REGENTS OF THE UNVERSITY OF CALIFORNIA, THE, IRVINE SCHOOL OF EDUCATION (3)

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This Certificate is provided to: No:Return Address UNIVERSITY OF CALIFORNI A EVIDENCE OF SELF-INSUR ANCE PROFESSION AL LI ABILITY & HOSPIT AL LI ABILITY T ype of Coverage Self Insured Limits I. PROFESSIONAL MEDICAL AND HOSPITAL LIABILITY:Each Occurrence Aggregate II. SPECIAL TERMS & CONDITIONS: 1.This certificate is not valid for use by individuals and is only intended to evidence the self insurance of TheRegents of the University of California for institutional exposure as opposed to individual exposures. 2.The self insurance evidenced herein follows the provisions of the Bylaws and Standing Orders of the Regents of the University of California and self insurance programs as administered by the Uni versity of California, Office of the President, Office of Risk Services, which do not permit any assumption of liability which does not result from and is not caused by the negligent acts or omiss ions of its officers, agents, or employees. Any indemnificat ion or hold harmless clause with broader provisions than required under such Bylaws and Standing Orders shall invalidate this certificate. 3.This certificate is in effect until the expiration date indicated below or termination of applicable contract, affiliation agreement or termination of University employment, whichever comes first. Should any of the above described program of self -insurance be materially modified or cancelled before the expiration date shown below, The Regents of the University of C alifornia will give 30 days written notice to the certificate holder. Effective Date: Expiration Date: Approval Date: This Certificate is issued as a matter of information only an d confers no rights upon the certificate holder. The Certificate does not amend, extend or alter the coverage described above. This certificate does not constitute a contract between the holder and t he University of California Form: PL Institutional 0914 1973284434 City of Santa Ana - Risk Management - Human Resources Department 20 Civic Center Plaza Santa Ana CA 92701 UC Irvine Health 101 The City Drive South Orange, CA 92868 5,000,000 5,000,000 07/01/2024 Julie Ann Schneider 101 The City Drive Orange CA 92868 07/01/2025 6/26/2024