Laserfiche WebLink
NONPROFITS <br />INSURANCE <br />ALLIANCE Of CALIFORNIA <br />A Head for Insurance. A Heartfor Nonprofits. <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />INDEX OF FORMS ATTACHED TO THE POLICY <br />POLICY NUMBER: 2021-45659-UMB-NPO <br />NAME OF INSURED: Kidworks Community Development Corporation <br />www.insurancefornonprofits.org <br />Page 1 <br />UMBRELLA FORMS AND ENDORSEMENTS FORM NUMBER/EDITION DATE <br />Cap on Losses for Certified Acts - Terrorism Coverage <br />CU 2130 01 15 <br />Exclusion of Certified Acts of Terrorism - Automobile Liability Underlying Insurance Only <br />CU 2133 a 01 15 <br />Exclusion of Certified Acts of Terrorism - Employers Liability Underlying Insurance Only <br />CU 2133 a 01 15 <br />Disclosure Of Premium For Certified Acts of Terrorism <br />IL 09 99 12 20 <br />Member Criteria <br />NIAC-EO03 UMB 08 2 <br />Communicable Disease - Exclusion <br />NIAC-E180 UMB 012 <br />Nuclear, Chemical and Biological Hazard Exclusion <br />NIAC-E42 UMB 09 19 <br />Schedule A - Schedule of Underlying Insurance <br />SCHEDULE A 0180 <br />Privacy Liability and Cyber Coverage Exclusion <br />UMB 231 06 16 <br />Medical Payments Exclusion <br />UMB 232 06 16 <br />Commercial Umbrella Policy <br />UMB-100 05 21 <br />Unimpaired Aggregate Limits Endorsement (Non-Concurrency) <br />UMB166 12 88 <br />Employers' Liability Following Form Endorsement <br />UMB62 05 13 <br />RAMm9emcdDMsIon <br />s REVIEWED &APPRW®BY: <br />This list of forms is not part of the actual policy, but is for your information only. Rr' Ai ju Auvata <br />Please refer to the policy(s) for actual limits, coverages and exclusions. _— RM Management Speaelisl <br />