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NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heartfor Nonpraflts. <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 />POLICY NUMBER: 2022-01376-UMB <br />Item POLICY PERIOD: FROM 3/2/2022 TO 11/1/2022 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />BUSINESS DESCRIPTION: 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 4 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 />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): ............................................................. .................................................... <br />1,000,000 <br />f. Directors and Officers Liability Aggregate................................................................................ <br />Excluded <br />g. Improper Sexual Conduct and Physical Abuse Liability Aggregate ........................................ <br />Excluded <br />h. Social Service Professional Liability Aggregate....................................................................... <br />Excluded <br />Item 5 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 0180, UMB 23106 16, <br />UMB 2320616, UMB-100 05 21, UMB16612 88, UMB61 0513 <br />s t.. <br />RIAManarwntDMeWt <br />REVIEWED&APPRDVEDBV: <br />Risk Management Specialist <br />