Laserfiche WebLink
® NONPROFITS <br />INSMANt E <br />A Head for Insurance. A Heort for Nonprofits. <br />COMMERCIAL GENERAL LIABILITY <br />EXTENSION OF DECLARATIONS <br />POLICY NUMBER: 2018-03104-NPO <br />NONPROFIT$ INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />Schedule L <br />Page 1 <br />NAME OF INSURED: People for Irvine Community Health dba: 2-1-1 Orange County; OC Partnership <br />PREMISES <br />DESIGNATED PREMISES <br />LOC/BLDG <br />ADDRESS, CITY, STATE, ZIP <br />1 <br />1505 E 17th St. Ste. 108 <br />Santa Ana, CA 92705 <br />2 <br />1505 E 17th St. Ste. 222 <br />Santa Ana, CA 92705 <br />3 <br />1505 E 17th Street, #220 <br />Santa Ana, CA 92705 <br />4 <br />1505 E 17th Street, #122 <br />Santa Ana, CA 92705 <br />ADDITIONAL INSUREDS <br />AND OTHER INTERESTS <br />COUNTERSIGNED: 01/31/2018 BY <br />b ,a. <br />NIAC - SCHEDULE L . NPO (AUTHORIZED REPRESENTATIVE) <br />(00626) <br />