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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 />www.insurancefornonprofits.org <br />SCHEDULE A - SCHEDULE OF UNDERLYING INSURANCE <br />POLICY NUMBER: <br />2021-24712-UMB <br />CONTROL NUMBER: 24712 - <br />NAME OF INSURED: <br />Illumination Foundation; Integrated Community <br />Healthcare Solutions; Home4Health Broadway, LLC; Illumination <br />Housing, LLC <br />TYPE OF POLICY <br />APPLICABLE LIMITS <br />INSURER APPLICABLE PERIOD <br />POLICY # <br />(A) Automobile <br />Bodily Injury and Property Damage <br />NIAC 09/15/2021 to 09/15/2022 <br />Liability <br />Combined Single Limit ........................................ <br />$1,000,000 2021-24712 - <br />Business <br />Uninsured/Underinsured Motorist ....................... <br />N/A <br />Auto <br />(Does not include:Terrorism Coverage - Certified Acts) <br />(B) Commercial- <br />Each Occurrence Limit .................................. <br />$1,000,000 NIAC 09115/2021 to 09/15/2022 <br />General <br />General Aggregate Limit . ................................ <br />$3,000,000 2021-24712 <br />Liability <br />Products/Completed Operations Aggregate Lim! <br />$3,000,000 <br />Personal & Advertising Injury Limit .................... <br />$1,000,000 <br />Damage to Premises Rented to You .................... <br />N/A <br />(any one premises) <br />- <br />(Does not include:Terrorism Coverage - Certified Acts) <br />(C) Social Each Occurrence Limit ................................... $1,000,000 NIAC. 09/15/2021 to 09/15/2022 <br />Service Aggregate Limit ................................. $3,000,000 2021-24712 <br />Professional <br />Liability (Does not include:Terrorism Coverage - Certified Acts) <br />(D) Standard <br />Coverage B - Employers Liability <br />Workers <br />Compensation <br />& Employers <br />Bodily Injury by Accident ..................................... N/A Each Accident <br />Liability <br />Bodily Injury by Disease ..................................... N/A Each Employee <br />- <br />Bodily Injury by Disease ..................................... NIA Policy Limit <br />(E) Improper <br />Each Occurrence Limit ...................................... <br />$1,000,000 NIAC 09/15/2021 to 09/15/2022 <br />Sexual <br />General Aggregate Limit ................................. <br />$1,000,000 2021-24712 <br />Conduct and <br />Physical Abuse <br />(Does not include:Terrorism Coverage- Certified Acts) <br />(F) Directors' <br />Each Wrongful Act Limit . ................................. <br />$1,000,000 NIAC 09/15/2021 to 09/15/2622 <br />And <br />Aggregate Limit ................................................ <br />$2,000,000 2021-24712-DO <br />Officers' <br />- <br />(Does not Include:Terrorism Coverage - Certified Acts) <br />(G) Liquor - <br />Each Common Cause Limit ............................ <br />$1,000,000 NIAC 09/15/2021 to 09/1512022 <br />Liability <br />Aggregate Limit ................................................ <br />$1,000,000 2021-24712 <br />(H) Employee Each Employee <br />Benefits Aggregate Limit <br />Liability <br />(Does not include:Terrorism Coverage - Certified Acts) <br />................................................ $1,000,000 NIAC <br />................................................ $3,000,000 2021,24712 <br />(Does not include:Terrorlsm Cover <br />09/15/2021 to 09/15/2022 <br />yse, RtekMan0g0nMiD1Vt8IM <br />66 REVIEWED&APPRovED By. <br />Risk Management Analyst <br />