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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 Certificate without the written consent of the Regents of the University of California <br /> isprohibited. <br /> 0 q!qgykA� <br /> -A h-11111P TICIPATION <br /> CW&FR1COMPANYLIETTER The RReegents of the Universpity`of Cal if rnnia 100% <br /> THIS IS TO CERTIFY THE REGENTS OF THE UNIVERSITY OF CAI IF.),' IG A� FemEP V e o SELF-FUNDED <br /> RETENTION FOR LIABILITIES DESCRIBED BELOW, NOTWITHSTANDIN', At Y REQUIREMENT, TERM OR CONDITION OF ANY WRITTEN <br /> CONTRACT OR OTHER <br /> DOCUMENT WITH RESPECT f <br /> DO <br /> � 1jY T TO) O ALL TOISOSS OF THE AND S N OF�� 7 E 'WDOE B H HDOESDVOT SONS WHICH ITS <br /> OF ENT Y <br /> CO TV IN CE P MB POLII 1'E'rECTIVE DATE P 1aN TE07- L ITS <br /> LTR _ • • <br /> ` GENERAL LIABILITY I GENERAL AGGREGATE $ Not applicable <br /> x COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 5.000,000 <br /> CLAIMS MADE 9OCCURRENCE, Self-Insured July 1,2024 July 1,2025 PERSONAL&ADV INJURY $ 5.000,000 <br /> CONTRACTUAL LIABILITY $ 5.000.000 <br /> EACH OCCURRENCE $ 5,000,000 <br /> I$ <br /> UTUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Not applicable <br /> A �—ANY AUTO <br /> I X ALL OWNED BODILY INJURY $ 2.500,000 <br /> AUTOS (PER PERSON) <br /> SCHEDULED Self-Insured July 1,2024 July 1,2025 <br /> AUTOS <br /> X HIRED AUTOS BODILY INJURY $ 2,500,000 <br /> (PER ACCIDENT) <br /> X NON-OWNED <br /> AUTOS <br /> GARAGE LIABILITY PROPERTY DAMAGE $ 2,500.000 <br /> PROPERTY EACH OCCURRENCE $ 10,000,000 <br /> X FIRE&EXTENDED PERILS Self-Insured July 1,2024 July 1,2025 AGGREGATE $ Not applicable <br /> $ <br /> I <br /> STATUTORY LIMITS <br /> ORKERS'COMPENSATION AND Self-Insured July 1,2024 July 1,2025 EACH ACCIDENT $ As required by <br /> EMPLOYERS LIABILITY ` California Law <br /> DISEASE-POLICY LIMIT $ As required by <br /> California Law <br /> DISEASE-EACH EMPLOYEE$ 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 CANCELLATION <br /> )APPLICABLE PARTY AS REQUIRED BY WRITTEN CONTRACT SHOULD THE REGENTS ELECT TO DISCONTINUE SELF-INSURING ITS <br /> OR 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 /> oR N YF Risk Mougmumt isi� <br /> %JiIL z REVIEWED&APPROVED BY: <br /> ® Risk Management Specialist <br /> KEVIN CONFETTI, AVP &CHI <br />