Case File
efta-efta01191245DOJ Data Set 9OtherUTAH STATE RISK MANAGEMENT FUND
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DOJ Data Set 9
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efta-efta01191245
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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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