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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