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CERTIFICATE OF <br />_ SELF-INSURANCE Date: June 15, 2024 <br />S <br />PRODUCER/INSURED <br />The Regents of the University of California This Certificate is issued as a matter of information only to authorized viewers for <br />Office of the President their internal use only and confers no rights upon any viewer of this Certificate. <br />Office of Risk Services The Certificate does not amend, extend or alter the coverage described below. <br />1111 Franklin St., 6th Floor This Certificate may only be copied, printed and distributed by an authorized <br />Oakland, CA 94607-5200 viewer for its internal use. Any other use, duplication or distribution of the <br />510-987-9832 Cert 1Lat 'ttput the writte onsent oLthe Regents of h University of California <br />is I thibi d. <br />Fbb*AAbfy <br />ie- <br />[-A • PARTICIPATION <br />COMPA , L T e f tikwdoaliforniia 100 % <br />COVERAGES <br />tg ft-0 <br />THIS AD, <br />T IS TO CERTIFY THAT THE REGENTS TION FORtEVO <br />TABILITOC DESCRwT OB THE OW, NIOTV��SOAHICH �QLIF S ATS A SELF -FUNDED <br />I V R T ENMfiff <br />N�SbaADOF ED P Y RIT EN <br />T D IS <br />.NDING ORDERS Or ;:_ REGENTS OF THE UNIVERSITY OF CALIFORNIA, WHICH <br />CrER F L B ITY HICH DOE NA : UL,,.:f(VaE NFf�L��lt j?jjOR OMISSIONS OF ITS <br />TYPE OF INSURANCE POLICY NI MF' t POLICY EFFECTIVE WE r POLICY EXPIRATION DATE LIMITS <br />ERAL LIABILITY <br />GENERAL AGGREGATE <br />a Not applicable <br />COMMERCIAL GENERAL LIABILITY <br />I <br />PRODUCTS-COMP/OP AGG <br />$ 5.000,000 <br />7CLAIMS MADE 9OCCURRENCE, <br />I <br />Self -Insured <br />July 1, 2024 <br />July 1, 2025 <br />PERSONAL&ADV INJURY <br />$ 5.000,000 <br />CONTRACTUAL LIABILITY <br />$ 5.000.000 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />LIABILITY <br />COMBINED SINGLE LIMIT 1$ <br />Not applicable <br />A <br />AUAUTOMOBILE <br />ANY AUTO <br />I <br />— <br />X <br />ALL OWNED <br />BODILY INJURY <br />$ 2.500,000 <br />AUTOS <br />(PER PERSON) <br />SCHEDULED <br />Self -Insured <br />July 1, 2024 <br />July 1, 2025 <br />AUTOS <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />$ 2,500,000 <br />(PER ACCIDENT) <br />X <br />NON -OWNED <br />AUTOS <br />` <br />GARAGE LIABILITY <br />PROPERTY DAMAGE <br />$ 2,500.000 <br />PERTY I EACH OCCURRENCE � 10,000,000 <br />FIRE BEXTENDED PERILS Self -Insured I July 1, 2024 July 1, 2025 AGGREGATE $ Not applicable <br />q <br />I <br />STATUTORY LIMITS <br />IIA <br />ORKERS' COMPENSATION AND <br />EMPLOYERS LIABILITY <br />Self -Insured <br />July 1, 2024 July 1, 2025 <br />` <br />EACH ACCIDENT <br />$ As required by <br />California Law <br />DISEASE - POLICY LIMIT <br />$ As required by <br />California Law <br />DISEASE - EACH EMPLOYEE <br />$ As required by <br />California law <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />[ADDITIONAL COVERED PARTY- AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH RESPECT TO GENERAL LIABILITY <br />[AND AUTOMOBILE LIABILITY <br />LOSS PAYEE - AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH RESPECT TO PROPERTY COVERAGE <br />I <br />,CERTIFICATE HOLDER <br />CANCELLATION <br />)APPLICABLE PARTY AS REQUIRED BY WRITTEN CONTRACT <br />SHOULD THE REGENTS ELECT TO DISCONTINUE SELF -INSURING ITS <br />OR AGREEMENT <br />LIABILITIES, THE REGENTS WILL UPDATE PROOF OF SELF-INSURANCE ON ITS <br />WEBSITE. THE REGENTS SHALL NOT BE OBLIGATED TO PROVIDE INDIVIDUAL <br />NOTICE TO VENDORS OR OTHERS. <br />BY / <br />oR N RiskMougmumt <br />KEVIN CONFETTI, AVP & CHI <br />,e <br />fjDs� <br />REVEWED&APPROVEBY. <br />®Risk Management Specialist <br />