Laserfiche WebLink
NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heart for Nonprofits. <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />COMMERCIAL UMBRELLA POLICY DECLARATIONS <br />PRODUCER: POLICY NUMBER: 2020-24712-UMB <br />Bowermaster & Associates Insurance Agency, Inc. <br />10805 Holder St. Ste. 350 <br />Cypress, CA 90630 <br />Item 1 NAME OF INSURED AND MAILING ADDRESS: <br />Illumination Foundation <br />1091 N. Batavia Street <br />Orange, CA 92867 <br />Item 2 POLICY PERIOD: FROM 9/1512020 TO 9/15/2021 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />BUSINESS DESCRIPTION: Provides services and temporary housing for the homeless <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. <br />Item 3 THE ANNUAL AND MINIMUM PREMIUM DUE AT INCEPTION: <br />Item 4 LIMITS OF INSURANCE: <br />a. Each Occurrence (other than Directors' & Officers' Liability, Improper Sexual Conduct and <br />Physical Abuse Liability, and Social Service Professional Liability) ........................................ <br />Each Wrongful Act - Directors' & Officers' Liability................................................................. <br />Each Occurrence - Improper Sexual Conduct Liability........................................................ <br />Each Occurrence - Social Service Professional Liability......................................................... <br />b. Products Completed Operations Aggregate [(where applicable)] ....................................... <br />C. General Aggregate.............................................................................................................. <br />d. Directors' & Officers' Liability Aggregate.............................................................................. <br />e. Improper Sexual Conduct Liability Aggregate....................................................................... <br />f. Social Services Professional Liability Aggregate................................................................... <br />Item 5 RETROACTIVE DATES -SEE SCHEDULE OF UNDERLYING INSURANCE <br />$47,480 <br />7,000,000 <br />7,000,000 <br />2,000,000 <br />7,000,000 <br />7,000,000 <br />7,000,000 <br />7,000,000 <br />2,000,000 <br />7,000,000 <br />FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY AT INCEPTION (NUMBER AND EDITION DATE): <br />CU 2133 01 15, NIAC-EO03 UMB 08 20, NIAC-EI33 UMB 05 20, NIAC-E42 UMB 09 19, SCHEDULE A 0180, UMB 23106 16, UMB 232 06 16, UMB-100 08 18, UMB61 <br />0513 <br />COUNTERSIGNED: 9/15/2020 BY <br />00,� (�,XQ. <br />(AUTHORIZED REPRESENTATIVE) <br />THESE DECLARATIONS, THE ATTACHED SCHEDULE OF UNDERLYING INSURANCE, TOGETHER WITH THE ATTACHED SCHEDULE OF FORMS AND ENDORSEMENTS, <br />AND ANY FORMS AND ENDORSEMENTS WE MAY LATER ATTACH TO REFLECT CHANGES, MAKE UP AND COMPLETE THE ABOVE NUMBERED POLICY. <br />Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Cor <br />5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of Califor mekMa ugzmantovis on <br />regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay clai REVIEWED&APPRovm8r. <br />becomes insolvent. F44w,tme R, VjtwA 4l <br />NIAC - UMB / 2-99 Risk Managernnt Analyst <br />