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Home My WebLink About474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (17)ACOROf 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: CT Renee Meaux PHONE —"� - --- '[FAX-_ — : 225-906-1271/c No): 225-292-3893 =55, renee meaux a' .com INSURERn AFFORDING COVERAGE NAIC it INSURER A: American Fire and Casualty Company 24066 INSURED REVEREC-02 Revenue Recovery Group, Inc. and Discovery Audit S 12012 Bricksom Avenue INSURER B: Ohio CasualtyInsurance Comparry 24074 INSURER o :Travelers Ca"jty Surety Company 19038 INSURER D: Illinois Union Insurance Company 27960 Baton Rouge, LA 70816 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1924380065 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 TR TYPE OF INSURANCEI--_ POLICYNUMBER POLICY EFF MM/DD/YY Y POLICY EXP M DlYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY N EZA57693820 6/16/2018 6/16/2019 EACH OCCURRENCE $2,000,000 CLAIMS -MADE OCCUR PREMISESOEaocrurence $50.0W MED EXP (Any oneperson) $5,000 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 4.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E] PRO- F7 LOC PRODUCTS - COMP,rOP AGG $ 4.000.0DO $ FJECTX OTHER: A AUTOMOBILE LIABILITY ANY AUTO BZA57693820 6/16/2018 6/16/2019 COMBINED SINGLE LIMIT Ea accident) $1 000 000 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY E X UMBRELLA LIAB X OCCUR N US057693820 6/16/2018 6/16/2019 EACH OCCURRENCE $1 000 ODO AGGREGATE $1.000,000 EXCESS LIAO CLAIMS -MADE I QED 1 X 1 RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N UBOL0607511842G 6/16/2018 6/16/2019 X STATUTE ERH - — ANYPROPRIETORiPARTNEH/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICERiMEMBEREXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $1.000,000 (Mandatory In NH) If yes. describe under E.L. DISEASE - POLICY LIMIT $ 1.000 000 DESCRIPTION OF OPERATIONS below A Employee l3eneMs bab,11y N N BZA57693620 6/16/2018 6/16/2019 Aggregate Limit $2,000,000 D Professional Liability EONLAF112758374 6116/2018 6116/2019 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, LLC Complete Named insured for the Workers Compensation Policy Revenue Recovery Group, Inc. Discovery Audit Services, LLC See Attached.. GtK I Ir'IGA I t MULUr-M James O'Neill Purchasing 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD