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NONPROFITS <br />INSURANCE <br />-W ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heart for Nonprofits. <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefomonprofiits.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 />Orange County Children's Therapeutic Arts Center <br />2215 N. Broadway <br />Santa Ana, CA 92706 <br />POLICY NUMBER: 2022-09201-UMB <br />Item 2 POLICY PERIOD: FROM 5/25/2022 TO 12/21/2022 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />BUSINESS DESCRIPTION: Offers specialized training in music, art, dance, drama and theraputic arts for children <br />and youth with special needs <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: $374 <br />(premium includes Terrorism Coverage - Certified Acts: $29 <br />but only for policies that indicate coverage on Schedule A - Schedule of Underlying Insurance) <br />Item 4 LIMITS OF INSURANCE: <br />a. Occurrence / Accident / Injury / Claim Limits (where applicable): .......... ............... ................. 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.......................................................................... Excluded <br />C. Each Claim - Improper Sexual Conduct and Physical Abuse Liability ..................................... Excluded <br />d. Each Claim - Social Service Professional Liability.................................................................. 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): ................................ ............................................................................ .... 1,000,000 <br />f. 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 />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, CU 21 33 a 01 15, IL 09 99 12 20, NIAC.E003 UMB 08 20, NIAC-E180 UMB 0121, NIAC-E253 UMB 08 21, NIAC-E42 UMB 09 19, SCHEDULE A 01 80, <br />UMB 23106 16, UMB 232 0616, UMB-100 05 21, UMB166 12 88, UMB61 05 13 <br />Rb4Mmg..dix M ;5 <br />` -. REUEWEU6 APVRQVID BY: <br />ftisN hArtr9enc,rt Chiral Aitle <br />