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ILLFOU•001 THAN <br />► c rz CERTIFICATE OF LIABILITY INSURANCE <br />COVERAGES CERTIFICATE. NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />DATE 91201 4 <br />1 212 912 01 4 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements). <br />PRODUCER (888) 825.4322 <br />'NA'MEAndrea Thurmond <br />Bowermaster & Associates <br />PO. Box 6026 <br />10805 Holder Street - Suite 350 <br />mm <br />ac lo Exn• 714ONpt: 714.252-8253 <br />E AL <br />ADDRESS; athurmond@bowermaster.com <br />_ CNSURER(Sj AFFORDING COVERAGE <br />_ <br />NATC4 <br />Cypress, CA 90630 <br />NsaRERA:Non rofIts' Insurance Attiance of California <br />9/1512014 <br />_ <br />INSURED Illumination Foundation _ <br />INSURER e0ost American Insurance <br />44393 <br />2691 Ritcher Avenue <br />INSURERC:State Compensation Insurance Fund <br />.�.. <br />Suite 107 <br />INSURER D; �^ <br />Irvine, CA 92606- <br />INSURER a: <br />$ W _ 20,000 <br />INSURER F: <br />COVERAGES CERTIFICATE. NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL, THE TERMS, <br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />_EXCLUSIONS _AND _CONDITIONS <br />INSFt TYPE OF INSURANCE POUCYNUMBER Mffw <br />LTR , Do YYYY IDOIYYW LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,006 <br />A <br />X COMN15RMLGENEIAL LIABILITY <br />Z01424712NPO <br />9/1512014 <br />011512015 <br />p BMISES Ewe cvno�nco <br />3 500,000 <br />CLAIMadADE ® OCCUR <br />MED EXP (Any onp parson) <br />$ W _ 20,000 <br />PERSONAL&AOV INJURY <br />$ 1,000,000 <br />w. <br />GENERALAGGREG_ATE <br />$ 3,000,000 <br />GEN4AGGREGATELIMITAPPUESPER: <br />PRODUCTS• COMPIOP AGO <br />s 3,000,000 <br />..X1 POLICY PRO- <br />LOCJECT <br />_ <br />AUTOMOBILE LIABILITY <br />COMBINED SING {MIT <br />fLka Id¢nIt <br />1,000,000 <br />B <br />X ANY AUTO <br />BAWS6316571 <br />915/2014 <br />9/15/2015 <br />BODILY INJURY(Ppr person <br />$ <br />AUTOS My NED ULED <br />BODILY INJURY (Per acdeArs) <br />§ <br />ASNOE <br />X }( NON -OWNED <br />PROPERT DAMA S <br />$ <br />HIREDAUrOs AUTOS <br />acdd¢n0 $._....... <br />UMBRELLA LIAS <br />OCCUR <br />W <br />EACH OCCURRENCE <br />$ <br />EXCESS UAB <br />F—ICLAIMS-MADE <br />AGGREGATE <br />$ ._ <br />OED RETENTION <br />WORKERS COMPENSATION <br />WC STATV- O7W- <br />TOR T <br />CANY <br />ANDEMPLOYERS'LIABILITY <br />PROPRIETOWPARTNENEXECUTIVE YD <br />OFFICER/MEMSER EXCLUDED? <br />NIA <br />90409502015 <br />111/2015 <br />1112016 <br />E.L. EACH ACCIDENT <br />$ _ 1,000,000 <br />{Mandatory in Ma <br />E.L.DISEASE-EAEMFLGYE <br />$ 1,000,000 <br />Us% describe under <br />SCRIPT ION OF OPERATIONS bai¢W <br />E.L. DISEASE, POLICY LIMIT <br />$ 1, 000,000 <br />A <br />Professional Liability <br />01424712NP0 <br />911512014 <br />9115/2015 <br />OccurroncalAtlgre9§te1,000,000/$3,000,000 <br />A <br />Improper Sooual Conduct <br />201424712NP0 <br />9115!2014 <br />0/15/2015 <br />OODurronce/Aggregate $250,0001$250,000 <br />.� <br />DESCRIPTION OP OPERATIONS i LOCATIONS I VEHICLES (Attach ACORD 111, Additlonei Remarks Schedule, It mare space Is requinxe <br />For Informational Purposes Only <br />r <br />a� <br />Illumination Foundation <br />2691 RichterAvo <br />Suite 107 <br />Irvine, CA 92606 - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD <br />