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UNIVERSITY OF CALIFONIA IRVINE
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Last modified
8/24/2022 5:23:52 PM
Creation date
1/12/2022 11:55:29 AM
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Contracts
Company Name
UNIVERSITY OF CALIFONIA IRVINE
Contract #
A-2021-131-02
Agency
City Manager's Office
Council Approval Date
7/20/2021
Insurance Exp Date
7/1/2022
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CERTIFICATE OF <br />Date: June 15, 2022 <br />SELF-INSURANCE COVERAGE <br />Regents <br />The - University of California <br />PresidentOffice of the <br />Office • Risk Services I�I <br />I <br />Floor <br />Oakland, CA 44.1 1 <br />510-987-9832 <br />issuedThis Certificate is as a matter of • r only • authorized viewers for <br />their internal use only -rs no rights upon any viewer of <br />CertificateThe does o. amend, extend or described below. <br />This Certificate may only be copied, printed and distributed by an authorized <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 Drohibited. <br />ENTITIES AFFORDING • a <br />PARTICIPATION <br />The Reqents of the University of M I +,, , <br />oil <br />DOES NOTANY ASSUMPTION OF AC DOES NOT RESULT FROMACTS OR • ISSIONS OF <br />OFFICERS,OR EMPIL • <br />flli'1'Z�i3i1{iE3Ai>T'�'S <br />ERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADEr X '1 OCCURRENCE <br />Ej <br />4 1' <br />ALL OWNED <br />AUTOS <br />SCHEDULED <br />AUTOS <br />HIRED AUTOS <br />NON -OWNED <br />AUTOS <br />GARAGE LIABILITY <br />iPE TY <br />FIRE & EXTENDED PERILS <br />I�rI�C�I'L:iiIF1'-I�i�3"rPllUi�L����+Ii�l*f�7�SSrIRCrli(J1:7_tiiR� .7��+7�tii' <br />GENERAL AGGREGATE m Not applicable <br />PRODUCTS-COMP/OP AGO $ 5,000,000 <br />Self -Insured July 1, 2022 July 1, 2023 PERSONAL&ADV INJURY $ 5,000,000 <br />CONTRACTUAL LIABILITY $ 5,000,000 <br />EACH OCCURRENCE $ 5,000,000 <br />COMBINED SINGLE LIMIT la Not applicable <br />BODILY INJURY <br />$ 2,500.000 <br />(PER PERSON) <br />Self -Insured <br />July 1, 2022 <br />July 1, 2023 <br />BODILY INJURY <br />$ 2,500,000 <br />(PER ACCIDENT) <br />PROPERTY DAMAGE <br />$ 2,500,000 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />Self -Insured <br />July 1, 2022 <br />July 1, 2023 <br />AGGREGATE <br />$ Not applicable <br />Self -Insured July 1, 2022 July 1, 2023 EACH ACCIDENT $ As required by <br />California Law <br />DISEASE - POLICY LIMIT $ As required by <br />California Law <br />DISEASE - EACH EMPLOYEE $ As required by <br />California Law <br />OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL, ITEMS <br />ZTIFIC TE HOLDER CANCELLATION <br />'LICA LE PARTY AS REQUIRED BY WRITTEN CONTRACT SHOULD THE REGENTS ELECT TO DISCONTINUE SELF -INSURING ITS <br />AGREEMENT 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 />..R... ide RDivisian <br />KEVI CONFETTI, AVP & CHIE 3 e° REVIexrEO&aPPROVm®Y: <br />Afe Acevda <br />'�--'Risk Management Specialist <br />
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