Certificate of. Insurance Information. Packet

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Insurance INSURANCE Certificate of CERTIFICATE Insurance Information INFORMATION Packet PACKET

INSURANCE CERTIFICATE INFORMATION PACKET Insurance Requirements The California State University has established certain minimum requirements for persons and organizations wishing to use our facilities; contract with; provide service and products to the University. The content herein is intended to be informational so persons can provide this information to their insurance broker in a timely fashion. Use of Campus Housing Requirements. These requirements apply to groups desiring to use campus housing for activities or events. These Minimum requirements may be increased and do not serve to limit the occupant's liability. Lessee shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the Lessee s operation and use of the leased premises. The cost of such insurance shall be borne by the Lessee. Lessee and Lessee s insurer shall agree to waive right of recovery against the University AS PER CONFERENCE HOUSING AGREEMENT (Date is indicated on page 2 of Conference Housing Agreement.) At least 60 days prior to the event, Lessee shall present a Certificate of Insurance in connection with the above described use of Campus property to the Procurement and Contracts Office. Lessee must secure and maintain at its own expense Worker s Compensation and General Liability Insurance with limits of not less than $1,000,000 per occurrence for bodily injury, including accidental death, and Property Damage Liability with limits not less than $1,000,000. If Aggregate Liability limits are used, the aggregate limit shall be not less than $2,000,000. Lessee must also maintain contract Vehicle Liability Insurance for injuries, including accidental death, of not less than $1,000,000 for each occurrence. Policies must name The State of California, the Trustees of the California State University, California State University (CSU), California State University, Sacramento (the University), their officers, employees, and volunteers as additional insured s with respect to liability arising out of operation, maintenance or use of that part of the premises leased to the lessee. It is agreed that the University shall not be liable for the payment of any premiums or assessments on the insurance coverage required by this paragraph. Lessee further agrees that the insurance herein provided for shall be in effect at all times during the term of this agreement. Agreement shall be rendered null and void by Housing and Residential Life Office prior to the event covered by this agreement without prior receipt of such Certificate of Insurance. Please share this information regarding our insurance requirements with your insurance carrier. If you or your carrier have any questions regarding our campus requirements, please do not hesitate to contact Risk Management at (916) 278-7233 or Procurement and Contract Services at (916) 278-7322. Insurance Certificates and Endorsements must be submitted no later than 60 days prior to event. (Date is indicated on page 2 of Conference Housing Agreement.) Insurance related materials should be submitted to: California State University, Sacramento Attn: Procurement and Contract Services 6000 J Street Sacramento, CA 95819-6008

INSURANCE REQUIREMENTS FOR SHORT TERM LESSEES Lessee shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the Lessee s operation and use of the leased premises. The cost of such insurance shall be borne by the Lessee. Lessee and Lessee s insurer shall agree to waive right of recovery against the University A. Minimum Scope of Insurance: Coverage shall be at least as broad as: 1. Comprehensive or Commercial General Liability coverage, Insurance Services Office (no less than Occurrence form CG 0001). 2. Workers Compensation insurance as required by the State of California and Employer s Liability insurance (for Lessees with employees). 3. Commercial (Business) Automobile Liability covering for Any Auto. B. Minimum Limits of Insurance: Lessee shall maintain limits not less than: 1. General Liability: $1,000,000 per occurrence, $2,000,000 general aggregate, for bodily injury, personal injury and property damage, including Contractual Liability and Fire Legal Liability ($100,000). If Commercial General Liability Insurance or other form with a general aggregate limit is used, the general aggregate limit shall apply separately to this project/location. 2. Workers Compensation: Statutory Limits, including Employers Liability not less than $1,000,000 per occurrence (BI/disease). 3. Commercial Auto Liability: $1,000,000 per occurrence combined single limit, for Bodily Injury Liability and Property Damage Liability. C. Deductibles and Self-Insured Retentions: Any deductibles or self-insured retentions must be declared to and approved by the University. At the option of the University, either: the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects the State of California, the Trustees of the California State University, California State University (CSU), California State University, Sacramento (the University), their officers, employees, representatives and volunteers; or the Lessee shall provide a financial guarantee satisfactory to the Campus guaranteeing payment of losses and related investigations, claim administration and defense expenses. D. Other Insurance Provisions: Each policy is to contain, or be endorsed to contain, the following provisions: 1. The State of California, the Trustees of the California State University, California State University (CSU), California State University, Sacramento (the University), their officers, employees, and volunteers as additional insured s with respect to liability arising out of operation, maintenance or use of that part of the premises leased to the lessee. 2. The Lessee s insurance coverage shall be primary insurance as respects The State of California, the Trustees of the California State University, California State University (CSU), California State University, Sacramento (the University), their officers, employees, and volunteers. Minimum Limits of Insurance shall not serve to reduce the liability of the Lessee s insurer nor the lessee. Any insurance or self-insurance maintained by the University, its officers, employees, representatives or volunteers shall be excess of the Lessee s insurance and shall not contribute with it. 3. Policies shall waive right of recovery against the University 4. Each insurance policy required by this clause shall be endorsed to state that coverage shall not be contributory by the University, nor may it be canceled, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the University. 5. For General Liability, Additional Insured form at least as broad as ISO form CG 20 11 11 85 (Modified) (sample attached) shall be used as the Additional Insured Endorsement. 6. Certificates and Endorsements shall be sent to: California State University, Sacramento Conference Housing Service/Housing and Residential Life 6000 J Street Sacramento, CA 95819-6067

