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efta-efta01191245DOJ Data Set 9Other

UTAH STATE RISK MANAGEMENT FUND

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DOJ Data Set 9
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efta-efta01191245
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EFTA Disclosure
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UTAH STATE RISK MANAGEMENT FUND 5120 State Office Building Salt Lake City, Utah 84114 DECLARATIONS PART A Insured: Policy Number. SD11- Policy Period: From July 1, 2010, to July 1, 2011, 12:01 a.m., standard time at the address of the named insured as stated herein. The coverage afforded is only with respect to the coverages indicated below. The limit of the fund's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. COVERAGES General Liability Coverage A. Bodily Injury Liability B. Property Damage Liability Automobile Liability Coverage C. Bodily injury Liability D. Property Damage Liability Personal Injury Liability Coverage E. Personal Injury Liability Errors or Omissions Liability Coverage F. Errors or Omissions Liability Malpractice Liability Coverage G. Malpractice Liability LIMITS OF LIABIUTY Subject to the sub-limits indicated below, any applicable deductible provisions, and to Paragraph IX of the Conditions, the total limit of the fund's liability with respect to Coverages A, B, C, D, E, F, and G, singly or combined shall be S10,000,000 each occurrence, loss, or claim resulting from any situation not subject to a sub-limit, The above limit is also the aggregate limit of liability for each coverage subject to an aggregate limit. EFTA01191245 Declarations — Schools C. Operation or use of an automobile by any covered person while such person: (1) has a blood alcohol content equal to or greater by weight than the established legal limit, (2) Is under the Influence of alcohol or any drug to a degree that renders such person incapable of safely operating or using the automobile, or (3) is under the combined influence of alcohol and any drug to a degree that renders such person incapable of safely operating or using the automobile. 3 Bodily Injury $25,000 $65,000 Property Damage $15,000 each person each occurrence each occurrence Forms and endorsements forming a part of this policy at inception: Declarations - Schools Policy Provisions Part B General Liability Coverage Automobile Liability Coverage Rental Autos Personal Injury Protection Uninsured/Underinsured Motorists Coverage Garagekeepers' Coverage Endorsement Personal Injury Liability Error and Omissions Malpractice Definitions Supplementary Payments Conditions Nuclear Energy Liability Exclusion Exclusion (Trampoline) Exclusion (Fireworks) Limiting Conditions (Asbestos Abatement) Exclusion (Petroleum Storage Tank Trust Fund) Hazardous Waste Endorsements Limiting Conditions (Checrleading - Drill Teams) Tani P. Downing, Director of Risk Management THESE DECLARATIONS WITH "POLICY PROVISIONS - PART B", FORMS AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. EFTA01191246 UTAH STATE RISK MANAGEMENT FUND 5120 State Office Building Salt Leke City, Utah 84114 DECLARATIONS PART A Insured: POLICY NO: SG12.27 Policy Period: Prom July 1, 2011, to July 1, 2012, 12:01 a.m., standard time at the address of the named insured as staled herein. "The coverage afforded is only with respect to the coverages indicated below. The limit of the fund's liability against each such coverage shall be at stated herein, subject to all the.terrns of this policy having reference thereto. COVERAGES General Liability Coverage A. Bodily injury Liaeibly a Property Damage Liability Automobile Liability Coverage C. Bodily injtay Liability D. Property Damage Liability Personal Injury Liability Coverage S. Personal In/wy Liability Errots or Omissions Liability Coverage F. Errors or Omissions liability Malpractice Liability Coverage G. Malpractice Liability LIMITS OF UABILITY Subject to the sub-limits indicated below, any applicable deductible provisions, and to Paragraph IX of the Conditions, the total limit of the fund's liability with respect to Coverages A, B, C, 0, E, F, and G, singly or combined shall be $10,000,000 each occurrence, loss. or claim resulting from any situation not subject to a sub-limit. The above limit is also the aggregate limit of liability for each coverage subject to an aggregate limit. EFTA01191247 Declarations — State Agencies 2 SUB-LIMITS The total limit of the fund's liability with respect to Coverages A, B, C, D, E, F, and G singly or combined shall be as indicated below for any occurrence, loss or claim resulting from the following situations: A. -Out-of-state trip" Injury or Damage (As defined in the definitions) Other Than Property Damage $648,700 for one person in any one occurrence, loss or claim $2,221,700 for two or more persons in any one occurrence, loss or claim Propertv Qamage $259,500 In any one occurrence, loss or claim Injury or Damage Other Than Property Damage B. Except as stipulated In C $250,000 for one person in below or otherwise limited any one occurrence, In the policy, any covered loss or claim act by a person which Is not during the performance of his duties, within the scope of his $500,000 for two or more persons employment or under color in any one occurrence, of authority as an employee loss or claim of the named insured. Properly Damage $100,000 in any one occurrence, loss or claim EFTA01191248 Declarations — State Agencies 3 C. Operation or use of an automobile by any covered person while such person: (1) has a blood alcohol content equal to or greater by weight than the established legal limit, (2) is under the influence of alcohol or any drug to a degree that renders such person incapable of safely operating or using the automobile, or (3) is under the combined Influence of alcohol and any drug to a degree that renders such person incapable of safely operating or using the automobile. Bodily Iniunt $25.000 $55,000 Property Damage $15,000 each person each occurrence each occurrence Forms and endorsements forming a part of this policy at inception: Policy Provisions — Part B General Liability Coverage Automobile Liability Rental Automobiles Personal Injury Protection UnInsurediUnderinsured Motorist Coverage Garagekeepers Coverage Personal Injury Liability Errors or Omissions Liability Malpractice Liability Definitions Supplementary Payments Conditions Nuclear Energy Exclusion Trampoline Exclusion Fireworks Exclusion Bonfire Exclusion Asbestos Abatement Petroleum Storage Tanks Hazardous Waste Endorsement GRAMA Endorsement Foster Parent Liability Tani P. Downing, Director cif the Utah Division of Risk Management THESE DECLARATIONS WITH 'POLICY PROVISIONS - PART B", FORMS AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. EFTA01191249 UTAH STATE RISK MANAGEMENT FUND 5120 State Office Building Salt Lake City, Utah 84114 DECLARATIONS PART A Insured: Policy Number: SG13- Policy Period: From July 1, 2012, to July 1, 2013, 12:01 a.m., standard time at the address of the named insured as stated herein. The coverage afforded is only with respect to the coverages indicated below. The limit of the fund's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. COVERAGES General Liability Coverage A. Bodily Injury Liability B. Property Damage Liability Automobile Liability Coverage C. Bodily Injury Liability D. Property Damage Liability Personal Injury Liability Coverage E. Persona! Injury Liability Errors or Omissions Liability Coverage F Errors or Omissions Liability Malpractice Liability Coverage G. Malpractice Liability LIMITS OF LIABILITY Subject to the sub-limits indicated below, any applicable deductible provisions, and to Paragraph IX of the Conditions, the total limit of the fund's liability with respect to Coverages A, B, C, D, E, F, and G, singly or combined shall be $10,000,000 each occurrence, loss, or claim resulting from any situation not subject to a sub-limit. The above limit is also the aggregate limit of liability for each coverage subject to an aggregate limit. EFTA01191250 Declarations — State Agencies 2 SUB-LIMITS The total limit of the fund's liability with respect to Coverages A, B, C, D, E, F, and G singly or combined shall be as indicated below for any occurrence, loss or claim resulting from the following situations: A. "Out-of-state trip" Injury or Damage (As defined in the definitions) Other Than Property Damage $674,000 for one person in any one occurrence, loss or claim $2,308,400 for two or more persons in any one occurrence, loss or claim Property Damage $269,700 in any one occurrence, loss or claim Injury or Damage Other Than Property Damage B. Except as stipulated in C $250,000 for one person in below or otherwise limited any one occurrence, in the policy, any covered loss or claim act by a person which