Loading...
CMAP - Insurance Certificate- T ACORDO CERTIFICATE OF LIABILITY INSURANCE DA10/17116 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of.the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER ices, Inc. InC. Allianf Insurance Services, 1301 Dove St., Suite 200 CONTACT AME: PHONE: PHONE: Arc. No: Newport Beach, CA 92660 E -MAIL ADDRESS: PRODUCER: " "T "'.. 949 -756 -0271• Fax 949 - 756 -2713• License No. OC36861 CUSTOMER ID# INSURED: SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) MEMBER: INSURER(S) AFFORDING COVERAGE NAIC # COMMUNITY MEDIA ACCESS PARTNERSHIP (CMAP) INSURER A: ASSOCIATED INDUSTRIES INSURANCE CO. 23140 850 DAY ROAD GILROY, CA 95020 INSURER B: INSURER C: INSURER D: $1,000,000 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE_MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE .OF.INSURANCE ADDL INSR SUBR ww POLICY NUMBER E (MMIDD/YY) (MWDD/YY) . _ LIMITS A GENERAL LIABILITY X PAC 1000082 05 09/29/16 09/29/17 EACH OCCURRENCE $1,000,000 !( COMMERCIAL GENERAL LIABILITY ..._.__ PAGE TO REN1 fffS " " "._PREMISES Ea 000Urrence $1,000,000 CLAIMS MADE ®', OCCUR MED EXP (Anyone Person) N /A- PERSONAL & ADV INJURY $1,000,000 GL DED: $1,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE NA' PRODUCTS- COMP /OPAGG. $1,000,000 POLICY PRO- F7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea Accident BODILY INJURY (per person) ANY AUTO BODILY INJURY (Per aoddent) ALL OWNED AUTOS SCHEDULED AUTOS PROPERTY DAMAGE' (Per Accidenb HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS H AGGREGATE DEDUCTIBLE RETENTION - WC STATU- - OTH- - AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORYIPARTNER / EXECUTIVE OFFICER /MEMBER EXCLUDED? NIA TORY LIMITS ER E. L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE (MANDATORY IN NH) IF YES, DESCRIBE UNDER DESCRIPTION OF OPERATIONS BELOW E.L. DISEASE- POLICY LIMIT A PAC 1000082 05 09/29/16 09/29/17 BROADCASTERS ERRORS &OMISSIONS $1,000,000 PER OCC; DED: $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach Acord 101, Additional Remarks Schedules, B more space is required) 'POLICY.FORM DOES NOT CONTAIN A GENERAL LIABILITY AGGREGATE S RESPECTS AGREEMENT FOR SERVICES WITH THE CITY OF GILROY. CITY OF GILROY, ITS OFFICERS AND EMPLOYEES SHALL BE NAMED AS ADDITIONAL INSURED. ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS, CERTIFICATE HOLDER CANCELLATION ACORD 25 (2^ 009/09) The ACORD me and logo are registered, marks of ACORD 02008 ACORD CORPORATION. All rights res —ed. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF GILROY 7351 ROSANNA ST. THkEXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. GILROY, CA 95020 AUTHORIZED REPRESqNTATIVE ACORD 25 (2^ 009/09) The ACORD me and logo are registered, marks of ACORD 02008 ACORD CORPORATION. All rights res —ed. AGENCY CUSTOMER ID: LOC #: AC 11— ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED: SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) MEMBER: ALLIANT INSURANCE SERVICES, INC. COMMUNITY MEDIA ACCESS PARTNERSHIP (CMAP) 850 DAY ROAD POLICY NUMBER PAC 1000082 05 GILROY, CA 95020 CARRIER NAICS EFFECTIVE DATE: 09/29/16 ASSOCIATED INDUSTRIES INSURANCE CO. 23140 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 (2009/09) FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Notice of cancellation will be delivered only to the participating named insured as stated in Item 1 of the Participation Endorsement. The Company may cancel the coverage by mailing to the first Participating Named Insured at the address shown in the participation endorsement written notice stating when, not 'less than sixty (60) days thereafter, such cancellation shall, be effective. Provided that the Participating Named Insured fails to discharge, when due, any of its obligations in connection with the payment of,premium for the policy or any installment thereof, the coverage may be canceled by the Companyby mailing to the Participating Named Insured at the address shown in the participation endorsement, written notice stating when, not less than ten (10) days thereafter, such cancellation shall be effective. fhe ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Additional Insured - Designated Person or Organization This endorsement modifies insurance provided under the following: SPECIAL LIABILITY POLICY FOR PUBLIC ENTITIES AND NON - PROFIT CORPORATIONS Name of Person or Organization: Any person or entity that the "Named Insured" has entered into a written agreement, prior to a loss, to provide defense, indemnity or additional insured protection. The following is added to Section V. PERSONS OR ENTITIES INSURED: Any person(s) or organization(s) listed in the Schedule above is an Additional Insured, but only as respects "Bodily Injury and "Property Damage arising, in whole or in part, out of the operations of the Named Insured. The inclusion of such Additional Insured shall not serve to increase the. "Company's" Limit of Liability as specified in the participation endorsement of this Policy: However, additional insured coverage provided by this insurance will not be broader than coverage required in the written agreement. Includes copyrighted material of ISO Properties, Inc., 2004 with Page 1 of 1 its permission ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE 10/17/16 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO.RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alliant Insurance Services, Inc. 1301 Dove St., Suite 200 CONTACT NAME: PHONE: PHONE: A/C. r1o:,._ Newport Beach, CA 92660 E -MAIL ADDRESS: PRODUCER: 949 - 756 -0271• Fax 949 - 756 -2713• License No. OC36861 - CUSTOMER ID 0 - INSURED: SPECIAL' LIABILITY INSURANCE' PROGRAM (SLIP) MEMBER: INSURER(S) AFFORDING COVERAGE NAIC # COMMUNITY MEDIA ACCESS PARTNERSHIP (CMAP) INSURERA: ASSOCIATED INDUSTRIES INSURANCE CO. 2314 850 DAY ROAD GILROY, CA 95020 INSURER B: GENERAL AGGREGATE INSURER C: PRODUCTS COMP /OP AGG. _ " INSURER D: ' AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AUTO DED: '$1,000 INSURER E: PAC 1000082 05 INSURER F: 09/29/17 COMBINED SINGLE LIMIT A il"u)__ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN', THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS.. LTR TYPE OF INSURANCE. - -- ADDL INSR SUER WVD POLICY NUMBER _ _ (MM/DDfYY)__ POLICY (MWDDNY)_ - LIMITS . A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51 OCCUR GL DIED: $1000 X PAC 1000082 05 09/29/16 09/29/1.7 EACH OCCURRENCE $1,000,Q00 PAGE Occurrence PREMISES 0,000 0 - � MED EXP (A on Person) N/A PERSONAL & ADV INJURY $1,000,000 FGEN'LAGGREGATELIMITAPPLIESPER: POLICY PRO LOC GENERAL AGGREGATE 'NA* PRODUCTS COMP /OP AGG. _ $11,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AUTO DED: '$1,000 PAC 1000082 05 09/29/16 09/29/17 COMBINED SINGLE LIMIT A il"u)__ $1,000,000 BODILY INJURY( Per person) BODILY INJURY (Par accident) PROPERTY DAMAGE X X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS EACH OCCURRENCE AGGREGATE _._...,_ DEDUCTIBLE RETENTION WORKERS OMPEN ATI N AND EMPLOYERS LIABILITY YIN ANY OFFICER I MEMBER / EXECUTIVE OFFICER /MEMBER EXCLUDED? j (MANDATORY IN NH) IF YES, DESCRIBE UNDER DESCRIPTION OF OPERATIONS BELOW NIA - we STATU- OTH- TORY LIMITS ER ®. E.L. EACH ACCIDENT - -._.- E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES (Attach Acord 101, Additional Remarks Schedules, H more space is required) 'POLICY FORM DOES NOT CONTAIN A GENERAL'LIABILITY AGGREGATE S RESPECTS INSURED'S OPERATIONS. THE CITY OF GILROY, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS SHALL BE NAMED AS ADDITIONAL INSURED. THIS INSURANCE IS PRIMARY AND ANY OTHER!INSURANCE MAINTAINED BY SUCH ADDITIONAL INSUREDS IS EXCESS AND NONCONTRIBUTING WITH THIS INSURANCE. ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 02008 ACORD CORPORATION. All rights reserved. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF GILROY 73511 ROSANNA ST. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TH9 POLICY PROVISIONS. GILROY, CA 95020 AUTHORIZED REPRES NTATIVE Q .CAL ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 02008 ACORD CORPORATION. All rights reserved. AGENCY CUSTOMER ID: LOC #: AI6C� ADDITIONAL REMARKS SCHEDULE Page 2 of. 3 AGENCY NAMED INSURED: SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) MEMBER: ALLIANT INSURANCE SERVICES, INC. COMMUNITY MEDIA ACCESS PARTNERSHIP (CMAP) 850 DAY ROAD POLICY NUMBER PAC 1000082 05 GILROY, CA 95020 CARRIER NAIC# ASSOCIATED INDUSTRIES INSURANCE CO. 23140 EFFECTIVE DATE: 09/29/16 ADDITIONAL. REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 (2009/09) FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Notice of cancellation will be delivered only to the participating named insured as stated in Item 1 of the Participation Endorsement. The Company may cancel the coverage by mailing to the first Participating Named Insured at the address shown in the participation endorsement written notice stating when, not less than sixty (60) days thereafter, such cancellation shall be effective. Provided that the Participating Named Insured fails to discharge, when due, any of its obligations in connection