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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 />INDEX OF FORMS ATTACHED TO THE POLICY <br />1;11111lava 2[I]J�1:1=1:WrYZIRIPY1IT <br />NAME OF INSURED: Orange County Children's Therapeutic Arts Center <br />LIABILITY FORMS AND ENDORSEMENTS <br />Employee Personal Auto Reimbursement <br />Social Service Professional Liability Coverage Form <br />Mold, Fungus Exclusion <br />Mold, Fungus Exclusion <br />Construction and Conversion Exclusion <br />Nuclear, Chemical and Biological Hazard Exclusion <br />Nuclear, Chemical and Biological Hazard Exclusion <br />Trampoline Bounce House Exclusion <br />Liberalization - GL, SSP, EBL <br />Liberalization - ISC <br />Liberalization - LL <br />Volunteer Medical Payments <br />Additional Insured - Primary and Non -Contributory Endorsement for Public Entities <br />Additional Insured - Managers or Lessors of Premises <br />Fundraiser and Event Endorsement <br />Other Insurance - Coverage C <br />Mental Anguish Endorsement <br />Commercial General Liability Coverage Part Declarations <br />Improper Sexual Conduct and Physical Abuse Liability Coverage Form <br />Commercial Liquor Liability Coverage Part Declarations <br />Nonprofits' OWN Enhancement Endorsement <br />Improper Sexual Conduct Liability Coverage Part Declarations <br />Improper Sexual Conduct and Physical Abuse Exclusion <br />Business Auto Coverage Schedule <br />Commercial General Liability Class Code Schedule <br />Commercial General Liability Location Schedule <br />This list of forms is not part of the actual policy, but is for your information only. <br />Please refer to the policy(s) for actual limits, coverages and exclusions. <br />www.insurancefornonprofits.org <br />Page <br />FORM NUMBERIEDITION DATE <br />NIAC-E29 12 09 <br />NIAC-E32 01 17 <br />NIAC-E33 GL 09 19 <br />NIAC-E33 SSP 09 19 <br />NIAC-E34 09 18 <br />NIAC-E42 GL 09 19 <br />NIAC-E42 SSP 09 19 <br />NIAC-E5 07 15 <br />NIAC-E56 01 17 <br />NIAC-E57 02 12 <br />NIAC-E59 02 12 <br />NIAC-E60 07 12 <br />NIAC-E61 02 19 <br />NIAC-E67 08 17 <br />NIAC-E70 03 19 <br />NIAC-E72 01 17 <br />NIAC-E74 03 14 <br />NIAC-GL-NPO <br />NIAC-ISCET 05 20 <br />NIAC-LL 01 80 <br />NIAC-NPO-001 05 20 <br />NIAC-SC-NPO <br />NIAC-X1 06 18 <br />SCHEDULE BA 01 80 <br />SCHEDULE G 0180 <br />SCHEDULE L 0180 <br />Risk MaragonentDivision <br />' Ewm& o <br />.611 F u P. vs,"d <br />�-. <br />Risk Management Analyst <br />