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IED I <br />NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heart for Nonprofits. <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />SCHEDULE A - SCHEDULE OF UNDERLYING INSURANCE <br />POLICY NUMBER: <br />2021-01143-UMB <br />CONTROL NUMBER: 01143 <br />NAME OF INSURED: <br />Human Options, Inc. <br />TYPE OF POLICY <br />APPLICABLE LIMITS <br />INSURER APPLICABLE PERIOD <br />POLICY # <br />(A) Automobile <br />Bodily Injury and Property Damage <br />NIAC 09/23/2021 to 09/23/2022 <br />Liability <br />Combined Single Limit ........................................ <br />$1,000,000 2021-01143 <br />Business <br />Uninsured/Underinsured Motorist <br />N/A <br />Auto <br />....................... <br />(Does not include:Terrorism Coverage - Certified Acts) <br />(B) Commercial <br />Each Occurrence Limit .................................. <br />$1,000,000 NIAC 09/23/2021 to 09/23/2022 <br />General <br />General Aggregate Limit ................................ <br />$3,000,000 2021-01143 <br />Liability <br />Products/Completed Operations Aggregate Limi <br />$3,000,000 <br />Personal & Advertising Injury Limit .................... <br />$1,000,000 <br />Damage to Premises Rented to You .................... <br />N/A <br />(any one premises) <br />(Does not include:Terrorism Coverage - Certified Acts) <br />(C) Social <br />Each Occurrence Limit ................................... <br />$1,000,000 NIAC 09/23/2021 to 09/23/2022 <br />Service <br />Aggregate Limit ................................ <br />$3,000,000 2021-01143 <br />Professional <br />Liability <br />(Does not include: Terrorism Coverage - Certified Acts) <br />(D) Standard <br />Coverage B - Employers Liability <br />Service American 09/23/2021 to 04/01/2022 <br />Workers <br />Indemnity Co <br />Compensation <br />SATISO427000 <br />& Employers <br />Bodily Injury by Accident ..................................... <br />$1,000,000 Each Accident <br />Liability <br />Bodily Injury by Disease ..................................... <br />$1,000,000 Each Employee <br />Bodily Injury by Disease ..................................... <br />$1,000,000 Policy Limit <br />(Does not include: Terrorism Coverage - Certified Acts) <br />(E) Improper <br />Each Occurrence Limit ...................................... <br />$1,000,000 NIAC 09/23/2021 to 09/23/2022 <br />Sexual <br />General Aggregate Limit ................................. <br />$3,000,000 2021-01143 <br />Conduct and <br />Physical Abuse <br />(Does not include: Terrorism Coverage - Certified Acts) <br />(F) Directors' <br />Each Wrongful Act Limit ................................. <br />N/A <br />And <br />Aggregate Limit <br />N/A <br />Officers' <br />(G) Liquor <br />Each Common Cause Limit ............................ <br />$1,000,000 NIAC 09/23/2021 to 09/23/2022 <br />Liability <br />Aggregate Limit <br />$1,000,000 2021-01143 <br />(Does not include: Terrorism Coverage - Certified Acts) <br />(H) Employee Each Employee ................................................ $1,000,000 NIAC 09/23/2021 to 09/23/2022 <br />Benefits Aggregate Limit $3,000,000 2021-01143 <br />Liability <br />(Does not include: Terrorism Cover,RE�oewm f. Amo <br />GSA W1 :.I li ! %nxi Y[f�ttP.br2 <br />-�f~ Risk Management Clerical Aide <br />