with the payment of premium for the policy or any installment thereof, the coverage may be canceled by the Companyby mailing to the Participating Named Insured at the address shown in the participation endorsement, written notice stating when, not less than ten (10) days thereafter, such cancellation shall be effective. i ne —mu name ana wgo are regiscerea marxs or m—mu THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Additional Insured - Designated Person or Organization This endorsement modifies insurance provided under the following: SPECIAL LIABILITY POLICY FOR PUBLIC ENTITIES AND NON - PROFIT CORPORATIONS Name of Person or Organization: Any person or entity that the "Named Insured" has entered into a written agreement, prior to a loss, to provide defense, indemnity or additional insured protection. The following is added.to Section V. PERSONS OR ENTITIES INSURED: Any person(s) or organization(s) listed in the Schedule above is an Additional Insured, but only as respects `Bodily Injury" and "Property Damage" arising, in whole or in part, out of the operations of the Named Insured. The inclusion of such Additional Insured shall not serve to increase the "Company's" Limit of Liability as specified in the participation endorsement of this Policy:. However, additional insured coverage provided by this insurance will not be broader than coverage required in the written agreement. Includes copyrighted material of ISO Properties, Inc., 2004 with Page I of 1 its permission A T® CERTIFICATE OF LIABILITY INSURANCE DATE 9/29/1"6 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Alliant Insurance Services, Inc. 1301 Dove St., Suite 200 COMA NAME. PHONE: PHONE: A/c. NO: Newport Beach, CIA 92660 E -MAIL ADDRESS: 949 - 756 -0271. fax 949- 756 -2713• License No. OC36861 PRODUCER: 9/29/2017 CUSTOMER ID 0 " INSURED: Community Media Access Partnership INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Industries InSurance CoMoanV 23140 PO BOX 1822 INSURER B: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY aEa Loa Gilroy, CA 95021 INSURER C: PRODUCTS- COMP /OPAGG. $1,000,000 INSURER D: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS $1,000 DED INSURER E: PAC 1000082 OS INSURER F: 9/29/2017 COMBINED SINGLE LIMIT COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE! LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER (MMIDDIYY) (MM/DD/YY) LIMITS A GENERALUABILfrY X COMMERCIAL GENERAL LIABILITY CLAMS MADE ® occuR $1,000 PAC 100008205 9/29/2016 9/29/2017 EACH OCCURRENCE $1,000,000 PREMISES( (Ea RENTED $1,000,000 MED EXP (Any one person) N/A PERSONAL & ADV INJURY $1,000;000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY aEa Loa GENERAL AGGREGATE NA' PRODUCTS- COMP /OPAGG. $1,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS $1,000 DED PAC 1000082 OS 9/29/2016 9/29/2017 COMBINED SINGLE LIMIT BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE X X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION COMPENSATION KERS AND EMPLOYERS LIABILITY YIN ANY PROPRIETORY /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED' (MANDATORY IN NH) IF YES, DESCRIBE UNDER DESCRIPTION O FOPERATIONS BELOW N/A - WC STATU- - - -OTW TORY LIMITS ER — E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -.POLICY'LIMIT A NON- PROFIT DIRECTORS AND OFFICERS PAC 1000082 05 9/29/2016 9/2912017 $1,000,000 PER OCCURRENCE AND ANNUAL AGGREGATE, $1,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES (Apach Acord 101, Addhional Remarks Schedules, M more space Is required) MANUSCRIPT MUNICIPAL COVERAGE FORM. COVERAGE INFORMATION AS PER PROPOSAL. 'Policy Form Does Not Contain A General Liability Aggregate. NOSE COVERAGE RETRO DATE: 01- May -02 EMPLOYMENT PRACTICES LIABILITY: $1,000,000 PER OCCURRENCE AND ANNUAL AGGREGATE, EXCESS OF A $10,000 SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. GtK I II'ICA 11: MULUhN CANCELLATION ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 02008 ACORD CORPORATION. All rights reserved. G:V2e wPmNS- ReguerNighr TIhmL9pa lry P &C- PeWw C plstee,42l 16 Sheryl -SLIP EOCe11 &lr SLIP EOC 2 K.-0 x SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. EVIDENCE OF COVERAGE AUTHORIZED RE'�TA Q aC.�F ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 02008 ACORD CORPORATION. All rights reserved. G:V2e wPmNS- ReguerNighr TIhmL9pa lry P &C- PeWw C plstee,42l 16 Sheryl -SLIP EOCe11 &lr SLIP EOC 2 K.