CTR079344_COI.pdf

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

B

1,000,000

04/30/2026

TJGLSA9K057282TIL25

LOS-002469141-37

1,000,000

5,000,000

UB2P6408322551R (AZ,MA,NE,WI)

X

35289

5,000,000

Deductible (w/ Exceptions)as per policy terms and conditions.

Irvine, CA 92614

N

X

Comp./Coll. Ded.

04/30/2025

04/30/2026

04/30/2025

04/30/2026

TECAP9K057294TCT25

All Risk Property

A

2,000,000

1,000,000

16535 The Continental Insurance Company

1,000,000

X

C

X

5,000

05/01/2025

$25,000

04/30/2025

$ 1,000,000

X

04/30/2025

100 North 15th Avenue, Suite 201

Phoenix, AZ 85007

Arizona Department of Administration

10,000

A

Zurich American Insurance Company

Limit

10,000

04/30/2026

1,000,000

6075991079

Other deductibles may apply

A

2,000,000

25674

1,000,000

1,000,000

04/30/2026

UB2P6911372551K (AOS)

17901 Von Karman Avenue, Suite 1100

Marsh Risk & Insurance Services

(949) 399-5800; License #0437153

Attn: Newportbeach.Certrequest@marsh.com

Attn: Jay Villeda

CorVel Corporation

Irvine, CA 92614 1920 Main Street, Suite 900

ERP955198403

04/30/2025

Attn: Charles Schmidt

04/30/2025

A

04/30/2026

Travelers Property Casualty Company of America

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

- Zone 1 Property Damage Deductible: 5% of value, subject to $250,000 minimum.�

- EQ Zone 2 Deductible: 2% of value, subject to $100,000 Deductible�

- EQ Zone 1 Deductible: 5% of value, subject to $250,000 minimum�

Irvine

Valuation Replacement Cost �

Earthquake Limit: $1,000,000 and is subject to $100,000 Property Damage Deductible per occurrence, except as follows:�

PROPERTY�

Carrier: Zurich American Insurance Company � Policy No. ERP955198403�

Certificate of Liability Insurance

CN102211770

- MFHA Deductible: $2% of value, subject to $100,000 Deductible�

Named Storm Limit: $1,000,000 and is subject to $100,000 Property Damage Deductible, except as noted below:�

Marsh Risk & Insurance Services� Attn: Jay Villeda� CorVel Corporation�

Irvine, CA 92614 1920 Main Street, Suite 900�

Flood Limit: $1,000,000 and is subject to $100,000 Property Damage Deductible per occurrence, except as follows: �