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Home My WebLink About474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (16)ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD�YYYY) 6/5/2018 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 Highlandia Drive, Suite 200 Baton Rouge LA 70810 NAME. _Renee Meaux PHONE E , 225-906-1271 (FAXNo): 225-2923893 LAIC, NO. E-MAIL 6 renee meaux a .com INSURERS AFFORDING COVERAGE NAIC of INSURER A: American Fire and Casualty Company 24065 INSURED REVEREC-02 Revenue Recovery Group; Inc and Discovery Audit S 12012 Bricksom Avenue INSURERB: Ohio Casualty Insurance Com arty 24074 INSURER c: Travelers Casual and Surety Company 19038 INSURERD: Illinois Union Insurance Company 27960 Baton Rouge, LA 70816 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER:235252526 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. INSR LTR TYPE OF INSURANCEUBR POLICYNUMSER POLICY EFF MWDD/YYYY POLICY EXP M DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N EZA57693820 6116/2018 6/16/2019 EACH OCCURRENCE_ $2,000,000 CLAIMS -MADE � OCCUR DAMAGE SESOEa occur ence $50.000 MED EXP (Any oneperson) $ 5.000 PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000.000 GEN'L X PRO - POLICY EllPRO LOC PRODUCTS - COMPIOP AGG $4.000.000 $ OTHER, A AUTOMOBILE LIABILITY BZA57693820 6/16/2018 6/16/2019 COMBINED SINGLE LIMIT Ea accident) $1 000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE--_-_-- Per accident X HIRED I I NON -OWNED AUTOS ONLY AUTOS ONLY $ 8 X UMBRELLA LIAB X OCCUR N US057693820 6/16/2018 6/16/2019 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $ i o poo $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N UBOL0601511842G 6/16/2018 6/16/2019 X PER STATUTE ER —._.._. __ ANYPROPRIETOR�PARTNEWEXECUTIVE E.L. EACH ACCIDENT $1.000,000 OFFICER/MEMBER EXCLUDED) ❑ N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1.000,000 If yes, describe undor DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $1.000.000 A Emplcyee Benefits LiabOrty N N BZA57693820 5/16/2018 6/16/2019 Aggregate Limit $Z000.000 D Professional Liability EONLAF112758374 6/16/2018 61,612019 Aggregate Limit $3,000.000 DESCRIPTION OF OPERATIONS i 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, H C 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 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: REVEREC-02 LOC #: ,aco ° ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Arthur J. Gallagher Risk Management Services, Inc. NAMED INSURED Revenue Recovery Group, Inc. and Discovery Audit S 12012 Bricksom Avenue Baton Rouge, LA 70816 POLICY NUMBER CARRIER NAIL CODE EFFECTIVE DATE. ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Liability Endorsement al Insured (Owners, Contractors or Lessors) - Blanket When Required by Written Contract - SP04020106 ercial Umbrella Endorsement. Transfer Rights of Recovery Against Others - CU64951207 Liability - 6/6/2018 - 6/6/2019 Limit of Liability - $10,000,000 Each Claim or Event ition - $10,000 Aggregate ACORD 101 (2008/01) CO 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD