Lloyd's Policy Signing Office, Quoting the Lloyd's Policy Signing Office Number and Date Or Reference Shown in the Table
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Lloyd’s Policy of the Syndicates whose definitive numbers We, Underwriting Members and proportions are shown in the Table attached hereto (hereinafter referred to as 'the Underwriters'), hereby agree, in consideration of the payment to Us by or on behalf of the Assured of the Premium specified in the Schedule, to insure against loss, including but not limited to associated expenses specified herein, if any, to the extent and in the manner provided in this Policy. The Underwriters hereby bind themselves severally and not jointly, each for his own part and not one for another, and therefore each of the Underwriters (and his Executors and Administrators) shall be liable only for his own share of his Syndicate's proportion of any such Loss and of any such Expenses. The identity of each of the Underwriters and the amount of his share may be ascertained by the Assured or the Assured's representative on application to Lloyd's Policy Signing Office, quoting the Lloyd's Policy Signing Office number and date or reference shown in the Table. If the Assured shall make any claim knowing the same to be false or fraudulent, as regards amount or otherwise, this Policy shall become void and all claim hereunder shall be forfeited. In Witness whereof the General Manager of Lloyd's Policy Signing Office has signed this Policy on behalf of each of Us. LLOYD'S POLICY SIGNING OFFICE General Manager If this policy (or any subsequent endorsement) has been produced to you in electronic form, the original document is stored on the Insurer's Market Repository to which your broker has access. J(A) NMA2421 (3/1/95) Form approved by Lloyd’s Market Association ATTACHING TO AND FORMING PART OF POLICY NO. 180/P133951 NOTICE: 1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED “NONADMITTED” OR “SURPLUS LINE” INSURERS. 2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS. 3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. 4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927- 4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG . 5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: WWW.INSURANCE.CA.GOV . Page 1 of 2 8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU 07/11 LSW1147D Page 2 of 2 INFORMATION SECURITY & PRIVACY INSURANCE WITH ELECTRONIC MEDIA LIABIILTY COVERAGE UNDER THIS POLICY IS PROVIDED ON A CLAIMS MADE AND REPORTED BASIS AND APPLIES ONLY TO CLAIMS FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD OR THE OPTIONAL EXTENSION PERIOD (IF APPLICABLE) AND REPORTED TO THE UNDERWRITERS DURING THE POLICY PERIOD OR AS OTHERWISE PROVIDED IN CLAUSE X. OF THIS POLICY. AMOUNTS INCURRED AS CLAIMS EXPENSES UNDER THIS POLICY SHALL REDUCE AND MAY EXHAUST THE LIMIT OF LIABILITY AND ARE SUBJECT TO RETENTIONS. These Declarations along with the completed and signed Application and the Policy with endorsements shall constitute the contract between the Insureds and the Underwriters. Underwriters: Beazley Syndicate AFB 2623 / 623. Policy Number: P133951. Authority Reference Number: Item 1. Named Insured: CSAC Excess Insurance Authority (CSAC EIA) and its members consisting of the member agencies of the following and any entities or individuals for whom the covered party is required to provide insurance and other organizations, and enterprises which now exist or which hereafter may be created or acquired and which are owned, financially controlled or actively managed by the herein covered party, all jointly, severally or in any combination, for account of whom it may concern. To include those members added by quarterly bordereau. Address: 75 Iron Point Circle, Suite 200, Folsom, California, 95630, United States of America. Item 2. Policy Period: From: 01 July 2013. To: 01 July 2014. Both dates at 12:01 a.m. Local Time at the Insured’s address. Item 3. Coverages Purchased Coverage Purchased A. Information Security and Privacy Liability Yes B. Privacy Notification Costs Yes C. Regulatory Defense and Penalties Yes D. Website Media Content Liability (Occurrence Based) Yes Item 4. Limit of Liability A.i. Policy Aggregate Limit of Liability for all Insureds/Members combined (Aggregate for all USD 20,000,000 coverages combined, including http://sp3/division/pandcfacilities/EDMS/Cyber/CSAC/2013-2014 YOA/XIS Work Packages/Policy 05.09.13/P133951 final 05.09.13 for IMR.docx Page 1 of 4 Claim Expenses ) but sublimits below: A.ii. Aggregate Limit of Liability for each Insured/Member (Aggregate for all coverages USD 2,000,000 combined, including Claim Expenses ) and sublimited as per below: B. Policy Aggregate Limit of Liability for each Insured/Member Privacy Notification Costs covered under Insuring Agreement B. (coverage USD 250,000 under Insuring Agreements B.3. and B.4. is subject to 20% coinsurance) This limit increases to $1,000,000 or $1,250,000 for each Insured/Member with TIV greater than $500,000,000 at the time of inception, if the Insured Organization agrees to utilize services entirely from Beazley Nominated Service Providers . C. Policy Aggregate Limit of Liability for each Insured/Member Claims Expenses and Penalties covered under Insuring Agreement C. USD 2,000,000 D. Policy Aggregate Limit of Liability for each Insured/Member Damages and Claims Expenses covered under Insuring Agreement D. USD 2,000,000 The sub-limits of liability displayed in Items 4.B., 4.C. and 4.D. above are part of, and not in addition to, the overall Policy Aggregate Limit of Liability . Item 5. Retentions A, B, C & D: A. For each Insured/Member with TIV up to $500,000,000 at the time of inception: 1. Each Claim Retention (including each Claim in the form of a Regulatory Proceeding ), includes Claims Expenses : USD 50,000 2. Insuring Agreement B. (Privacy Notification Costs) Each incident, event or related incidents or events giving rise to an obligation to pay Privacy Notification Costs : USD 50,000 B. For each Insured/Member with TIV greater than $500,000,000 at the time of inception: 1. Each Claim Retention (including each Claim in the form of a Regulatory Proceeding ), USD 100,000 includes Claims Expenses : http://sp3/division/pandcfacilities/EDMS/Cyber/CSAC/2013-2014 YOA/XIS Work Packages/Policy 05.09.13/P133951 final 05.09.13 for IMR.docx Page 2 of 4 2. Insuring Agreement B. (Privacy Notification Costs) Each incident, event or related incidents or events giving rise to an obligation to pay Privacy Notification Costs : USD 100,000 USD 719,101.00 (for 100%) Item 6. Premium: annual. (USD 742,113.00 inclusive of surplus lines taxes and stamping duty). Item 7. Retroactive & Continuity Dates: A. Retroactive Date: 12.01 a.m. 31 st March 2010 Local Standard Time 12.01 a.m. 31 st March 2010 Local B. Continuity Date: Standard Time Item 8. Optional Extension Period: A. Premium for Optional Extension Period: “To Be Determined at the time of election” of the total premium as for the Policy B. Length of Optional Extension Period: “To Be Determined at the time of election” Item 9. Notification under this Policy: A. Beazley Group Attn: Beth Diamond 1270 Avenue of the Americas Suite 1200, New York, NY 10020 Tel: (646) 943-5912 Fax: (646) 378-4039 Email: [email protected] B. All other notices under this Policy shall be given to: Alliant Insurance Services Houston, LLC., 5847 San Felipe, Suite 2750, Houston, TX 77057, United States of America. Service of Suit: Messrs Mendes & Mount, 445 South Figueroa Street, Los Angeles, CA, Item 10. 90071-1642, United States of America. http://sp3/division/pandcfacilities/EDMS/Cyber/CSAC/2013-2014 YOA/XIS Work Packages/Policy 05.09.13/P133951 final 05.09.13 for IMR.docx Page 3 of 4 Item 11.