is not during the performance of his duties, within the scope of his $500,000 for two or more persons employment or under color in any one occurrence, of authority as an employee loss or claim of the named insured. Property Damage $100,000 in any one occurrence, loss or claim EFTA01191251 Declarations — State Agencies 3 C. Operation or use of an automobile by any covered person while such person: (1) has a blood alcohol content equal to or greater by weight than the established legal limit, (2) is under the influence of alcohol or any drug to a degree that renders such person incapable of safely operating or using the automobile, or (3) is under the combined influence of alcohol and any drug to a degree that renders such person incapable of safely operating or using the automobile. Bodily Injury $25,000 $65,000 Property Damage $15,000 each person each occurrence each occurrence Forms and endorsements forming a part of this policy at inception: Policy Provisions — Part B General Liability Coverage Automobile Liability Rental Automobiles Personal Injury Protection Uninsured/Underinsured Motorist Coverage Garagekeepers Coverage Personal Injury Liability Errors or Omissions Liability Malpractice Liability Definitions Supplementary Payments Conditions Nuclear Energy Exclusion Trampoline Exclusion Fireworks Exclusion Bonfire Exclusion Asbestos Abatement Petroleum Storage Tanks Hazardous Waste Endorsement GRAMA Endorsement Fiduciary Liability Withheld Concurrence Audigikkausi Tani Pack Downing, Director of the Utah Division of Risk Management THESE DECLARATIONS WITH "POLICY PROVISIONS - PART B", FORMS AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. EFTA01191252 UTAH STATE RISK MANAGEMENT FUND 5120 State Office Building Salt Lake City, Utah 84114 DECLARATIONS - LIABILITY PART A Insured: Policy Number: SG13 Policy Period: From July 1, 2013, to July 1, 2014, 12:01 a.m., standard time at the address of the named insured as stated herein. The coverage afforded is only with respect to the coverages indicated below. The limit of the fund's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. COVERAGES General Liability Coverage A. Bodily Injury Liability B. Property Damage Liability Automobile Liability Coverage C. Bodily Injury Liability D. Property Damage Liability Personal Injury Liability Coverage E. Personal Injury Liability Errors or Omissions Liability Coverage F. Errors or Omissions Liability Malpractice Liability Coverage G. Malpractice Liability LIMITS OF LIABILITY Subject to the sub-limits indicated below, any applicable deductible provisions, and to Paragraph IX of the Conditions, the total limit of the fund's liability with respect to Coverages A, B, C, D, E, F, and G, singly or combined shall be $10,000,000 each occurrence, loss, or claim resulting from any situation not subject to a sub-limit. -he above limit is also the aggregate limit of liability for each coverage subject to an aggregate nit. EFTA01191253 Declarations — State Agencies SUB-LIMITS The total limit of the fund's liability with respect to Coverages A, B, C, D, E, F, and G singly or combined shall be as indicated below for any occurrence, loss or claim resulting from the following situations: A. "Out-of-state trip" Injury or Damage (As defined in the definitions) Other Than Property Damage $674,000 $2,308,400 Property Damage for one person in any one occurrence, loss or claim for two or more persons in any one occurrence, loss or claim $269,700 in any one occurrence, loss or claim Injury or Damage Other Than Property Damage B. Except as stipulated in C $250,000 below or otherwise limited in the policy, any covered act by a person which is not during the performance of his duties, within the scope of his $500,000 employment or under color of authority as an employee of the named insured. Property Damage for one person in any one occurrence, loss or claim for two or more persons in any one occurrence, loss or claim $100,000 in any one occurrence, loss or claim EFTA01191254 Declarations — State Agencies C. Operation or use of an automobile by any covered person while such person: (1) has a blood alcohol content equal to or greater by weight than the established legal limit, (2) is under the influence of alcohol or any drug to a degree that renders such person incapable of safely operating or using the automobile, or (3) is under the combined influence of alcohol and any drug to a degree that renders such person incapable of safely operating or using the automobile. 