-0 x AGENCY CUSTOMER ID: LOC #: �-� ADDITIONAL REMARKS SCHEDULE Pase 2 of 2 A CORD® _ AGENCY ALLIANT INSURANCE SERVICES, INC. Community Media Access Partnership POLICY NUMBER PAC 1000082 05 NAIC CODE CARRIER 23140 EFFECTIVE 9/29/2016 Associated Industries Insurance Company •�Alliant SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) CYBER LIABILITY COVERAGE SUMMARY NAMED INSURED: Commumtv Media Access Partnerstu TYPE OF COVERAGE: Information Security & Priva Insurance POLICY PERIOD: Se tember 29, 2016 to Se tember =9,2 7 CARRIER: AIG S ectaltr, Insurance Com an A xcellent ; Financial Size Category A 1 $2 Billion or Greater as of June 2, 2016 AM BEST RATING: STANDARD AND POORS: A+ Strong) pulled as of Se tember 13, 2016 ADMITTED STATUS: Non Admitted POLICY NUMBER: TBD NOTICE: Policy coverage sections Information Securi ty & Privacy Liability, Privacy Penalties of this policy provide Notification Costs and Regulatory Defense & basis; except as otherwise provided, coverage on a claims made and reported applies only to claims first made coverage under these insuring agreements against the insured and reported to underwriters during the policy period. RETRO ACTIVE DATE: 9/29/2013 CONTINUITY DATE: 9/29/2013 SRP —Security & Privacy, Event Management, Network Interruption, Cyber Extortion COVERAGE FORM: Media Content (Internet Only) COVERAGE AND LIMITS: PER PERSON PRIVACY EVENT: 3,500,000 Affected Persons Annual Policy and Program Aggregate for all members combined 100,000 Affected Person Limit and Annual Member Aggregate (Maximum number of affected persons who may receive privacy event services. Payments made are not a part of the Limit of Liability. An approved Chards vendor to provide 20) . �c�� -rT Beach. C A 92060 allizuit In�uranCe Senicei Inc. • 1 1O1 Du Sr • SIIIT� _ l y}yj 7;(�_27l �����.v.alliantin; nancu.cnm •t_I r11 \ ;0 61 ■ v4/liant SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) CYBER LIABILITY COVERAGE SUMMARY COVERAGE AND LIMITS $ l0'000'011::::: 0 annual Policy and Program .Aggregate Eor all members combined (_Aggregate for all coverages combined including claims expenses), (CONTINUED): subject to sub - limits as noted below. $ 10,000,000 Media Content Annual Policy and Program Aggregate for all members combined (Aggregate for all coverages combined including claims expenses), subject to sub - limits as noted below. $ 10,000,000 Security & Privacy Liability Annual Policy and Program Aggregate for all members combined (Aggregate for all coverages combined including claims expenses), subject to sub - limits as noted below. $ 10,000,000 Regulatory Action Annual Policy and Program Aggregate for all members combined (aggregate for all coverages combined including claims expenses), subject to sub - limits as noted below. $ 10,000,000 Network Interruption Annual Policy and Program Aggregate for all members combined (.Aggregate for all coverages combined including claims expenses), subject to sub - limits as noted below. $ 10,000,000 Cyber Extortion Annual Policy and Program Aggregate for all members combined (Aggregate for all coverages combined including claims expenses), subject to sub - limits as noted below. $ 5,000,000 Event Management Annual Policy and Program Aggregate for all members combined (.Aggregate for all coverages combined including claims expenses), subject to sub - limits as noted below. $ 250,000 Annual Aggregate Limit of Liability for each member (Aggregate for all coverages combined including claims expenses), subject to sub -limits as noted below. PER MEMBER SUB - LIMITS: $ 250,000 Security &Privacy Sublimit ($250,000 Regulatory action) $ 250,000 Event Management /Electronic Data Sublimit ($125,000 for event response) $ 10,000 PCI -Data Security Standards Assessment Sublimit The sub -limits of liability are part of, and not in addition to, the overall Annual Aggregate limit of liability for each member. Claims expenses shall reduce the applicable limit of liability and are subject to the applicable retention. The aggregate limits are the most the carrier will pay regardless of the numbers of members participating or the number of claims made or the number of events occurring. There is a possibility that claims by other members could reduce or eliminate all of the coverage available to each member. PER MEMBER SELF 100 Records Privacy Event — Affected Person Retention (SIR) INSURED RETENTIONS $ 10,000 Security & Privacy/ Regulatory Action Self Insured Retention (SIR) (SIR): $ 10,000 Media Content Self Insured Retention (SIR) $ 10,000 Event Management Self Insured Retention (SIR) $ 10,000/12 Hours Network Interruption Sublimit "1000 000 C ber Extortion Self Insured Retention SIR Alliant Insurance Sera ices. Inc. • 1301 Dine St • Suite "- 0() •Newport Beach, CA 92660 (949) 756 -271 - www- alliantin;urance.com • License No. 0056861 •,411ra►rt SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) CYBER LIABILITY COVERAGE SUMMARY If a First Parry Event or Third Party Event and any Related Acts triggers coverage unuci more than one coverage section, the highest applicable retention amount shall apply to all 1. vz arising out of such First P Event or Thud P Event. ANNUAL PREMIUM Included within SLIP premium TAXES AND FEES: 100% earned premium at inception IMPORTANT NOTICE: THE NON ADMITTED & REINSURANCE REFORM ACT (NRRA) WENT INTO EFFECT ON JULY 21, 2011. ACCORDINGLY, SURPLUS LINES TAX RATES AND REGULATIONS ARE SUBJECT TO CHANGE WHICH COULD RESULT IN AN INCREASE OR DECREASE OF THE TOTAL SURPLUS LINES TAXES AND /OR FEES OWED ON THIS PLACEMENT. IF A CHANGE IS REQUIRED, WE WILL PROMPTLY NOTIFY YOU. ANY ADDITIONAL TAXES AND /OR FEES OWED MUST BE PROMPTLY REMITTED TO ALLIANT INSURANCE SERVICES, INC INSURING AGREEMENTS' Per Person Pays on behalf of the insured /member in excess of me re[cnu— services or products provided by an approved vendor, Privacy Event privacy event insurer or an affiliate insurer with prior written consent within one the year of a loss including notification costs, identity theft call center, services, identity monitoring and victim cost identity restoration reimbursement insurance. Security and Pays on behalf of the insured /member and claim expenses excess of to defend a suit or regulatory action alleging a security Privacy Liability the retention failure or a privacy event. Privacy event means any failure to protect information (whether by "phishin9," other social confidential engineering technique or otherwise) including, without limitation, that heft or other wrongful emulation of which could result in an identity he identity of an individual or corporation. Or failure to disclose an Notice Law or violation of any federal, event of any Security Breach state, foreign or local privacy statute alleged in connection with a claim pre - judgments for compensatory damaged, judgments, settlements, and post - judgments. Pays on behalf of the insured /member in excess of the retention for Event loss that is incurred as a result of an alleged security failure or privacy Management Loss includes investigation (including forensic investigation) to event. determine the cause; public relations firm, crisis management firm or electronic data; and to law firm; to restore, recreate or recollect determine whether electronic data can or cannot be restored, recreated or recollected. Network Pays on behalf of the insured /member in excess of the remaining sumeoffor costs after the Interruption incurred 120 daysa after interruption, which is he the following calculated on an hourly basis. 1) Net income (net profit or loss before income taxes) that would have been earned and 2) Continuing normal operating expenses incurred, including payroll. Alliant Insurance Services. Inc. • 1301 Dove St • Suite 200 • Newport Beach. CA 92660 (9:19) 756 -2713• www.alliantinsurance.com • License No. OC36H61 •,nIliarrt SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) CYBER LIABILITY COVERAGE SUMMARY 7Media on behalf of the insured /member in excess of the retention for ngful acts in connection with media content in any form (including ertising and written, printed, video, electronic, digital or digitized tent) of broadcasts or publications. Wrongful acts include ngement of copyright and trademark, plagiarism or piracy, invasion rivacy, defamation, libel and slander. s on behalf of the insured /member in excess of the retention nies paid with the insurer's prior written consent monies paid to inate or end a security threat that would otherwise result in harm n insured and costs to conduct an investigation to determine the cause of the security threat. Security threat is any threat or connected series of threats to commit an intentional attack against a computer system for the purpose of demanding money, securities or other tangible or intangible property of value from an insured. FORMS & ENDORSEMENTS: • Specialty Risk Protector — Cyber Extortion Insurance • Specialty Risk Protector — Event Management Insurance • Specialty Risk Protector — General Terms & Conditions • Specialty Risk Protector — Media Content Insurance • Specialty Risk Protector — Network Interruption Insurance • Specialty Risk Protector — Security & Privacy Liability Insurance • Notice of Claim (Reporting