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CERTIFICATE OF <br />SELF-INSURANCE COVERAGE Date: June 5, 2025 <br />PRODUCER/INSURED <br />The Regents of the University of California <br />Office of the President <br />Office of Risk Services <br />1111 Franklin St., 6th Floor <br />Oakland, CA 94607-5200 <br />510-987-9832 <br />This Certificate is issued as a matter of information only to authorized viewers for <br />their internal use only and confers no rights upon any viewer of this Certificate. <br />The Certificate does not amend, extend or alter the coverage 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 prohibited. <br />ENTITIES AFFORDING COVERAGE <br /> PARTICIPATION <br />COMPANY LETTER A The Regents of the University of California 100 % <br />COVERAGES <br /> THIS IS TO CERTIFY THAT THE REGENTS OF THE UNIVERSITY OF CALIFORNIA IS A GOVERNMENTAL ENTITY THAT HAS A SELF-FUNDED <br />RETENTION FOR LIABILITIES DESCRIBED BELOW, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY WRITTEN <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN. THIS SELF-FUNDED PROGRAM IS <br />SUBJECT TO ALL PROVISIONS OF THE BYLAWS AND STANDING ORDERS OF THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, WHICH <br />DOES NOT PERMIT ANY ASSUMPTION OF LIABILITY WHICH DOES NOT RESULT FROM THE NEGLIGENT ACTS OR OMISSIONS OF ITS <br />OFFICERS, AGENTS OR EMPLOYEES. <br />CO <br />LTR <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS <br />GENERAL LIABILITY GENERAL AGGREGATE $ Not applicable <br />A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 5,000,000 <br /> CLAIMS MADE X OCCURRENCE Self-Insured July 1, 2025 July 1, 2026 PERSONAL & ADV INJURY $ 5,000,000 <br />CONTRACTUAL LIABILITY $ 5,000,000 <br />EACH OCCURRENCE $ 5,000,000 <br />$ <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Not applicable <br />A ANY AUTO <br />X ALL OWNED <br />AUTOS <br />BODILY INJURY <br />(PER PERSON) <br />$ 2,500,000 <br /> SCHEDULED <br />AUTOS Self-Insured July 1, 2025 July 1, 2026 <br />X HIRED AUTOS BODILY INJURY <br />(PER ACCIDENT) <br />$ 2,500,000 <br />X NON-OWNED <br />AUTOS <br /> GARAGE LIABILITY PROPERTY DAMAGE $ 2,500,000 <br />PROPERTY EACH OCCURRENCE $ 10,000,000 <br />A X FIRE & EXTENDED PERILS Self-Insured July 1, 2025 July 1, 2026 AGGREGATE $ Not applicable <br />$ <br />STATUTORY LIMITS YES <br />A WORKERS’ COMPENSATION AND <br />EMPLOYERS LIABILITY <br />Self-Insured July 1, 2025 July 1, 2026 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 />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />ADDITIONAL COVERED PARTY- AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WIT H RESPECT TO GENERAL LIABILITY AND <br />CERTIFICATE HOLDER CANCELLATION <br />APPLICABLE PARTY AS REQUIRED BY WRITTEN CONTRACT <br />OR AGREEMENT <br />SHOULD THE REGENTS ELECT TO DISCONTINUE SELF-INSURING ITS <br />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 />KEVIN CONFETTI, AVP & CHIEF RISK OFFICER <br />company letter <br />AUTOMOBILE LIABILITY See ANR 493 2025/26 <br />LOSS PAYEE - AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH RESPECT TO PROPERTY COVERAGE <br />City of Pleasanton <br />P.O. Box 520 <br />Pleasanton, CA 94566 <br />Docusign Envelope ID: E87E296C-D961-4C37-A5F0-B710A8ABAB28