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Home My WebLink About474315 REVENUE RECOVERY GROUP INC - INSURANCE CERTIFICATE (20)AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `.�� Fl/10/2017 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 CONTACT NAME: Renee Meaux _ Arthur J. Gallagher Risk Management Services, Inc. PHONE 225-906-1271 �Al��ot. 225-292 3893 235 Highlandia Drive, Suite 200 Baton Rouge LA 70810 �oDRESS; renee_meaux@ajg.com INSURED REVEREC-02 Revenue Recovery Group, Inc. and Discovery Audit S 12012 Bricksom Avenue Baton Rouge, LA 70816 COVERAGE INSURERA:Travelers Casualty and Surety I INSURER B:American Fire and Casualty Com INSURER c :Ohio Security Insurance COm Jean INSURER D:OhiO Casualty Insurance Compar INSURER E : C rl\/FRAr:F¢ rFRTIFIC'ATF NI IIUIRFR• 1892243839 RFVISI()N NIIMRFR- NAIC • _ 19038 24066 24082 24074 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 SUB -- TYPE OF INSURANCE ADDL POLICY EFF POLICY YYY) LIMITS LTR INSD'WVD POLICY NUMBER M1DDIYYYY MNVOD/YYYY B X COMMERCIAL GENERAL LIABILITY Y N BZA57693820 1/10/2017 1/10/2018 EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $2,000,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 )( POLICY JECPROT ❑ LOC PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: C AUTOMOBILE LIABILITY N N BAS57693820 1/10/2017 1/10/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY (Per accident) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY AGE— accident) $ _Per $ D X UMBRELLA LAB X OCCUR N Y US057693820 1/10/2017 1/10/2018 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DIED X RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? N/A N UB4649T432 1/26/2017 1/26/2018 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE — $1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Employee Benefits Liability N N BZA57693820 1/10/2017 1/10/2018 ;Aggregate Limit 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80522 USA AUTHORIZED REPRESENTATIVE 0 1988-2015 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 #: A�oRo® 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 NAIC CODE EFFECTIVE DATE: IVAL KtRIIAKKJ THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Discovery Audit Services, LLC General Liability Endorsement: Additional Insured (Owners, Contractors or Lessors) - Blanket When Required by Written Contract - BP04020106 Commercial Umbrella Endorsement: Waiver Transfer Rights of Recovery Against Others - CU64951207 Commercial Auto Endorsement: Loss Payable Clause - CA99441293 ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD