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Home My WebLink About582778 CORVEL ENTERPRISE COMPANY - INSURANCE CERTIFICATE (6)ACORO® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/0112017 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). CONTACT PRODUCER NAME: — MARSH USA INC. PHONE l CFAX 540 W. MADISON /C- No. Ext1: _— _ _ _ (A/, No): _ CHICAGO, IL 60661 E-MAIL ADDRESS:--- Attn: chicago.CertRequest@marsh.com _ INSURER S AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Company of America 25674 - —-- --- -- - — - INSURED INSURER B : N/A NIA —_ _ _-- CofVel Enterprise Comp, Inc. Attn: Jay Villeda INSURER C : Illinois Union Insurance Company 27960 2010 Main Street, Suite 600 INSURER D : --- -- Irvine. CA 92614 INSURER E:-- INSURER F : nu, nnoon1ma na of\/ICI(1lV K1I IMRFR• 7 UUVtcKAGCJ Gr\1 lrlvr+��- POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ - DL INSR ADSUER POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER IMMIDDIYYYYI I (MM/DD/YYYY) LIMITS LTR INSDIWVQ A X COMMERCIAL GENERAL LIABILITY TJGLSA280K5095-17 04/30/2017 04/30/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS [XI OCCUR PREMISES( a occurrence) $ 1,000,000 -MADE 10,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 ❑ PRO � LOC PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JECT OTHER TJCAP28OK5102-17 04/30/2017 04/30/2018 CO MBINED LIMIT $ 1,000,000 A AUTOMOBILE LIABILITY .n1INGLE accdS X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON -OWNED PROPERTY DAMAGE ccident Per accident) $ AUTOS ONLY AUTOS ONLY Comp./Coll. Ded. $ 500 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _. HCLAIMS-MADE AGGREGATE $ — EXCESS LIAB —TIED A T RETENTION $ WORKERS COMPENSATION TC2JUB280K5071-17 (AOS) 04/30/2018 _ X STATUTE EERH . E.LEACH ACCIDENT $ 1,000,000 A AND EMPLOYERS' LIABILITY YIN TRKUB28OK5083-17 ( AZ, MA, NE, WI) 04/30/2017 04/30/2018 ANYPROPRIETOR/PARTNER/EXECUTIVE N NIA 1,000,000 OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ (Mandatory in NH) 1,000,000 If yes, describe under I E L DISEASE - POLICY LIMIT $ C DESCRIPTION OF OPERATIONS below 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 / agreement with the Named Insured It HULUtK City of Fort Collins Attn: Gerry Paul 215 North Mason PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ManashiMukherjeet..c�tinrao4�+�c.na<� wn�or\ rr%M0f%0A'rInKl All ranh+4 rn a —el ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD