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DasCALIFORNIA DEPARTMENT OF <br />GENERAL SERVICES Governor Edmund G. Brown Jr. <br />July 01, 2018 <br />STATE OF CALIFORNIA <br />PUBLIC LIABILITY AND WORKERS' COMPENSATION INSURANCE <br />FISCAL YEAR JULY 1, 2018 / JUNE 30, 2019 <br />To Whom It May Concern: <br />In accordance with Government Code section 11007.4, the State of California has elected to be <br />self-insured for liability exposures. Under this form of insurance, the State and its employees <br />acting in the course and scope of their employment are insured for tort liability arising out of <br />official State business. All claims against the State of California based on tort liability should be <br />presented as a government claim to the Government Claims Program, P.O. Box 989052 MS <br />414, West Sacramento, CA 95798-9052. (Gov. Code section 900, et. seq.) Internet link: <br />httr)://www.dgs.ca.nov/orim/Programs/GovernmentC[aims.aspx. <br />The State of California has also elected to be insured for its motor vehicle liability exposures <br />through the State Motor Vehicle Liability Self -Insurance Program (VELSIP). This program <br />provides liability coverage arising out of the operations of motor vehicles used by state <br />employees for official state business (California Vehicle Code Sections 17000 and 17001). <br />Motor vehicle liability claims against the State of California should be presented to the Office of <br />Risk and Insurance Management, P.O. Box 989052 MS -403, West Sacramento, CA 95798- <br />9052, (800) 900-3634, claims(a)dgs.ca.gov. If your motor vehicle liability claim is not resolved <br />within six months from the date of loss, California law requires you to file a formal claim with the <br />Government Claims Program, P.O. Box 989052 MS 414, West Sacramento, CA 95798-9052. <br />(Gov. Code section 900, et. seq.) Internet link: <br />http://www.dgs.ca.gov/orim/ProgramsIGovernmentC]aims.aspx. <br />The State of California has a Master Agreement with the State Compensation Insurance Fund <br />regarding workers' compensation benefits for all state employees, as required by the Labor <br />Code. <br />Sincerely, <br />Go� <br />Christopher Carroll <br />Associate Risk Analyst <br />Insurance Services Unit <br /> <br /> <br /> <br />To request updated letter of self-insurance, please submit to riskmanaoement(cDaps.ca.uov <br />Office of Risk and Insurance Management I State of California I Government Operations Agency <br />707 3rd Street, 1st Floor I West Sacramento, CA 956051 t 916.376.5300 f 916.375.5277 REV 07/27/16 <br />z� 2 <br />