Attachment A: Preferred Hold Harmless and Indemnification Clause

If a facility use agreement contains a clause that compromises The Regents' assets by leaving open the potential for lawsuits from any and all parties, the County Director or Regional Director need to review the language and negotiate changes to the contract language (helpful hints for Attachment A).

Attachment B: Alternate Hold Harmless and Indemnification Clause

If a facility use agreement contains a clause that compromises The Regents' assets by leaving open the potential for lawsuits from any and all parties, the County Director or Regional Director need to review the language and negotiate changes to the contract language (helpful hints for Attachment B).

Attachment C: Request for Certificate of Insurance (.pdf)

Attachment C: Request for Certificate of Insurance (.doc)  

To submit the Request via email (requires MS Word): Download the MS Word Document (.doc). Enter the necessary information directly into the document. Save the file to your computer. Create an email addressed to Oristine.Harris@ucop.edu and attach the file to the email. All additional documentation must be FAXED to the Risk Management Office at (510) 987-0965.

If you do not have MS Word: Download the Adobe Acrobat file (.pdf) and print the Request. Complete the required information and submit the Request via fax to (510) 987-0965.

Attachment D: Preferred ANR Use Agreement

Attachment E: Alternate ANR Use Agreement

UC Incident Report Form

Any incident resulting in property loss/damage and/or causalities must be reported using this form.

Waivers  

English and in Spanish covering liability issues for elective/voluntary events, including 4-H programs.

Facilities Use Indemnification Agreement with the Division of Fairs and Expositions

Mutually agreed upon Hold Harmless and Indemnification language to be used in agreements at County and State Fair facilities.