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Home My WebLink About582778 CORVEL ENTERPRISE COMP, INC - INSURANCE CERTIFICATE1 ® --DATE (MMIDD/YYYY) AC40R" CERTIFICATE OF LIABILITY INSURANCE 11/12/2018 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 endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME: _ PHONE 540 W. MADISON IAIC. No. ExW- _ __ IA/Nol: CHICAGO, IL 60661 EMAIL Attn: chicago.CertRequest@marsh.com ADDRESS: INSURER S AFFORDING COVERAGE NAIC # INSURED CorVel Enterprise Comp, Inc. Attn: Jay Villeda 2010 Main Street, Suite 600 Irvine, CA 92614 rnvro A n0Q !`C0TI9:I1'ATF Alt IMRFR INSURER A: Travelers Property Casual Company of America 25674 INSURER B : N/A NIA INSURER C : Illinois Union Insurance Company 27960 INSURER D : The Travelers Indemnity Company 25658 INSURER E : INSURER F : CHI-00R7Q1Q71-10 RFVISION NIIMRFR- 7 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM LTR /DD/YYYY MM/DD YY Y1 LIMITS A X COMMERCIAL GENERAL LIABILITY TJGLSA28OK5095TIL18 04/30/2018 04/30/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [XIOCCURPREMISES DAMAGE TO TE Ea orccur ence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY ❑PRO � LOC JECT $ OTHER A AUTOMOBILE LIABILITY TJCAP280K5102TIL18 04/30/2018 04/30/2019 CEa aOMBccident INED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ Comp./Coll. Ded. _ $ 500 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED ION $ $ A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ECUTIVE ❑ OFFICER/MEMBEREXCLUDED? N OFFICE IMEMB REXC EXCLUDED (Mandatory in NH) N/A TC2JUB28OK507118 (AOS) TRKUB28OK508318 (AZ, MA, NE, WI) 04/30/2018 04/30/2019 04/30/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below C Managed Healthcare Prof. Liab. MSP G27108647 006 (SIR: $500,000) 10/31/2018 10/31/2019 Per Claim 10,000,000 Retro date: 04-10-1987 Aggregate 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins its officers, agents and employees are included as Additional Insured under the General Liability and Auto Liability policies as their interest may appear, but only to the extent such status is required under their written contract / agreement with the Named Insured. r`AAIf Ct I ATWIM City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Gerry Paul THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 North Mason ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _�I�.a►� `Z+4.��e �.a<� lJ lUdd-LUIb At L)KLJ 1iUKrUMA I Ivry. All rlgnrS reserveU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD