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CERTIFICATE dF <br />Date: June 15, 2023 <br />SELF-INSURANCE CbVERAGE <br />PRODUCEWINSURED <br />The Regents of the University of California <br />Office of the President <br />Office of Risk Services <br />This Certificate is Issued as a matter of information only to authorized viewers for <br />their Internal use only and confers no rights upon any viewer of this Certificate. <br />The Certificate does not amend, extend Or alter the coverage described below. <br />1111 Franklin St., 10111 Floor <br />This Certificate may only be copied, printed and distributed by an authorized <br />Oakland, CA 94607-5200 <br />610-987-9632 <br />viewer for its internal use. Any other use, duplication or distribution of the <br />Certificate without the written consent of the Regents of the University of California <br />is rohibited. <br />ENTITIES AFFORDING COVERAGE <br />PARTICIPATION <br />COMPANY LETTER A The Regents of the University of California 100 % <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE REGENTS OF THE. UNIVERSITY OF CALIFORNIA IS A GOVERNMENTAL ENTITY THAT HAS A SELF -FUNDED <br />RETENTION. FOR LIABILITIES DESCRIBED BELOW, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION- OF ANY WRITTEN <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS, CERTIFICATE MAY PERTAIN. THIS SELF -FUNDED PROGRAM IS <br />SUBJECT TO ALL PROVISIONS OF THE BYLAWS AND STANDING ORDERS OF THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, WHICH <br />DOES NOT PERMIT ANY ASSUMPTION OF LIABILITY WHICH DOES NOT RESULT FROM THE NEGLIGENT ACTS OR OMISSIONS OF ITS <br />OFFICERS, AGENTS OR EMPLOYEES. <br />oo <br />CTR <br />TYPE OF INSURANCE <br />- POLICY NU BER <br />POLICY EFFECTIVE DATE <br />POLICY EXPIRATION DATE <br />- LIMITS <br />GENERAL <br />LIABILITY <br />GENERAL AGGREGATE <br />$ Not applicable <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS-COMPIOP AGG <br />$ 5.000.000 <br />CLAIMS MADE a OCCURRENCE <br />Self -Insured <br />July 1, 2023 <br />July 1, 2024 <br />PERSONAL&ADV INJURY <br />S 5,000,000 <br />CONTRACTUAL LIABILITY <br />$ 5,000.000 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED: SINGLE LIMIT <br />$ Net applicable <br />X <br />ALL OWNED <br />AUTOS <br />SCHEDULED. <br />AUTOS <br />Self -Insured- <br />July 1, 2023 <br />July 1.,. 2024 <br />aOOILY INJURY <br />(PER PERSON) <br />$ 2,600,000 <br />X-HIRED <br />X <br />AUTOS <br />NON -OWNED <br />AUTOS <br />BODILY INJURY <br />(PER ACCIDENT) <br />$ 2.600,000 <br />GARAGE LIABILITY <br />PROPERTY DAMAGE <br />$ 2,500,000 <br />PROPERTY <br />EACH OCCURRENCE <br />10,000,000 <br />x FIRE:A EXTENDED PERILS <br />Self -Insured <br />JUIy 1, 2023 <br />July 1, 2024 <br />AGGREGATE <br />$ Not applicable. <br />STATUTORY UMU S <br />A.WORKERS' <br />COMPENSATION AND <br />EMPLOYERS LIABILITY <br />Self -Insured <br />July 1, 2023 <br />July 1, 2024 <br />EACH ACCIDENT <br />It As raqulred by <br />Callforda LAW <br />DISEASE POLICY LIMIT <br />- As reg0lredby <br />DISEASE -EACH; EMPLOYEE <br />California Law <br />$ Ao regPlredby <br />Oatfornla Low <br />DESCRIPTION OF OPERATIONSILOCATIONSNEAICLESLSPECIAL ITEMS <br />ADDITIONAL COVERED PARTY- AS REQUIRED By WRITTEN CONTRACT OR AGREEMENT WITHRESPECT TO GENERAL. LIABILITY <br />AND AUTOMOBILE I ILITY <br />LOSS PAYEE - AS REQUIRED: BY WRITTEN :CONTRACT OR AGREEMENT' WITH RESPECT TO PROPERTY COVERAGE <br />CERTIFICATE HOLDER- <br />CANCELLATION <br />APPLICABLE PARTY AS REQUIRED BY WRITTEN CONTRACT <br />OR. AGREEMENT <br />SHOULD THE REGENTS ELECT TO DISCONTINUE SELF -INSURING ITS <br />LIABILITIES, THE REGENTS: WILL UPDATE PROOF OF SELF-INSURANCE ON ITS <br />WEI3SITE. THE REGENTS SHALL NOT BE OBLIGATED TO PROVIDE INDIVIDUAL <br />NOTICE TO VENDORS OR OTHERS,��''�-/ <br />BY: <br />KEVIN CONFETTI, AVP-& CHIEF RISK OFFICER <br />