERTIFICATE OF LIABILITY INSURANCE DATEiMMNOnYYrI 1101�110125/2019 THIS CERTIFICATE* 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 NOj CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder 19 an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. IUSUBROGATION IS WAIVED, subject to the terms and conditions of thepolicy, certainpolicies may require an endorsement. A statement on _. this certiflcate.does_not conferrihts to the certificate holder. Inlleu,of.such endorsement(a).,_- . _- ----- _......_ PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 235 Highlandia Drive, Suite 200 Baton Rouge LA 70810ADDRESS: GONTAUF NONE: Renee Meaux PHONE 225-906-127.L,....., __ .. _ ..... . ac No:225-292-3893. 6M IL renee meauxnaigi.com INSURE a AFFORDING COVERAGE NAICIf INSURER A: American Fire andCasualty Company 24066 INSURED REVEREC-02 Revenue Recovery Group, Inc. and Discovery Audit 12012 Bricksom Avenue INSURER s;Ohio Casualty Insurance Company 24074 INSURERc: Travelers. Casualty and Surety Company 19D36 JNSURERD: Illinois Union Insurance Company 27960 Baton Rouge, LA 70816 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER- 2371n50d7 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 1S.SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE A BR D POLICY NUMBER POLICY EFF tIIMIDD/YV POLI�Y EES�(P MOLI,1& I - LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y BZA57693820 61162019 6116.2020 EACH OCCURRENCE $2.600,000 CLAIMS -MADE I A I OCCUR PREMISES Ea occurrence $50,000 MED EXP (Any one person) $ 5, 00. PERSONAL B ADV INJURY $. GEN'L AGGREGATE LIMIT APPLIES PER:, GENERALAGGREGATE $4.000,000 POLICY JECOTF7LOC - X PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: AUTONOBILEUABLITY ` .- -- 61209 020 Oh_N�DtSINGLE.LIMITA $1.000,000 BODILY INJURY (Per person) - $ ANY AUTO OWNED SCHEDULED AUTOS ONLYAUTOS .. _.._.. BODILY -. INJURY . (Perr aoa. dent . l .,. .... .. $ X cccdntt).$❑" POao x AUTOS ONLY AUTOS ONLY I $ B X I OCCUR Y Y US057693620 61162019 6/162020 EACH OCCURRENCE $1.000,000 _NUMBRELLALIAB AGGREGATE $1;000;000 EXCESS LAB I CLAIMS -MADE I X .RETENTION$.in nrin$... --TIDED C WORKERSCOMPENSATION AND EMPLOYERS' LIABILMY ANYPROPRIETOWPARTNERtFXECUTIVE YIN OFFICERIMEMBEREXCLUDED? (Mandatory In NH) N.IA. Y UBOL56781419421G 611612019 61162020 XPR . STATUTE ET ' - E.L. EACH ACCIDENT $1,000,000 L. DISEASE - EA. EMPLOYEE $.1,000,000 E.L. DISEASE - POLICY. LIMIT $1;000,000 If as, describe under DESCRIPTION OF OPERATIONS' below A O Employae.BeneM Liability Pralessiona LiaWllry I Y Y _.. BZA57693820 . EONLAF112758374 6f162019 6/16/2019 SI1812020 61162020 - Apgregete Limn - A/OrepateUnnit $2;000,000 $3,000,000 DESCRIPTION of OPERATIONS I LOCATIONS I VEHICLES (ACORD 1.01, AddlUortal Remarks Schedule, may be attached If more speee 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 CANCELLATION SHOULD ANY OF THE'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ,EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE - .Fort Collins CO 80522 USA ®19884015 ACORD CORPORATION. All rights reserved: ACORD 25 (2016t03) The ACORD name and logo are registered marks of ACORP 2'of4 6131 ACORO L—�-' AGENCY CUSTOMER ID: REVEREC-02 LOC#: 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 Adenue Baton Rouge, LA 70816 POLICY NUMBER CARRIER CODE T EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FnRM MINWRFR• 25 =Amu TM W. CERTIFICATE .OF LIABILITY INSURANCE General Liability Endorsement: Additional Insured (Owners, Contractors or Lessors) Blanket When Required by Written.Contract- BP04020106 Commercial Umbrella Endorsement I Waiver TransferRights of Recovery Against Others - CU64951267 Cyber Liability - 6/16/2019 - 6/1612020: Policy Limit of Liability - $10,000.000 Each,Clairri or Event Rentention- $10,000 Aggregate ACORD 101 (2008/01) 1 ® 2008 ACORD CORPORATION. All rights` reserved. The ACORD nameiand logo are registered marks of ACORD 3' of 4 6131