3 Bodily Injury $25,000 $65,000 Property Damage $15,000 each person each occurrence each occurrence corms and endorsements forming a part of this policy at inception: Policy Provisions — Part B General Liability Coverage Automobile Liability Rental Automobiles Personal Injury Protection Uninsured/Underinsured Motorist Coverage Garagekeepers Coverage Personal Injury Liability Errors or Omissions Liability Malpractice Liability Definitions Supplementary Payments Conditions Nuclear Energy Exclusion Trampoline Exclusion Fireworks Exclusion Bonfire Exclusion Asbestos Abatement Petroleum Storage Tanks Hazardous Waste Endorsement Withheld Concurrence Fiduciary Liability GRAMA Endorsement F An Ext.tioti Tani Pack Downing, Director of the Utah Divisiolf Risk Management 'HESE DECLARATIONS WITH "POLICY PROVISIONS - PART B", FORMS AND NDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE •'JMBERED POLICY. EFTA01191255 Berkley Insurance Company Lawyers' Professional Liability Insurance Declarations Page CLAIMS MADE WARNING FOR DECLARATIONS: THIS POLICY PROVIDES COVERAGE ON A CLAIMS MADE AND REPORTED BASIS SUBJECT TO ITS TERMS. THIS POLICY APPLIES ONLY TO ANY CLAIM FIRST MADE AGAINST THE INSUREDS AND REPORTED TO THE INSURER DURING THE POLICY PERIOD OR ANY EXTENDED REPORTING PERIOD THAT MAY APPLY. PLEASE READ AND REVIEW THE POLICY CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE AGENT OR BROKER. Whenever printed in this Declarations Page, the boldface type terms shall have the same meanings as indicated in the Policy. Policy Form: LPL 39400 (05-14) Policy Number: 1340363 Item 1. Nana and Address of Named Insured: Paul G. Cassell University of Utah College of Law 332 South 1400 East, Room 101 Salt Lake City, UT 84112-0730 Person designated to receive all correspondence from the Insurer Paul G Cassell Attorney Item 2. Policy Period: From November 6, 2014 (inception date) to November 6, 2015 (expiration date) (Bosh dales at 12:01 Slander() Time at the address of the Named Insured) item 3. Limits of Liability for the Policy Period : A. $500,000 each Claim, but in no event exceeding B. $600,000 In the aggregate for all Claims Item 4. Supplemental Coverages Limit of Liabdity: $100,000 In the aggregate for all Supplemental Coverages during the Policy Period Item 5. Claim Expenses for the Policy Period: A. Claim Expenses Reduce the Limit of Liability in Item 3. above 0 B. Claim Expenses in Addition to the Limit of Liability in Item 3. above Claim Expense Limit N/A in the aggregate for all Claims during the Policy Period 0 A. Aggregate Deductible -All Claims N/A Dia B. Each Claim Deductible $5,000 [Xi I. The Deductible applies to Damages and Claim Expenses 0 ii. The Deductible applies only to Damages Item 7. Death or Disability and Non-Practicing Extended Reporting Period Limit of Liability (inclusive of Damages and Claim Expenses): A. $500,000 each Claim, but in no event exceeding B. $500,000 In the aggregate for all Claims Item 8. Premium: $1,102 Item 9. Endorsements attached: LPL 101901 (05.14) Addition of Prior Acts Date LPL 205201 (05-14) 'Disciplinary Proceeding Supplemental Coverage for Privacy Breach Claims LPL 504901 (07-14) Addition to Section V. D. Other Insurance LPL 604101 (05-14) Mercer Consumer Modification to Non-Practicing Extended Reporting Period LPL 000900 (05-14) Policy Amendatory Endorsement Item 10. Notice to the Insurer as provided in sections V. A. and B. and any information furnished to the Insurer as provided in therein shad be sent to: Monitor Liability Managers, Claims Department Address: 2850 West Golf Road, Suite 800, Rolling Meadows. IL 60008-4039 Fax: Email: All other notices required to be given to the Insurer under this Policy shall be sent to: Monitor Liability Mena ers Address: 2850 e t I Road. Suite 800, Rolling Meadows, IL 60008-4039 Fax: Item 6. Deductible LPL 39401 (05-14) 1340363 Paul G. Cassell Page 1 of 2 EFTA01191256 Berkley Insurance Company These Declarations along with the completed and signed Application and the Lawyers Professional Liability Insurance Policy shall constitute the contract between the Named Insured and the Insurer. MA I e Authorized Representative: A d n Date Issued: September 24, 2014 LPL 39401 (05-14) 1340363 Paul G. Cassell Page 2 of 2 EFTA01191257

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