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EXHIBIT F <br />FORM OF SELF INSURANCE CERTIFICATE <br />Banc of America Public Capital Corp <br />11333 McCormick Road <br />Mail Code: MD5-032-07-05 <br />Hunt Valley, MD 21031 <br />Attn: Contract Administration <br />Re: Equipment Lease/Purchase Agreement, <br />dated as of January 22, 2021, (the “Agreement”) <br />by and between Banc of America Public Capital Corp, as Lessor, <br />and the City of San Leandro, California, as Lessee <br />In connection with the above-referenced Agreement, the City of San Leandro, California <br />(the “Lessee”) hereby warrants and represents to Banc of America Public Capital Corp the <br />following information. The terms capitalized herein but not defined herein shall have the <br />meanings assigned to them in the Agreement. <br />1.The Lessee is self-insured for damage or destruction to the Equipment. The dollar <br />amount limit for property damage to the Equipment under such self-insurance program is <br />$25,000. The Lessee maintains an umbrella insurance policy for claims in excess of Lessee’s <br />self-insurance limits for property damage to the Equipment which policy has a dollar limit for <br />property damage to the Equipment under such policy of $400 million ($400,000,000); Boiler and <br />Machinery of $100 million ($100,000,000). <br />2.The Lessee is self-insured for liability for injury or death of any person or damage <br />or loss of property arising out of or relating to the condition or operation of the Equipment. The <br />dollar limit for such liability claims under the Lessee’s self-insurance program is $500,000. The <br />Lessee maintains an umbrella insurance policy for claims in excess of Lessee’s self-insurance <br />limits for liability which policy has a dollar limit for liabilities for injury and death to persons as <br />well as damage or loss of property arising out of or relating to the condition or operation of the <br />Equipment in the amount of $40 million ($40,000,000). <br />3.The Lessee maintains a self-insurance fund. Monies in the self-insurance fund are <br />subject to annual appropriation. The total amount maintained in the self-insurance fund to cover <br />Lessee’s self-insurance liabilities is a minimum of $500,000. Amounts paid from the Lessee’s <br />self-insurance fund are subject to a dollar per occurrence of $40 million ($40,000,000). <br />4.Attached hereto are copies of certificates of insurance with respect to policies <br />maintained by Lessee. <br />320