F2_Certificate_of_Liability_Insurance_(Example)(Onsite).pdf

This is a Certificate of Liability Insurance (ACORD 25 form) issued to The Board of Trustees of the Leland Stanford, Jr. University as the certificate holder. The certificate documents general liability insurance coverage with the following key specifications: Commercial General Liability with per occurrence limits, where contracts under $100K carry no amount less than $2 million, contracts $100K-$1 million carry no amount less than $3 million, and contracts $1 million and above carry no amount less than $5 million in general aggregate limits. Automobile Liability coverage is specified at no amount less than $1 million combined single limit per accident. Employers Liability coverage is also required at no amount less than $1 million.

The special provisions section indicates that the University, the U.S. Department of Energy (DOE), and their respective officers, employees, and agents are additional insureds under the Comprehensive General Liability Policies. The coverage applies to construction, insured named loss, and bodily injury, personal injury, property damage, and vehicle liability without right of contribution from any insurance maintained by the University or DOE. The policy includes a cross liability or severability of interests clause and a waiver of subrogation against both entities. The certificate holder is located at 2575 Sand Hill Road, Menlo Park, CA 94025, with the certificate subject to standard cancellation provisions requiring written notice to the certificate holder.