HomeMy WebLinkAbout582778 CORVEL ENTERPRISE COMPANY - INSURANCE CERTIFICATE (4)® DATEfill -MfDDfYYYY)
AC®RO CERTIFICATE F LIABILITY INSURANCE iu1112019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMLTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE' HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVE Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOTI 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 coqIditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holdej' in.lieu of such endomement(s). -
PRODUCER _ - -CONTACT
MARSH USA INC. 'PHONPHONE AlF.-
540 W. MADISONIA/C.No
CHICAGO, IL 60661 E-MAIL
Attn: chicago.CertRequest@rmrsh.com ADDRESS: -
INSURED
CorVel Corporation
Attn: Jay Villeda
2610 Main Street, Suite 600
Irvine, CA 92614
I rm
NIA
rniicowr_cc roonnrwrr- Mnu92c13•1 r.Hi-nna1oA9arn8 RFVIT.InN NIIMRFR• 3
NIA
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTE
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD
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 INSURANCE
ADDL
J=
SUER
ima
POICYNUMSER
POLICY EFF
flM1NIfDDYYYYi
POLICY EXP
fMM1DDfYYYY)LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
TJGLSA280K 95TILl9
04/3012019
M30/2020
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE FI OCCUR
DAMAGE
PREMISES Ea occurrence
$ 1,666,000
MED EXP (Any one person)
$ 10,000
PERSONAL a ADV INJURY
$ 1,,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
It 2;000,000
PRO -
POLICY PRO- JECT � LOC
$
OTHER:
AUTOMOBrLELIABILITY
-
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Par person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
I
UMBRELLA LIAB
OCCUR
I
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS UAB
CLAIMS -MADE
DED I I RETENTION$
$
_.
L__.
WORKERS COMPENSATION -
AND EMPLOYERS' LIABILITY Y I N
ANYPROPRIETORIPARTNERIEXECUTIVE
STATUTE ERH
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
E.L. DISEASE -POLICY LIMIT
$
If yes, describe under
DESCRIPTION OF OPERATIONS below__ _
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional
Remarks Schedule, may be attached U more space Is required)
City of Fort Collins is included as Additional Insured under the General Liability policy as
heir interest may appear, but only to the extent such status is required under their mitten contract / agreement with the Name(
Insured.
City of Fart Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATTN: Gerry Paul
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P.O. Box 580
ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZEOREPRESENTATIVE
of. Marsh USA Inc..
Manashi Mukherjee �t avaao� �i4wau
lJ 1DOO-LV IV MYVRY VVr1r VrVlrrVr�.. nrl rryuaa roavr •cv
ACORD 25 (2016103) The ACORD namIII and logo are registered marks of ACORD