INSURANCE REQUIREMENTS FOR SHORT TERM LESSEES E. Acceptability of Insurers: Insurance shall be placed with California Admitted insurers with a current A.M. Best s rating of no less than A:VII. F. Verification of Coverage: Lessee shall furnish the Campus with original certificates and amendatory Additional Insured endorsements effecting coverage required by this Short Term Lease. The endorsements should be on forms provided by the Campus (sample attached) or if on other than the Campus forms provided those endorsements or policies shall conform to ACCORD and ISO standards and requirements and the requirements of this agreement. All certificates and endorsements are to be received and approved by the Campus before occupancy occurs. The Campus reserves the right to be provided complete certified copies of all required insurance policies, including endorsements affecting the coverage required by these specifications at any time. G. Subcontractors, Sublessees, Vendors, Exhibitors: Lessee shall include all subcontractors, sublessees, vendors, and exhibitors as Insureds under its policies or if Lessee elects to rely upon insurance provided by subcontractors, sublessees, vendors and exhibitors (herein sublessees ), Lessee shall require all sublessees to provide certificates of insurance that satisfy all requirements listed in paragraphs A, B, C and D above. Sublessees shall provide said insurance evidence to Lessee, however upon University s request Lessee shall furnish separate certificates and additional insured endorsements for each sublessee to the University for review and approval. Deviation from Requirements: Any requested deviations from the above Insurance Requirements must be submitted to the Campus Risk Manager, (916) 278-7233, Fax (916) 278-4359, at least three weeks in advance of the event for consideration.

Reproduction of Insurance Services Office, Inc. Form INSURER: POLICY NUMBER: ENDORSEMENT NUMBER: THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE 1. Designation of Premises (Part Leased to You): 2. Name of Person or Organization (Additional Insured): State of California, Trustees of the California State University, California State University (CSU), California State University, Sacramento (the University), and each of their officers, officials, employees, authorized representatives, agents and volunteers are Additional Insured s. 3. Additional Premium: WHO IS INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alteration, new construction or demolition operations performed by or on behalf of the person or organization shown in the schedule. Modifications to ISO form CG 20 11 11 85: 1. This insurance shall be primary as respects the University or if excess, shall stand in an unbroken chain of coverage excess of the Named Insured s scheduled underlying primary coverage. In either event, any other insurance maintained by the University shall be in excess of this insurance and shall not be called upon to contribute with it. 2. The insurance afforded by this policy shall not be canceled, changed, or modified except after thirty (30) day advance written notice has been given to the University. (10 days advance written notice for non-payment of premium). 3. The Insurer named above waives any right of recovery the Insurer may have against the University when the Insured has agreed to such waiver in writing prior to the loss. CG 20 11 11 85 Insurance Services Office, Inc. Form (Modified) Signature Authorized Representative of Insurer