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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: 2021-24712-UMB CONTROL NUMBER: 24712 <br />NAME OF INSURED: Illumination Foundation; Integrated Community Healthcare Solutions; Home4Health Broadway, LLC; Illumination <br />Housing, LLC <br />TYPE OF POLICY <br />APPLICABLE LIMITS <br />INSURER - POLICY APPLICABLE PERIOD <br /># <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 <br />2021-24112 <br />Business <br />Uninsured/Underinsured Motorist ....................... <br />NIA <br />Auto <br />(Does not include:Terrorism Coverage - Certified Acts) <br />(B) Commercial <br />Each Occurrence Limit .................................. <br />$1,000,000 <br />NIAC 09/1512021 to 09/15/2022 <br />General <br />General Aggregate Limit ................................. <br />$3,000,000 <br />2021-24712 <br />Liability <br />Products/Completed Operations Aggregate Limi <br />$3,000,000 <br />Personal & Advertising Injury Limit .................... <br />$1,000,000 <br />Damage to Premises Rented to You .................... <br />NIA <br />(any one premises) <br />(Does not include:Terrorism Coverage - Certified Acts) <br />(C) Social Each Occurrence Limit ................................... $1,000,000 NIAC 09/1512021 to 09/15/2022 <br />Service Aggregate Limit ............. I................... $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 />- <br />& Employers <br />Bodily Injury by Accident ..................................... N/A Each Accident <br />Liability <br />Bodily Injury by Disease ..................................... N/A Each Employee <br />Bodily Injury by Disease ..................................... N/A Policy Limit <br />(E) Improper - <br />Each Occurrence Limit ...................................... <br />$1,000,000 NIAC 09/1512021 to 09115/2022 <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 09/15/2022 <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 09/15/2022 <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 />.... I ......... I .............. $1,000,000 NIAC <br />............................. . $3,000,000 2021-24712 <br />(Does not include:Terrorism Cover <br />09/15/2021 to 09/1512022 <br />„s RlekhlanegementDrvieron <br />RREVIEWED&r}APPROyV/ED BY. - <br />''F'Y I �AIMG+A62 r� �+.4Uf/MAE <br />---� Risk Managemerit Analyzt <br />