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,❑INONPROFITS <br />INSURANCE <br />ALLIANCE Of CALIFORNIA <br />A Head for insurance. A Hoort forNonprofits, <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />INDEX OF FORMS ATTACHED TO THE POLICY <br />POLICY NUMBER: 2024-09201 <br />NAME OF INSURED: Orange County Children's Therapeutic Arts Center <br />www.insurancefornonprofits.org <br />Page: 2 <br />LIABILITY FORMS AND ENDORSEMENTS FORM NUMBERIEDITION DATE <br />Fireworks Exclusion <br />NIAC-El1 SSP 09 19 <br />Lead Liability - Exclusion <br />NIAC-E120 09 19 <br />Disciplinary Action <br />NIAC-E125 11 19 <br />AI - Designated Person or Organization (ET) <br />NIAC-E131 ISC 05 20 <br />Blood Testing Exclusion <br />NIAC-E15 09 20 <br />Communicable Disease - Exclusion <br />NIAC-El80 GL 01 21 <br />Communicable Disease - Exclusion <br />NIAC-E180 ISC 01 21 <br />Communicable Disease - Exclusion <br />NIAC-E180 LL 01 21 <br />Communicable Disease - Exclusion <br />NIAC-E180 SSP 0121 <br />Discrimination Exclusion <br />NIAC-E195 GL 05 21 <br />Asbestos Exclusion <br />NIAC-E22 09 19 <br />Additional Insured - Designated Person or Organization <br />NIAC-E25 12 15 <br />Waiver of Transfer of Rights of Recovery Against Others <br />NIAC-E26 11 17 <br />Property Damage to Personal Property in the Care, Custody or Control of the Insured <br />NIAC-E28 01 99 <br />Cyber Incident - Exclusion <br />NIAC-E282 GL 12 21 <br />Cyber Incident - Exclusion <br />NIAC-E282 SSP 12 21 <br />Employee Personal Auto Reimbursement <br />NIAC-E29 12 09 <br />Social Service Professional Liability Coverage Form <br />NIAC-E32 01 17 <br />Mold, Fungus Exclusion <br />NIAC-E33 GL 09 19 <br />Mold, Fungus Exclusion <br />NIAC-E33 SSP 09 19 <br />Anti -Stacking Condition <br />NIAC-E342 GL 08 22 <br />Anti -Stacking Condition <br />NIAC-E342 ISC 08 22 <br />Anti -Stacking Condition <br />NIAC-E342 SSP 08 22 <br />Nuclear, Chemical and Biological Hazard Exclusion <br />NIAC-E42 GL 09 19 <br />Nuclear, Chemical and Biological Hazard Exclusion <br />NIAC-E42 SSP 09 19 <br />Trampoline Bounce House Exclusion <br />NIAC-E5 07 15 <br />Liberalization - GL, SSP, EBL <br />NIAC-E56 01 17 <br />Liberalization - ISC <br />NIAC-E57 02 12 <br />Liberalization - LL <br />NIAC-E59 02 12 <br />Volunteer Medical Payments <br />NIAC-E60 07 12 <br />Additional Insured - Primary and Non -Contributory Endorsement for Public Entities <br />NIAC-E61 02 19 <br />Water Hazard Liability Sublimit <br />NIAC-E635 SSP 06 24 <br />Water Hazard Liability- Exclusion <br />NIAC-E636 GL 06 24 <br />Habitability - Exclusion <br />NIAC-E676 SSP 06 24 <br />Fundraiser and Event Endorsement <br />NIAC-E70 03 19 <br />Other Insurance - Coverage C <br />NIAC-E72 01 17 <br />Mental Anguish Endorsement <br />NIAC-E74 03 14 <br />Commercial General Liability Coverage Part Declarations <br />NIAC-GL-NPO <br />Improper Sexual Conduct and Physical Abuse Liability Coverage Form <br />NIAC-ISCET 05 20 <br />This list of forms is not part of the actual policy, but is for your information only. <br />Please refer to the policy(s) for actual limits, coverages and exclusions. <br />