REGENTS OF THE UNIVERSITY OF CALIFORNIA, THE (2)

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Francine R. Villareal CERTIFICATE OF Date:11/9/2020 SELF-INSURANCE COVERAGE PRODUCERIINSURED The Regents of the University of California This Certificate is issued as a matter of information only to authorized viewers for University of California, Irvine their internal use only and confers no rights upon any viewer of this Certificate. Division of Finance and Administration The Certificate does not amend, extend or alter the coverage described below. Office of Risk Services 4199 Campus Drive, Suite 300 This Certificate may only be copied, printed and distributed by an authorized Irvine CA 92612-2749 viewer for its internal use. Any other use, duplication or distribution of the (949) 824-8772 Certificate without the written consent of the Regents of the University of California ENTITIES AFFORDING COVERAGE PARTICIPATION THIS IS TO CERTIFY THAT THE REGENTS OF THE UNIVERSITY OF CALIFORNIA IS A GOVERNMENTAL ENTITY THAT HAS A SELF -FUNDED RETENTION FOR LIABILITIES DESCRIBED BELOW, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY WRITTEN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN. THIS SELF -FUNDED PROGRAM IS SUBJECT TO ALL PROVISIONS OF THE BYLAWS AND STANDING ORDERS OF THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, WHICH DOES NOT PERMIT ANY ASSUMPTION OF LIABILITY WHICH DOES NOT RESULT FROM THE NEGLIGENT ACTS OR OMISSIONS OF ITS OFFICERS, AGENTS OR EMPLOYEES. A GENERAL LIABILITY Self -Insured 07/01/2020 07lD1/2021 GENERAL AGGREGATE a z,uuu,uuu X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $2,000,000 CLAIMS MADE❑X OCCURRENCE PERSONALS ADV INJURY $2,000.000 Prof. Uebllity CONTRACTUAL LIABILITY $2,000,000 X EACH OCCURRENCE $ 2,000.000 Professional Ueb. $ 2,000.000 A AUTOMOBILE LIABILITY Self -Insured 07/01/2020 07/01/2021 COMBINED SINGLE LIMIT $Not Applicable ANY AUTO X ALL OWNED BODILY INJURY $ 1,000,000 AUTOS (PER PERSON) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (PER ACCIDENT) $ 1,000,000 X NON -OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ 1,000,000 PROPERTY EACH OCCURRENCE $ FIRE B EMENDED PERILS AGGREGATE $ A WORKERS' COMPENSATION AND Self -Insured 07/01/2020 07/01/2021 STATUTORY LIMITS YES EMPLOYERS LIABILITY EACH ACCIDENT $ As required by DISEASE -POLICY LIMIT $As required by DISEASE- EACH EMPLOYEE $ As required by DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS The City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract: Seroprevalence Surveillance and Predictive Modeling for COVID-19 in Santa Ana, Ca. Between CITY OF SANTA ANA and The Regents Of The University Of California, on behalf of the UC Irvine Program in Public Health. The period of performance of this Contract: September 15, 2020 through December 30, 2020. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation. HOLDER PARTY AS REQUIRED BY WRITTEN CONTRACT City of Santa Ana Attn: Risk Management Division 20 Civic Center plaza, 4th Floor Santa Ana CA 92701 THE REGENTS ELECT TO DISCONTINUE SELF -INSURING ITS =S, THE REGENTS WILL UPDATE PROOF OF SELF-INSURANCE ON ITS . THE REGENTS SHALL NOT BE OBLIGATED TO PROVIDE INDIVIDUAL -O VENDORS OR OTHERS. Richmond A RiAMarugmadDhisian REVIEYVEJ Sr APPROVEDBY: iL VttPAVAI Risk Management Analyst