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NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance.. A Heart far Nonprofits. <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />COMMERCIAL UMBRELLA POLICY DECLARATIONS <br />PRODUCER: <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South Suite 120 <br />Lake Forest, CA 92630 <br />Item 1 NAME OF INSURED AND MAILING ADDRESS: <br />Delhi Center <br />505 E. Central Avenue <br />Santa Ana, CA 92707 <br />Item 2 POLICY PERIOD: <br />BUSINESS DESCRIPTION: <br />FROM 3/2/2022 <br />POLICY NUMBER: 2022-01376-UMB <br />TO 11/112022 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />Resource & referral services <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 />(premium includes Terrorism Coverage - Certified Acts: $33 <br />but only for policies that indicate coverage on Schedule A - Schedule of Underlying Insurance) <br />$434 <br />Item LIMITS OF INSURANCE: <br />a. Occurrence / Accident / Injury / Claim Limits (where applicable): ............................................ <br />1,000,000 <br />i) Each Occurrence - Commercial General Liability and Products - <br />Completed Operations Liability <br />ii) Each Accident - Business Auto Liability <br />iii) Each Injury- Liquor Liability <br />iv) Each Claim - Employee Benefits Liability <br />b. Each Claim - Directors and Officers Liability.......................................................................... <br />Excluded <br />C. Each Claim - Improper Sexual Conduct and Physical Abuse Liability ..................................... <br />Excluded <br />d. Each Claim - Social Service Professional Liability.................................................................. <br />Excluded <br />Item 5 <br />Aggregate limits <br />e. Commercial General Liability, Business Auto Liability, Products- Completed Operations <br />Liability, Liquor Liability, and Employee Benefits Liability Aggregate <br />(where applicable): .................................................................................................................. 1,000,000 <br />I. Directors and Officers Liability Aggregate................................................................................ Excluded <br />g. Improper Sexual Conduct and Physical Abuse Liability Aggregate ........................................ Excluded <br />h. Social Service Professional Liability Aggregate....................................................................... Excluded <br />RETROACTIVE DATES - SEE SCHEDULE OF UNDERLYING INSURANCE <br />FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY AT INCEPTION (NUMBER AND EDITION DATE): <br />CU 2130 01 15, IL 09 99 12 20, NIAC-EO03 UMB 08 20, NIAC-E180 UMB 01 21, NIAC-E253 UMB 08 21, NIAC-E42 UMB 09 19, SCHEDULE A 01 80, UMB 231 06 16, <br />UMB 232 06 16, UMB-100 05 21, UMB166 12 88, UMB61 05 13 <br />^pyou. <br />ifYl �„`� <br />-• � � <br />RiskMmwgementDhtIon <br />REV swoo& APPROppvE) BY; <br />r'I714eV4�a <br />M <br />Risk Management Specialist <br />