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NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head far Insurance. A Heart for Nonprofits. <br />PRODUCER: <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />COMMERCIAL UMBRELLA POLICY DECLARATIONS <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South Suite 120 <br />Lake Forest, CA 92630 <br />POLICY NUMBER: 202145659-UMB <br />RENEWAL OF NUMBER: 2020-45659-UMB-NPO <br />COUNTERSIGNED: 7/7/2021 BY [ e /0— - <br />(AUTHORIZED REPRESENTATIVE) <br />THESE DECLARATIONS, THE ATTACHED SCHEDULE OF UNDERLYING INSURANCE, TOGETHER WITH THE ATTACHED SCHEDULE OF FORMS AND ENDORSEMENTS, <br />AND ANY FORMS AND ENDORSEMENTS WE MAY LATER ATTACH TO REFLECT CHANGES, MAKE UP AND COMPLETE THE ABOVE NUMBERED POLICY. <br />Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Cc <br />5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of Califo <br />regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay cl <br />becomes insolvent. <br />NIAC - UMB f 2-99 <br />\ R 1EWED&APPRO ED Br <br />A+�t Aaw�i(a <br />®R& Management Specialist <br />