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OF CERTIFICATE _ DatB:7r21/2o20 , ,m. NSU.RANGE COVER,AOE PRODUCERANSURED�^- .._. 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 Division of Finance and Administration their internal use only and Confers no rights upon y Y g p an viewer of this Certificate. Office of Risk Services The Certificate does not amend, extend or alter the coverage described below. 4199 Cam Us Drive, Suite 300 This Certificate may only be copied, printed and distributed by an authorized Irvine CA 92812-2749 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 is prohibited. ENTITIES AFFORDING COVERAGE _..,_ PARTICIPATION COMPANY LETTER,A Tho Regents of the Unlversit� of California 100% COVERAGES THIS iS I0 CERTIFY THAT THE REGENTS OF THE UNIVERSITY OF GALIFURNIA 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, CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EPPECTIVC DA7E POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY Self -Insured 07/0112020 07/0112021 GENERAL AGGREGATE 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ i,D00,000 LAIMS MADE O OCCURRENCE PERSONAL&ADV INJURY S 1,000,000 CONTRACTUAL LIABILITY S 1.000.000 EACH OCCURRENCE 51.000.000 S A UTOMOBILE LIABILITY Self -Insured 07lDi/2020 07/01/2021 COMBINED SINGLE LIMIT SNOrAPPIais ANY AUTO X ALLOWNED AUTOS DODILY INJURY $1.000.000 SCHEDULED (PER PERSON) AUTOS X HIREDAUTOS BODILY INJURY s1.000,000 y NON -OWNED (PER ACCIDENT) AUTOS GARAGE LIABILITY PROPERTY DAMAGE S 1,000.000 PROPERTY EACH OCCURRENCE S FIRE & EXTENDED PERILS AGGREGATE S AWORKERS' COMPENSATION AND Sell-insurod 07/01/2020 0710112021 STATUTORY LIMITS YES EMPLOYERS LIABILITY EACH ACCIDENT S As required by DISEASE -POLICY LIMIT S As required by DISEASE - EACH EMPLOYEE S As required by DESCRIPTION OF OPIiRATIONSILOCATIONSNENICLES/SPECIAL ITEMS The City of Santa Ana, its officers, agants, employees and volunteers are hereby named as additional insured but only in connection with the Santa Ana Workforce Investment Board (SAWIS) continuing agreement with the UC Irvine Division of Continuing Education for the period July 1 2020 through June 30, 2021. CERTIFICATE HOLDER CANCELLATION APPLICABLE PARTY AS REQUIRED BY WRITTEN CONTRACT SHOULD THE REGENTS ELECT TO DISCONTINUE SELF -INSURING ITS OR AGREEMENT LIABILITIES, THE REGENTS WILL UPDATE PROOF OF SELF-INSURANCE ON ri-8 City of Santa Ana EBSITE, THE REGENTS SHALL NOT BE OBLIGATED TO PROVIDE INDIVIDUAL Risk Management Division, 4th Floor NOTICE TO VENDORS OR OTHERS. T By. aCivir nter Plaza anta Ana CA 92702 S REVIEWED & APPROVE &Vt'hf`,4,. Pj{C�ivr�w)BY RiskMANAgEMBNTDivisk __Christopher Richmond ill(�r _q_jjjfl__ _ +MA I ,INE R. VILLAyREAL.