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State Farm Fire and Casualty Company <br />A Stock Company with Home Offices in Bloomington, Illinois <br />Herein called the Insurer <br />DECLARATIONS PAGE <br />NOT -FOR -PROFIT ORGANIZATION LIABILITY POLICY <br />INCLUDING EMPLOYMENT PRACTICES LIABILITY COVERAGE <br />Policy No: PS0000007041200 <br />Renewal of Policy No: <br />NOTICE: THIS IS A CLAIMS -MADE POLICY. THIS POLICY, SUBJECT TO ITS TERMS, APPLIES <br />ONLY TO CLAIMS FIRST MADE DURING THE POLICY PERIOD OR ANY EXTENDED REPORTING <br />PERIOD THAT MAY APPLY. <br />This Declarations Page along with the completed and signed Application including attachments, and the <br />Policy Form and Endorsements listed in Item 6., shall constitute the contract between the Insureds and <br />the Insurer. <br />Item 1. Parent Organization: UNITED ACROSS BORDERS FOUNDATION <br />Address: 2509 W Transit PI <br />Anaheim, CA 92705 <br />Item 2. Policy Period: <br />Effective Date: March 16, 2022 Expiration Date: March 16, 2023 <br />(12:01 A.M. Standard Time at the Address stated in Item 1.) <br />Item 3. Limit of Liability: $1,000,000 <br />Item 4. Retention: $2,500 <br />Item 5. Premium: $3,617.00 <br />PSNP1000(07/01) <br />in the Aggregate. <br />each Claim. <br />RAMwuganadDiMsian <br />E <br />REVIEWED & APPROVED BY. <br />e Aeevaa <br />'�--'Risk Management Specialist <br />