by Email) — Endorsement • Economic Sanctions — Endorsement • Control Group Definition Amendatory Endorsement (Non - Administrative Personnel • Conduct Exclusion Amendatory Endorsement • Cyberterrorism Coverage Endorsement • Criminal Reward Coverage Extension Endorsement • E- Discovery Consultant Services Coverage Endorsement • Retention Amendatory Endorsement • Subsidiary Threshold Amendatory Endorsement —15% of gross sales • Choice of Panel Counsel Endorsement • Aggregate Event Management Sublimits Endorsement • Cyberedge Cyber Media Coverage Endorsement • California Punitive Damages Law Endorsement • Insured Definition Amendatory Endorsement (Volunteers) • Tie In of Limits Endorsement (Absolute) • Other Insurance Provision Amendatory Endorsement • Coverage Summary Endorsement • Covered Entity Endorsement • PCI -DSS Assessment Coverage Endorsement Sublimit for Each Covered Entity) NOTICE OF CLAIM: • IMMEDIATE NOTICE must be made to AiG C'iaizon Inc. o f all potential claims and circumstances (assistance, and cooperation clause applies) • Claim notification under this policy is to: AIG Claims, Inc. Attn: c -Claim 175 Water Street New York, NY 10038 c clai nAchartisinsurance.com Fax (866) 227 -1750 Alliant Insurance Services. Inc. • 1301 Dove St • Suite 200 • Newport Beach. CA 92660 (949) 756 -2713• w ww.alliantinsurance.com • License No. 006861 0 n411iant SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) CYBER LIABILITY COVERAGE SUMMARY DATE PREPARED: Se tember 29, 2016 BROKER ALLIANT INSURANCE SERVICES, INC • NEWPORT BEACH, CA Gordon B. DesCombes, Executive Vice President Christine Tobin, Senior Vice President Sheryl Fitzgerald, Account Manager — Team Lead Anne Krueger, Account Representative Autumn Stallings Account Representative This summary of insurance is provided as a matter of convenience and information only. All information included in this values, summary, including but not limited to personal and real property es, locations, operations, products, data, automobile schedules, financial data and loss experience, is based on facts and representations supplied to Alliant Ser Insurance Services, Inc. by you. This summary does not reflect any independent study or investigation by Alliant Insurance Services, Inc. or its agents and employees. may have. -All This summary does not add to, extend, amend, change, or alter any coverage in any actual policy of insurance you coverage, existing policy terms, conditions, exclusions, and limitations apply. For specific information regarding y please refer to the policy itself. Alliant Insurance Services, Inc. will not be liable for any claims arising from or related to information included in or omitted from this proposal of insurance Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our compensation policy, including the types of income that Alliant may earn on a placement, are available on our website at a1L+ant coin. For a copy of our polity or for any inquiries regarding compensation issues pertaining to your account nc., Attention: General Counsel, 701 B Street, 6th Floor, San Diego, you may also contact us at: Alliant Insurance Services, I CA 92101. Analyzing insurers' over -all performance and financial strength is a task that requires specialized skills and in -depth technical understanding of all aspects of insurance company finances and operations. Insurance brokerages such as Alliant Insurance typically rely upon rating agencies for this type of market analysis. Both A.M. Best and Standard and Poor s have been industry leaders in this area for many decades, utilizing a combination of quantitative and qualitative analysis of the information available in formulating their ratings. A.M. Best has an extensive database of nearly 6,000 Life /Health, Property Casualty and International companies. You can visit them at wn =nv ambestcom. For additional information regarding insurer financial strength ratings visit Standard and Poor s website at °- ^'andardandpoors.com. Our goal is to procure insurance for you with underwriters possessing the financial strength to perform. Alliant does not, however, guarantee the solvency of any underwriters with which insurance or reinsurance is placed and maintains no responsibility for any loss or damage arising from the financial failure or insolvency of any insurer. We encourage you to review the publicly available information collected to enable you to make an informed decision to accept or reject a particular underwriter. To learn more about companies doing business in your