Insurance Policy and Endorsement Statement

Insurance Policy and Endorsement Statement

Stanford requires external (i.e. Non-Stanford funded) programs to submit a certificate of comprehensive liability insurance and a statement of endorsement (see page 2 for a sample endorsement statement). The conference entity insurance shall be primary coverage. Stanford University insurance/self-insurance programs shall be excess and not contributory.

Your proof of insurance and your statement of endorsement are due to your Conference Account Manager/Coordinator at least 30 days prior to the start of your conference. External programs that fail to provide proof of insurance will not be allowed on campus.

You will forever indemnify, defend, and hold harmless the Board of Trustees of the Leland Stanford Junior University, their Officers, Agents, Representatives, Students, Employees, and Volunteers from and against any and all claims of liability, loss or damages, costs and expenses, including reasonable attorney’s fees, whether direct or consequential, on account of any loss, injury, death, or damage to any persons or property arising in any way out of your use of Stanford University facilities and premises, unless they arise solely out of the gross negligence or willful misconduct of Stanford. You hereby waive all claims against Stanford, for damage to property or injury or death to persons arising out of the conference and the use of Stanford University facilities and premises. You further agree to compensate Stanford for any damage or injury to Stanford’s property or personnel arising out of such conference, facilities and premises use. This paragraph shall not, however, apply to claims, damages, and injuries arising solely out of the gross negligence or willful misconduct of Stanford.

Insurance Requirements for Use of University Facilities

STANDARD INSURANCE REQUIREMENTS:

1. ACORD Form 25 must be completed by Insurance Broker or Agent

2. Comprehensive General Liability with usual business use endorsements including contractual liability. For bodily injury and/or property damage: $3,000,000 per occurrence/Combined Single Limit

3. Automobile Liability with "Any Auto" selected: $1,000,000 Combined Single Limit

4. Worker's Compensation - Statutory Employer's Liability

5. $2,000,000 Bodily Injury by Accident - Each Accident
   $2,000,000 Bodily Injury by Disease - Policy Limit
   $2,000,000 Bodily Injury by Disease - Each Employee

6. Additional Insured Endorsement: The Board of Trustees of the Leland Stanford Junior University, its officers, agents, representatives, students, employees and volunteers must be named as additional insured. Above insurance is primary as respects all other insurance or self-insurance in force.

7. Cancellation Clause: Should any of the above described policies be canceled or have a material change in coverage before the expiration date thereof, the issuing company will mail 30 days written notice to the below named Certificate Holder.

8. Contractual Liability: Certificate of insurance must contain a broad form contractual liability endorsement stating that the policy is extended to cover the liability assumed by the insured under the terms of his contract with the University.

All of the above must be included in your certificate of insurance; otherwise, it will be necessary to return the certificate to your insurance agent for correction.

Insurance must be on file with the Board of Trustees of the Leland Stanford Junior University thirty (30) days prior to the event or use of facilities.

Please send the certificate to the requesting department:
Stanford Conferences
123 Encina Commons
Stanford, CA 94305-6020

Sample Endorsement Page (provfided by your insurance company)

           POLICY NUMBER:                                       COMMERCIAL GENERAL LIABILITY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

          ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY PART:

                                                                    SCHEDULE

Name of Person or Organization:

The Board of Trustees of the Leland Stanford Junior University, their Officers, Agents, Representatives, Students, Employees and Volunteers as additional insured.

(If no entry appears above, information required to complete this endorsement wil be shown in the Declarations as applicable to this endorsement.)

WHO IS AN INSURED (Section II) is amended as an Insured the person or organization shown in the Schedule, but only with respect to liability arising out of your operations or premises owned by or rented to you.