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© NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heart far Nonprofits, <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />COMMERCIAL UMBRELLA POLICY DECLARATIONS <br />PRODUCER: <br />Dufour Insurance Services, LLC <br />5611 Littler Drive <br />Huntington Beach, CA 92649 <br />COUNTERSIGNED: 7/1 /2022 <br />POLICY NUMBER: 2022-04261-UMB <br />RENEWAL OF NUMBER: 2021-04261-UMB-NPO <br />BY 1 (�' x. <br />(AUTHORIZED REPRESENTATIVE) <br />THESE DECLARATIONS, THE ATTACHED SCHEDULE OF UNDERLYING INSURANCE, TOGETHER WITH THE ATTACHED SCHEDULE OF FORMS AND ENDORSEMENTS, <br />AND ANY FORMS AND ENDORSEMENTS WE MAY LATER ATTACH TO REFLECT CHANGES, MAKE UP AND COMPLETE THE ABOVE NUMBERED POLICY. <br />Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Cc <br />5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of Califo E DMs� <br />regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay cl _ ° REVIEWED&APPROVEDBY: <br />becomes insolvent. e Aeevulo <br />NIAC - UMB / 2-99 Risk Management Specialist <br />