|
<br />Mal" 21 06 04.42p
<br />
<br />Templa Calvaria C D C
<br />
<br />714 543 2399
<br />
<br />;..Jon profits'
<br />~WN
<br />'JonpTn!-;I'; ]CC;ULH1CP
<br />\[Jj,ll1<.1' "f L.diflwni,l
<br />
<br />NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA
<br />P.O. Box 8507, Santa Cruz, CA 95061
<br />P: (800) 359-6422
<br />F: (831) 459-0853
<br />
<br />NONPROFITS OWN
<br />COMMERCIAL LINES COMMON POLICY DECLARATIONS
<br />
<br />PRODUCER:
<br />
<br />Schweickert & Company
<br />15 Peters Canyon Road
<br />Irvine, CA 92606
<br />
<br />NAME OF INSURED AND MAILING ADDRESS:
<br />
<br />Templo Calvario Community Development Corporation
<br />2511 W. 5th Streel
<br />Sanla Ana. CA 92703
<br />
<br />p.4
<br />
<br />6J
<br />
<br />Nonprofits' Insurance
<br />Alliance of California
<br />A lEAD FClIINSWHC:! ...J. NWTFOINONPIOIIII
<br />
<br />POLICY NUMBER: 2006-17088. NPO
<br />
<br />RENEWAL OF NUMBER: 2005-17088- NPO
<br />
<br />POLICY PERIOD:
<br />
<br />FROM 0210812006 TO 0210812007
<br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
<br />
<br />BUSINESS DESCRIPTION: Job Resources and Educational Services for Low Income Families
<br />
<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 />
<br />THIS POLICY CONSISTS OF THE FOl.LOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT.
<br />PREMIUM
<br />
<br />$4,176
<br />
<br />$150
<br />
<br />Not Covered
<br />
<br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. OCCURRENCE ..................
<br />COMMERCIAL AUTO LIABILITY COVERAGE PART ..................................................
<br />COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE'PART ....................................
<br />IMPROPER SEXUAL CONDUCT COVERAGE PART ..........................
<br />COMMERCIAL LIQUOR LIABILITY COVERAGE PART ...................................................
<br />TERRORISM COVERAGE (Certified Acts) .......................................................................
<br />
<br />TOTAL:
<br />
<br />FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:'
<br />NlAC-Gl~PO NIAc-L.L-NPO NIAC-SC-NPO NIAC-AL-NPO SCHEDULE Go
<br />NIAG-E27J9.98. CG OC 01107 98, NIAC-Xf/08 02, NIAC-E3J1-99. NIAC-E4J1-91,
<br />NlAC-E1117-92, NtAC-E121~92, N1AC-E1S'3-94, NIAC-E22f8..95, N1AC-E2811.99,
<br />NIAC-E32J9-01, N1AC-E33I1-02, CG 00 33101 96, CG 20 11-NP0ID1 96, CG 20 121(J7 98,
<br />CG2Q26J0704, CG 2034107 04, CG2171/1202, 002271111-85, CG2407l11-85,
<br />IL 00 17/11 98, IL 02 70107 02, IL 09 DW05 04,
<br />
<br />SCHEDULE L,
<br />NIAC-E5I3-91,
<br />NIA.C-E29/1-99,
<br />CG2018/11.as,
<br />002504111-85,
<br />
<br />$2,700
<br />INCLUDED
<br />$52
<br />
<br />$7 ,078
<br />
<br />SCHEDULE SA.,
<br />NIA.C-E7/10 04,
<br />N1AC-E30/4-00,
<br />CG202OJ11-85,
<br />C07194104 93,
<br />
<br />.OMrrs APPLICABLE FORMS AND ENDORSEMENTS IF SHOWN IN
<br />SPECFlC COVERAGE PART f COVERAGE FORM DECLARATIONS.
<br />
<br />COUNTERSIGNED: 0211312006 BY
<br />
<br />p~ r!. &..
<br />
<br />(AUTHORIZED REPRESENTATIVE)
<br />
<br />THESE DECLARATIONS AND THE COIIWON POUCY DEClARATIONS, F APPUCABLE, TOGETHER WIT1t THE COMMON POLICY CONDITIONS, COVERAGE FORM(S)
<br />AND FORMS AND ENDORSEMENTS, . AHV, ISSUI!D TO FORM A flART THEREOF, COMPlETE THE ABOVE NUMBERED POUCY.
<br />NIAC-CO .NPO (01844-00)
<br />
|