Safety & Loss Prevention

NCAA Certificate of Coverage

CERTIFICATE OF COVERAGE
STATE OF WISCONSIN

This is to certify that coverage described below is effective per the statutory authority referenced. This certificate is not a policy or a binder of insurance and does not in any way alter, amend or extend the coverage afforded by any reference herein. The coverage is subject to all terms and conditions of the statutory authority.

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STATE AGENCY:

Board of Regents of the
University of Wisconsin System
780 Regent Street, Suite 145
Madison, WI 53715
DATE ISSUED:

June 9, 2003


KIND OF COVERAGE X STATUTORY REFERENCES
Workers' Compensation                                                                                                  
Liability X  Sec 895.46 and 893.82
Automobile Liability
Property

The entry of an X means that the coverage is afforded per this certificate and the statutory reference listed.

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DATES OF COVERAGE: July 1, 2003 - July 1, 2008

DESCRIPTION OF COVERAGE: Coverage applies as afforded by statutory reference(s) as listed above for all the NCAA tournaments hosted at the University of Wisconsin institutions.

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ISSUED TO:
NCAA
Attn: Ms. Jan Glessner
PO Box 6222
Indianapolis, IN 46206-6222 		      | ISSUED BY:
|
| ____________David J. Pulda_______________
Risk Manager
University of Wisconsin System

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Updated 8/1/03