state, visit the Department of Insurance website for that state. NY Regulation 194 Alliant Insurance Services, Inc. is an insurance producer licensed by the State of New York. Insurance producers are authorized by their license to confer with insurance purchasers about the benefits, terms and conditions of insurance contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to sell insurance; and to obtain insurance for purchasers. The role of the producer in any particular transaction typically involves one or more of these activities. Alliant Insurance Services, Inc. • 1301 Dove St • Suite 200 • Newport Beach. CA 92660 J949) 756.2713. www.alliantinsurance.com • License No. 0C36861 g411 "rant SPECIAL LIABILITY INSURANCE PROGRAM (SLIP) CYBER LIABILITY COVERAGE SUMMARY Compensation will be paid to the producer, based on the insurance contract the producer sells. Depending on the insurers) and insurance contract(s) the purchaser selects, compensation will be paid by the insurer(s) selling the insurance contract or by another third party. purchaser compensation elects. In some cases, depending f tors unumber s the volume of businness a producer provides to and the insurer(s) the cts a producer provides to an insurer also may affect compensation. an insurer or the profitability of insurance contra The insurance purchaser may obtain information about compensation expected to be received by the producer based in whole or in part on the sale of insurance to the purchaser, and (if applicable) compensation expected to be received based in whole or in part on any alternative quotes presented to the purchaser by the producer, by requesting such information from the producer. Changes and Developments It is important that we be advised of any changes in your operations, which may have a hearing on the validity and or adequacy of your insurance. The types of changes that concern us include, but are not limited to, those listed below: • Changes in any operations such as expansion to another states, new products, or new appli cations of existing products. • Travel to any state not previously disclosed. • Mergers and /or acquisition of new companies and any change in business ownership, including percentages. • Any newly assumed contractual liability, granting of indemnities or hold harmless agreements. • Any changes in existing premises including vacancy, whether temporary or permanent, alterations, demolition, etc. Also, any new premises either purchased, constructed or occupied • Circumstances which may require an increased liability insurance limit. • Any changes in fire or theft protection such as the installation of or disconnection of sprinkler systems, burglar alarms, etc. This includes any alterations to the system. • Immediate notification of any changes to a scheduled of equipment, property, vehicles, electronic data processing, etc. ■ property of yours that is in transit, unless previously discussed and /or currently insured. Certificates / Evidence of Insurance • A certificate is issued as a matter of information only and confers no rights upon the certificate holder. e certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by a polity. Nor does it constitute a contract between the issuing insurer(s), authorized representative, producer or certificate holder. • You may have signed contracts, leases or other agreements requiring you to provide this evidence. In those agreements, you may assume obligations and /or liability for others (Indemnification, Hold Harmless) and some of the obligations that are not covered by insurance. We recommend that you and your legal counsel review these documents. of insurance, you may be required to name your client or customer on your In addition to providing a certificate policy as an additional insured. This is only possible with permission of the insurance company, added by endorsement and, in some cases, an additional premium. By naming the certificate holder as additional insured, there are consequences to your risks and insurance polity including: • Your policy limits are now shared with other entities; their claims involvement may reduce or exhaust your aggregate limit. • Your policy may provide higher limits than required by contract; your full limits can be exposed to the addition insured. • There may be conflicts in defense when your insurer has to defend both you and the additional insured. Alliant Insurance Services, lnc. • 1301 Dove St • Suite 200 • Newport Beach. CA 92660 (939) 7-;6 -2713• Aww.alliantin ;urance.corn • Licen+e No. OC36861