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I NONPROFITS <br /> INSURANCE NONPROFITS INSURANCE ALLIANCE <br /> OF CALIFORNIA(NIAC) <br /> ALLIANCE OF CALIFORNIA <br /> www.insurancefornonpi-ofits.org <br /> R Nead far Insurance.A Heart for Nonprofits, <br /> INDEX OF FORMS ATTACHED TO THE POLICY <br /> POLICY NUMBER: 2024-09201 <br /> NAME OF INSURED: Orange County Children's Therapeutic Arts Center Page: 1 <br /> LIABILITY FORMS AND ENDORSEMENTS FORM NUMBERIEDITION DATE <br /> Commercial General Liability Coverage Form CG 00 01 04 13 <br /> Liquor Liability Coverage Form CG 00 33 04 13 <br /> Additional Insured-Owners, Lessees or Contractors CG 20 10 12 19 <br /> Additional Insured- Managers or Lessors of Premises CG 20 11 12 19 <br /> Additional Insured -State or Political Subdivisions-Permits CG 20 12 04 13 <br /> Additional Insured - Mortgagee,Assignee or Receiver CG 20 18 04 13 <br /> Additional Insured -Charitable Institutions CG 20 20 11 85 <br /> Additional Insured-Volunteers CG 20 21 07 98 <br /> Additional Insured- Designated Person or Organization CG 20 26 12 19 <br /> Additional Insured-Lessor of Leased Equipment-Automatic Status-Lease CG 20 34 12 19 <br /> Additional Insured-Owners, Lessees or Contractors-Completed Operations CG 20 37 12 19 <br /> Access or Disclosure PI Confidential or Personal Information-Exclusion CG 21 06 05 14 <br /> Exclusion- Unmanned Aircraft CG 21 09 06 15 <br /> Coverage C-Medical Payments Exclusion CG 21 35 10 01 <br /> Employment-Related Practices Exclusion CG 2147 12 07 <br /> Cap on tosses from Certified Acts of Terrorism CG 21 7001 15 <br /> Silica-Exclusion CG 21 96 03 05 <br /> Colleges or Schools-Limited Form CG 22 71 12 19 <br /> Products/Completed Operations Hazard Redefined CG 24 07 01 96 <br /> Common Policy Conditions IL 00 17 11 98 <br /> Nuclear Energy Liability Exclusion Endorsement(Broad Form) IL 00 21 09 08 <br /> California Changes-Cancellation and Nonrenewal IL 02 70 07 20 <br /> Disclosure Of Premium for Certified Acts,of Terrorism Coverage IL 09 99 12 20 <br /> OFAC Policyholder Notice IL P 001 01 04 <br /> OFAC Policyholder Notice IL P 001 01 04 <br /> OFAC Policyholder Notice IL P 001 01 04 <br /> Business Auto Coverage Part Declarations NIAC-AL-NPO <br /> Member Criteria NIAC-EO03 GL 08 20 <br /> Additional Insured- Primary and Non-Contributory-for Designated Person or Organization NIAC-E02 01 17 <br /> Blometric and Personal Information- Exclusion NIAC-EO43 GL 11 23 <br /> Blometric and Personal Information- Exclusion NIAC-EO43 SSP 11 23 <br /> Naloxone NIAC-EO49 SSP 1123 <br /> Construction-Exclusion NIAC-EO53 GL 06 24 <br /> Construction- Exclusion NIAC-E053 SSP 06 24 <br /> Fiscal Sponsor Limitation NIAC-EO69 GL 02 19 <br /> Fiscal Sponsor Limitation NIAC-EO69 ISC 02 19 <br /> Fiscal Sponsor Limitation NIAC-EO69 SSP 02 19 <br /> Professional Services- Exclusion NIAC-EO78 11 20 <br /> Fireworks Exclusion NIAC-EI I GL 09 19 <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 />