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Home My WebLink About582778 CORVEL ENTERPRISE COMPANY - INSURANCE CERTIFICATE (5)(MMIDDIYYYY) A� O® DATE CERTIFICATE OF LIABILITY INSURANCE 04/30/2018 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 - FAX-- 540 W. MADISON A/C No. Ext): A/C No CHICAGO, IL 60661 E-MAIL Attn: chicago.CertRequest@marsh.com ADDRESS: INSURERS AFFORDING COVERAGE _ _ _ _ NAIC # _ INSURER A : Travelers Property Casualty Company of America 25674 INSURED reINSURER B :NIA NIA l Enterprise Comp, Inc. Attn: Jay Villeda INSURER C : Illinois Union Insurance Company 27960 2010 Main Street, Suite 600 INSURER D : The Travelers Indemnity Company 25658 Irvine, CA 92614 INSURER E : INSURER F : rnvcnnr_cc RFRTIFIr`ATF NI IMRFR- CHI-nnA?91973-n6 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY MMIDD YYYY MM DDPMY LIMITS A X COMMERCIAL GENERAL LIABILITY TJGLSA280K5095TIL18 04/30/2018 04/30/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ] OCCUR PREMISES Ea occur 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 PRO - POLICY PRO JECT 7 LOC $ OTHER A AUTOMOBILE LIABILITY TJCAP280K5102TIL18 04/30/2018 04/30/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ Comp./Coll. Ded. $ 500 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ A p WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ECUTIVE OFFICERMEMBEREXCLUDED? (Mandatory in NH) NIA TC2JUB28OK507118(AOS) TRKUB280K508318 (AZ, MA, NE, WI) 04/30/2018 04/30/2019 04/30/2019 X PER OTH- STATUTE ER E.LEACHACCIDENT $ 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 005 (SIR: $300,000) 10/31/2017 10/31/2018 Per Claim 5,000,000 Retro date: 04-10-1987 Aggregate 5,000,000 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 I agreement with the Named Insured. r`coTlclr`ATc Ur%I nco CANCFI I ATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attw 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 Mukherjeeauac* V Tyiftf�LUTO AIiVKU I.VKYVKAIIVIY. All rlgrltb rrSCfVCU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD