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Colorado Counties
Casualty and Property Pool
2017 Excess Crime Policy
Hiscox Policy No. UC21191167.17
Summaries are brief outlines of the coverages afforded under the insurance policies.
Since summaries are for informational purposes only,they should not be construed to
constitute the entire insurance contracts. As the policies may contain additional
coverages and restrictions, the exact wording should be consulted.
Brief Summary of Property Deductibles
This information is provided to present counties with a simple overview of
county deductibles in the pool. It does not provide information on limits.
The pool insuring agreements contain actual coverages and limits.
CAPP provides up to $1 million of crime coverage (employee dishonesty, robbery,
forgery, money) subject to a $500 county deductible.
00o a-q3
Named Insured Schedule
Colorado Counties Casualty and Property Pool
including the following members:
Alamosa Gilpin Ouray
Archuleta Grand Park
Baca Gunnison Phillips
Bent Hinsdale Prowers
Chaffee Huerfano Pueblo
Cheyenne Jackson Rio Blanco
Clear Creek Kiowa Rio Grande
Conejos Kit Carson Routt
Costilla Lake Saguache
Crowley La Plata San Juan
Custer Las Animas San Miguel
Delta Lincoln Sedgwick
Dolores Logan Summit
Eagle Mineral Teller
Elbert Moffat Washington
Fremont Montrose Weld
Garfield Morgan Yuma
Otero
NOTE: Any entity not named as an insured may not be covered under this policy. This may include
Partnerships and Joint Ventures.
1 CAPP Crime Summary Page 1
Master Crime Program
Hiscox Insurance Company, Inc.
Carrier: Hiscox Insurance Company, Inc.
Policy Period: January 1, 2017 to January 1,2018
Policy Number: UC21191167.17
Insured: Members of Colorado Counties Casualty and Property Pool as they appear on the Named
Insured Endorsement
Policy Form: Discovery Form
Retroactive Date: None
Limits Deductible
(Per Occurrence) Insuring Agreement (Per Loss, Per Member)
$ 1,000,000 Coverage A: Fidelity-Employee Theft $ 150,000
Coverage B: Forgery or Alteration $ 150,000
$ 1,000,000 Checks
$ 1,000,000 Credit, Debit or Charge Cards
Coverage C: Inside and Outside the premises $ 150,000
$ 1,000,000 Inside the Premises
I $ 1,000,000 Outside the Premises
Coverage D: Computer and Funds Transfer Fraud $ 150,000
i $ 1,000,000 Computer Fraud
$ 1,000,000 Funds Transfer Fraud
$ 1,000,000 Coverage E: Money Orders and Counterfeit Money $ 150,000
$ 250,000 Coverage F:Telephone Toll Fraud $ 150,000
i $ 250,000 Coverage H.Virus and Licensing Violations $ 150,000
i $ 50,000 Coverage I: Expense N/A
Endorsements: • Named Insured Added(lists members)
• Government Conversion with Faithful Performance Limit of Insurance$1,000,000
• Cyber Deception Endorsement-$250,000 Sublimit-Aggregate
• Crime Elite Endorsement
• Extended Period to Discover Loss—120 days
▪ Acts of Employees Learned of by you Prior to the Policy Period-$25,000
• Termination as to any employee—90 days(no coverage if termination due to theft or any
other dishonest act committed by employee)
• Termination as to any employee because of theft,forgery or any dishonest act
committed by employee only if exceeds$25,000
• Definition of Employee amended to include any natural person independent contractor
whom you have the right to direct and control while performing acts within the usual
duties of an Employee
• Persons or Classes of Persons included with Sublimit
• Colorado Amendatory Endorsement(Endorsement No. 1)
• Economic and Trade Sanctions Policyholder Notice
CAPP Crime Summary Page 2
Master Crime Program
Hiscox Insurance Company, Inc.
Exclusions including • Confidential Information
but not limited to: • Government Action
• Indirect Loss
• Legal Fee,Costs and Expenses
• Nuclear
• War, Military Action
• Inventory Shortages
• Accounting or Arithmetical Errors or Omissions—Coverage C
• Kidnap, Ransom and Extortion
• Money operated devices
• Motor Vehicles or Equipment or Accessories
• Vandalism
• Fraudulent Preparation or Input—Coverage H
Notification
Requirements of
Losses: • Only on losses exceeding 50%of the deductible
Claims Reporting When You or an Executive Employee discovers a loss or a situation that my result in loss or
Instructions: damage to Money,Securities or Other Property that in your best estimate exceeds 50%of the
Deductible, notify the carrier as soon as practicable and in no event later than 90 days after
Discovery. If you have reason to believe that any loss except for loss covered under Fidelity,
Coverage A, involves a violation of the law,you must also notify the local law enforcement
authorities.
Claims are to be reported to:
Hiscox
Att: Crime& Fidelity Claims Dept
520 Madison Ave, 32nd Floor
New York, NY 10022
E-mail: D&Oclaimsehiscox.com
Fax: 212.922.9652
And to:
Arthur J. Gallagher Risk Management Services, Inc.
Aft: Kendall Trump, Claim Consultant
6399 S. Fiddlers Green Circle, Ste 200
Greenwood Village,CO 80111
Claims e-mail: wrclaims(thaia.com
Claims Voice Mail: 303-889-2570
Claims Fax Number: 303-773-9776
CAPP Crime Summary Page 3
4F
4, DECLARATIONS
H I SCOX HISCOX INSURANCE COMPANY INC. (A Stock Company)
104 South Michigan Avenue, Suite 600, Chicago, IL 60603
(646)452-2353
Policy Number: UC21191167.17
Broker No.: US 0001197 Broker Name: Arthur J Gallagher Risk Management Services
Policy No.: UC21191167.17 Broker Address: 6300 S Syracuse Way Ste 700
Centennial,Colorado 80111
Renewal of: UC21191167.16
Commercial Crime Insurance Policy
Named Insured: Members of the Colorado Counties Casualty and Property Pool(see endorsement CRI
E9622)
Mailing Address: c/o County Technical Services, Inc.
800 Grant St Ste 400
Denver, Colorado 80203-2944
Policy Period: 01/01/2017 to 01/01/2018
12:01 A.M. at Your mailing address shown above
Limit of Insurance Deductible Amount
Insuring Agreements (Per Occurrence) (Per Occurrence)
Coverage A: Fidelity
1 Theft( ) Employee ee p y $ 1,000,000 $ 150,000
it
(2) ERISA(Limit Applies Per Plan) Not Covered N/A
(3)Clients'Property Not Covered N/A
(4)Vendor Theft Not Covered N/A
Coverage B: Forgery or Alteration
(1)Checks $ 1,000,000 $ 150,000
(2)Credit, Debit or Charge Cards $ 1,000,000 $ 150,000
(3)Personal Accounts Not Covered N/A
Coverage C: Inside and Outside the Premises
(1) Inside the Premises $ 1,000,000 $ 150,000
{ (2)Outside the Premises $ 1,000,000 $ 150,000
Coverage D:Computer and Funds Transfer Fraud
(1)Computer Fraud $ 1,000,000 $ 150,000
(2)Funds Transfer Fraud $ 1,000,000 $ 150,000
Coverage E:Money Orders and Counterfeit Money $ 1,000,000 $ 150,000
Coverage F:Telephone Toll Fraud $250,000 $ 150,000
Coverage G: Identity Fraud Expense Not Covered N/A
Coverage H:Virus and Licensing Violations
(1)Virus Restoration $250,000 $ 150,000
(2) Licensing Violation Fines and Penalties $250,000 $ 150,000
Coverage I: Expense $50,000 N/A
Telephone (914)273-7400 Facsimile (914)273-4716 www.hiscox.com Email hiscox.usa@hiscox.com (Page 1)
2017 CAPP Excess Crime Policy Page 1 of 42
L 4r, DECLARATIONS
HISCOX SCOX HISCOX INSURANCE COMPANY INC. (A Stock Company)
104 South Michigan Avenue, Suite 600, Chicago, IL 60603
(646)452-2353
Policy Number: UC21191167.17
Coverage is provided only if an amount is shown opposite an Insuring Agreement. If the amount is left blank or"Not
Covered"is inserted, such Insuring Agreement and any other reference thereto in this policy is deleted.
Endorsements Forming Part Of This Policy When Issued:
(1)E9603.1.Cancellation Amended
(2)E9606.1.Crime Elite Endorsement
(3)E9611.1.Government Conversion (with Faithful Performance)
(4)E9622.1. Named Insured Added
(5)E9625.1. Persons or Classes of Persons Included(with Sublimit)
(6) E9704.1.Colorado Amendatory Endorsement
(7)E9647.1.Subsidiary Definition Amended
(8)E9654.1.Cyber Deception Endorsement
Cancellation Of Prior Insurance Issued By Us:
By acceptance of this Policy you give us notice cancelling prior policy Nos.
N/A ; the cancellation to be effective at the time this Policy becomes effective.
Total Premium: $74,195.00
Telephone (914)273-7400 Facsimile (914)273-4716 vnvw.hiscox.com Email hiscox.usa@hiscox.com (Page 2)
2017 CAPP Excess Crime Policy Page 2 of 42
efts DECLARATIONS
H I SCOX HISCOX INSURANCE COMPANY INC. (A Stock Company)
104 South Michigan Avenue, Suite 600, Chicago, IL 60603
(646)452-2353
Policy Number: UC21191167.17
Notice of Claim to: Hiscox
Attn:Crime 8 Fidelity Claims Dept.
520 Madison Avenue,32nd Floor New York,NY 10022
Email-d&oclaims@hiscox.com
Fax-212.922-9652
rI
CR1 D001 CW(06/10)
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Telephone (914)273-7400 Facsimile (914)273-4716 www.hiscox.com Email hiscox.usa@hiscox.com (Page 3)
2017 CAPP Excess Crime Policy Page 3 of 42
et(, DECLARATIONS
H I SCOX HISCOX INSURANCE COMPANY INC. (A Stock Company)
104 South Michigan Avenue, Suite 600, Chicago, IL 60603
(646)452-2353
Policy Number: UC21191167.17
IN WITNESS WHEREOF,the Insurer indicated above has caused this Policy to be signed by its President and Secretary, but this
Policy shall not be effective unless also signed by our duly authorized representative.
5.42h. od--
President
Secretary
3413‘14Q,
Authorized Representative
112/12/2016
Date
•
Telephone (914)273-7400 Facsimile (914)273-4716 wwwhiscox.com Email hiscox.usa@hiscox.com (Page 4)
2017 CAPP Excess Crime Policy Page 4 of 42
H ISCOX
Crime Insurance
Policy Form
Various provisions in this policy restrict coverage. Read the entire policy
carefully to determine rights,duties and what is or is not covered. Those words
(other than the words in the captions)which are printed in Boldface are defined
in the Policy.
In return for the payment of premium, subject to all the terms and conditions of this
policy, and in reliance upon the statements made by You in the Application, which
forms a part of this Policy, We agree with You to provide the insurance as stated in this
policy:
I. Insuring Agreements Coverage is provided under the following Insuring Agreements for which a Limit of
Insurance is shown in the Declarations and applies to loss that You sustain resulting
directly from an Occurrence taking place at any time which is Discovered by You or
an Executive Employee during the Policy Period shown in the Declarations or during
the period of time provided in the Extended Period To Discover Loss Condition:
Coverage A: Fidelity
(1) Employee Theft
We will pay for loss of or damage to Money, Securities and Other Property resulting
directly from Theft and/or Forgery committed by an Employee, whether identified or
not, acting alone or in collusion with other persons.
(2) ERISA
We will pay, directly to an Employee Benefit Plan, for loss of or damage to Money,
Securities and Other Property resulting directly from fraudulent or dishonest acts
committed by a Fiduciary of any Employee Benefit Plan, whether identified or not,
acting alone or in collusion with other persons.
The Limit of Insurance shown in the Declarations for Coverage A(2) ERISA shall apply
to each and every Employee Benefit Plan sustaining such loss or damage. In the
event of an Occurrence involving both Coverage A(1) Employee Theft and Coverage
A(2) ERISA,the Limit of Insurance shown in the Declarations for Coverage A(2) shall
be in addition to the Limit of Insurance shown for Coverage A(1) Employee Theft.
If the Limit of Insurance for Coverage A(2) ERISA no longer complies with the
minimum amount of coverage required for such Employee Benefit Plan(s) under
ERISA(unless the Limit of Insurance no longer complies due to investment in non-
qualified assets), but which would have complied at the time the Policy was issued, We
agree to increase the Coverage A(2) ERISA Limit of Insurance with regard to such
Employee Benefit Plan(s) so as to equal the minimum amount of coverage required
under ERISA.
The Deductible Amount does not apply to Coverage A(2) ERISA.
(3) Clients' Property
We will pay for loss of or damage to Money, Securities and Other Property sustained
Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
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by Your Client resulting directly from Theft and/or Forgery committed by an identified
Employee, acting alone or in collusion with other persons, including an Employee in
collusion with an Employee of Your Client.
(4) Vendor Theft
We will pay for loss of or damage to Money, Securities and Other Property resulting
directly from Theft committed by an identified Employee of Your Vendor(other than
one with an ownership interest of greater than 25%in the Vendor) acting alone or in
collusion with other persons.
This coverage shall only apply to the amount of loss You cannot recover under the
contract with the Vendor and from any insurance or indemnity carried by, or for the
benefit of the Vendor or customers of the Vendor.
The Limit of Insurance shown for Coverage A(4) Vendor Theft shall be part of, not in
addition to,the Limit of Insurance shown for Coverage A(1) Employee Theft.
The following Condition applies to Coverage A and all subparts:
(i) All subparts of Coverage A terminate as to any Employee as soon as an
Executive Employee not in collusion with the Employee learns of Theft,
Forgery or any other dishonest act committed by the Employee:
(1) after becoming employed by You; or
(2) if such Theft, Forgery or dishonest act exceeded$10,000, before
becoming employed by You.
Coverage B: Forgery or Alteration
(1) Checks
We will pay for loss resulting directly from Forgery or alteration of checks,drafts,
promissory notes, convenience checks, HELOC checks, or similar written promises,
orders or directions to pay a sum certain in Money that are:
(i) Made or drawn by or drawn upon You;or
(ii) Made or drawn by one acting as Your agent;
or that are purported to have been so made or drawn.
(2) Credit, Debit or Charge Cards
We will pay for loss resulting directly from Forgery or alteration of written instruments
required in conjunction with any credit, debit, convenience, stored-value or charge card
issued to You or any Employee for business purposes as long as You or the
Employee have complied fully with the provisions,conditions or other terms under
which the credit, debit, convenience, stored-value or charge card was issued.
(3) Personal Accounts
We will pay for loss resulting directly from Forgery or alteration of checks,drafts,
promissory notes, convenience checks, HELOC checks, or similar written promises,
Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
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Crime Insurance
Policy Form
orders or directions to pay a sum certain in Money that are made or drawn by or drawn
upon a personal account of an Executive Employee or that are purported to have
been so made or drawn.
The following Conditions apply to Coverage B and all subparts:
(i) A substitute check as defined in the Check Clearing for the 21st Century Act
shall be treated the same as the original it replaced;
(ii) Signatures that are produced or reproduced electronically, mechanically or by
other means shall be treated the same as handwritten signatures;
(iii) You must include with Your proof of loss any instrument involved in that loss,
or, if that is not possible, an affidavit setting forth the amount and cause of
loss;
(iv) If You are sued for refusing to pay any instrument covered above on the
basis that it has been forged or altered, and You have Our written consent to
defend against the suit, We will pay for any reasonable legal expenses that
You incur and pay in that defence. The amount that We will pay is in addition
to the Limit of Insurance applicable to this Insuring Agreement. The
Deductible Amount does not apply to legal expenses paid under this
paragraph.
Coverage C: Inside and Outside the Premises
(1) Inside the Premises
(i) We will pay for loss of Money and Securities inside the Premises or
Banking Premises:
(1) resulting directly from Theft committed by a person present inside such
Premises or Banking Premises; or
(2) resulting directly from disappearance or destruction.
(ii) We will pay for loss of or damage to Other Property:
(1) inside the Premises resulting directly from an actual or attempted
Robbery of a Custodian;or
(2) inside the Premises in a safe or vault resulting directly from an actual or
attempted Safe Burglary.
(iii) We will pay for loss from damage to the Premises or its exterior resulting
directly from an act covered by paragraph (i)or(ii)if You are the owner of the
Premises or are liable for damage to it.
(iv) We will pay for loss of or damage to a locked safe, vault,cash register, cash
box or cash drawer located inside the Premises resulting directly from an
actual or attempted Theft of or unlawful entry into those containers.
(2) Outside the Premises
(i) We will pay for loss of Money and Securities outside the Premises in the
)
Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
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Crime Insurance
Policy Form
care and custody of a Messenger or an armored motor vehicle company
resulting directly from Theft, disappearance or destruction
(ii) We will pay for loss of or damage to Other Property outside the Premises in
the care and custody of a Messenger or an armored motor vehicle company
resulting directly from an actual or attempted Robbery.
The following Condition applies to Coverage C and all subparts:
We will only pay:
(i) for the amount of loss You cannot recover under Your contract with the
armored motor vehicle company and from any insurance or indemnity carried
by, or for the benefit of customers of,the armored motor vehicle company.
(ii) up to $10,000 for any one Occurrence of loss of or damage to:
(1) precious metals, precious or semi-precious stones, pearls, furs or
completed or partially completed articles made of or containing such
materials that constitute the principal value of such articles.
(2) Manuscripts, drawings, or records of any kind, or the cost of
reconstructing them or reproducing any information contained in them.
Coverage D: Computer and Funds Transfer Fraud
(1) Computer Fraud
We will pay for loss of or damage to Money, Securities and/or Other Property
resulting directly from the use of any computer to fraudulently cause a transfer of that
property from inside the Premises or Banking Premises:
(i) to a person (other than a Messenger) outside those Premises or Banking
Premises; or
(ii) to a place outside those Premises or Banking Premises.
We will only pay up to$10,000 for any one Occurrence of loss of or damage to
manuscripts, drawings, or records of any kind, or the cost of reconstructing them or
reproducing any information contained in them.
(2) Funds Transfer Fraud
We will pay for loss of Money and Securities resulting directly from a Fraudulent
Instruction directing a financial institution to transfer, pay or deliver Money and
Securities from Your Transfer Account.
Coverage E: Money Orders and Counterfeit Money
We will pay for loss resulting directly from Your having accepted in good faith, in
exchange for merchandise, Money or services:
(i) money orders issued by any post office, express company or bank that are
not paid upon presentation; or
(ii) Counterfeit Money that is acquired during the regular course of business.
Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
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HISCOX
Crime Insurance
Policy Form
Coverage F: Telephone Toll Fraud
We will pay for loss from long distance telephone charges incurred by You resulting
directly from fraudulent use or fraudulent manipulation of an Account Code or
System Password required to gain access into Your Voice Computer System,
provided such loss did not result from the failure to:
(i) install and maintain in operating condition a call disconnect feature to
terminate a caller's access after three unsuccessful attempts to enter an
Account Code;
(ii) incorporate a System Password; or
(iii) change a System Password every 60 days.
We will only pay for loss resulting from toll call charges made on telephone lines
directly controlled by one Voice Computer System occurring for a period of not more
than 30 days inclusive of the date on which the first such toll call charges were made.
Coverage G: Identity Fraud Expense
We will pay for Identity Fraud Expenses incurred by You or any Executive
Employee resulting directly from Identity Fraud.
Coverage H: Virus and Licensing Violations
(1) Virus Restoration
We will pay for costs that You incur to restore or replace damaged or destroyed
Electronic Data or Computer Programs stored within Your Computer System
resulting directly from:
(i) a virus directed solely against You designed to damage or destroy
Electronic Data or Computer Programs and introduced maliciously by a
natural person; or
(ii) vandalism by a person who has gained unauthorized access to Your
Computer System;
including reasonable costs that You incur to restore Your Computer System to the
level of operational capability that existed before the virus or vandalism occurred.
(2) Licensing Violation Fines and Penalties
We will pay for fines and penalties that You incur resulting directly from the
unauthorized reproduction of computer software by an Employee, in violation of a
licensing agreement with a third party vendor, provided the unauthorized reproduction
is done:
(i) without Your or an Executive Employee's knowledge;
(ii) without the knowledge of any other person having responsibility for
compliance with the terms of the software licensing agreement;
Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
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and You are legally liable for the loss.
Coverage I: Expense
We will reimburse You for reasonable costs,fees or other expenses that You incur
and pay to an independent accounting, auditing or other service (which is not a
Client) used to determine the existence or amount of loss covered under this
insurance with Our prior written consent.
Any expense payable to You is only applicable to a covered loss which exceeds the
Deductible Amount subject to such covered loss.
Any expense payable to You is part of, not in addition to,the Limit of Insurance
subject to such covered loss.
II. Definitions A. Account Code means a confidential and protected string of characters that
identifies or authenticates a person and permits that person to gain access to
Your Voice Computer System for the purpose of making long distance toll calls
or utilizing voice mail box messaging capabilities or similar functional features of
the system.
B. Banking Premises means the interior of that portion of any building occupied by
a financial institution or similar safe depository including a night depository chute,
ATM machine owned by such financial institution (wherever located) or safe of
such institution.
C. Client means any entity to which You provide goods or services under a written
agreement.
D. Computer Programs means a set of related electronic instructions which direct
the operations and functions of a computer or devices connected to it which
enable the computer or devices to receive, process, store, retrieve or send
Electronic Data.
E. Computer System means:
(i) computers and related peripheral components;
(ii) systems and applications software;
(iii) terminal devices; and
(iv) related communications networks;
by which Electronic Data is received, processed, stored, retrieved or sent.
F. Counterfeit Money means an imitation of Money that is intended to deceive and
to be taken as genuine.
G. Custodian means You, or any of Your partners or Members, or any Employee
while having care and custody of property inside the Premises, excluding any
person while acting as a Watchperson or janitor unless such person is also an
Employee.
Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
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H. Discover or Discovered means the time when You or an Executive Employee
first becomes aware of facts which would cause a reasonable person to assume
that a loss of a type covered by this Policy has been or will be incurred,
regardless of when the act or acts causing or contributing to such loss occurred,
even though the exact amount or details of loss may not then be known.
Discover or Discovered also means the time when You or an Executive
Employee first receive notice of an actual or potential claim in which it is alleged
that You are liable to a third party under circumstances which, if true, would
constitute a loss under this Policy.
I. Electronic Data means information,facts or computer programs stored as or on,
created or used on, or transmitted to or from computer software(including
systems and applications software), on hard or floppy disks, CD-ROMs, DVDs,
Blu-ray Discs, flash drives, tapes, drives, cells, data processing devices or any
other repositories of computer software which are used with electronically
controlled equipment.
J. Employee means any:
(i) natural person:
(1) while in Your service and for the first 60 days immediately after
termination of service, unless such termination is due to Theft, Forgery
or any other dishonest act committed by the Employee;
(2) who You compensate directly by salary, wages or commissions;and
(3) who You have the right to direct and control while performing services
for You;
(ii) temporary Employee;
(iii) natural person who is leased to You;
(iv) natural person who is a former Employee, partner, Member, Manager,
director or trustee retained as a consultant while performing services for You;
(v) natural person who is a guest student or intern;
(vi) of Your Managers,directors or trustees while performing acts within the
usual duties of an Employee;
(vii) non-compensated officer;
(viii)volunteer;
(ix) committee member;
(x) Employee on military, disability,family medical or similar leave;and
(xi) Fiduciary, but only as respects Coverage A(2) ERISA;
Employee does not mean any agent(regardless of whether or not there is a
written agreement as specified in the definition of Vendor), broker, factor,
commission merchant, consignee, independent contractor or representative or
Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
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HISCOX
Crime Insurance
Policy Form
person of the same general character not specified above.
K. Employee Benefit Plan means any welfare or pension benefit plan that is
sponsored by You whether or not such plan is subject to the Employee
Retirement Income Security Act of 1974(ERISA) and any amendments thereto.
L. Executive Employee means Your proprietor, natural person partner, member of
the board of directors, member of the board of trustees, Member, Manager,
officer and any Employee in a risk management, general counsel, insurance or
human resources department or function.
(i) Solely with respect to Coverage A(2) ERISA, Executive Employee shall also
include a Fiduciary.
(ii) Solely with respect to Coverage G Identity Fraud Expense, Executive
Employee shall also include any spouse,child under the age of 18 or relative
living in the household of any Executive Employee.
M. Fiduciary means any natural person who is a trustee, officer, Employee,
administrator or manager, except an administrator or manager who is an
independent contractor of any Employee Benefit Plan;and a director or trustee
of Yours while that person is engaged in handling Money, Securities or Other
Property of any Employee Benefit Plan.
N. Forgery means the signing of the name of another person or organization with
the intent to deceive; it does not mean a signature which consists in whole or in
part of one's own name signed with or without authority, in any capacity, for any
purpose.
O. Fraudulent Instruction means
(i) an electronic, telegraphic, cable, teletype,telefacsimile or telephone
instruction which purports to have been transmitted by You, but which was in
fact fraudulently transmitted by someone else without Your knowledge or
consent;
(ii) a written instruction (other than those described in Coverage B) issued by
You,which was forged or altered by someone other than You without Your
knowledge or consent,or which purports to have been issued by You, but
was in fact fraudulently issued without Your knowledge or consent;or
(iii) an electronic,telegraphic, cable, teletype, telefacsimile,telephone or written
instruction initially received by You which purports to have been transmitted
by an Employee but which was in fact fraudulently transmitted by someone
else without Your or the Employee's knowledge or consent.
P. Identity Fraud means the act of knowingly transferring or using, without lawful
authority, a means of identification of Your business or any covered individual
with the intent to commit, or to aid or abet another to commit, any unlawful activity
that constitutes a violation of federal law or a felony under any applicable state or
local law.
Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
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Crime Insurance
Policy Form
Q. Identity Fraud Expenses means:
(i) advertising and public relations expenses incurred by You to restore Your
business reputation as a result of an Identity Fraud;
(ii) costs incurred by You or any covered individual for notarizing affidavits or
similar documents attesting to fraud required by financial institutions or
similar credit grantors or credit agencies;
(iii) costs incurred by You or any covered individual for certified mail to law
enforcement agencies,credit agencies,financial institutions or similar credit
grantors;
(iv) costs incurred by You or any covered individual for obtaining credit reports;
(v) lost income incurred by You or any covered individual resulting from time
taken off work to complete fraud affidavits, meet with or talk to law
enforcement agencies, credit agencies and/or legal counsel, up to a
maximum payment of$250 per day. Total payment for lost income is not to
exceed$10,000 or the Limit of Insurance shown in the Declarations,
whichever is less;
(vi) loan application fees, incurred by You or any covered individual for
reapplying for a loan when the original application is rejected solely because
li the lender received incorrect credit information;
(vii) reasonable attorney fees to:
(1) defend lawsuits brought against You by merchants, vendors,
suppliers, financial institutions or their collection agencies;
(2) remove any criminal or civil judgements wrongly entered against You;
and
(3) challenge the accuracy or completeness of any information in a
consumer credit report for You;
(viii)charges incurred by You or any covered individual for long distance
telephone calls to merchants, vendors, suppliers,customers, law
enforcement agencies, financial institutions or similar credit grantors, or credit
agencies to report or discuss an actual Identity Fraud; and any other
reasonable expenses incurred by You or any covered individual with Our
written consent.
R. Manager means a person serving in a directorial capacity for a limited liability
company.
S. Member means an owner of a limited liability company represented by its
membership interest, who also may serve as a Manager.
T. Messenger means You, or a relative of Yours, or any of Your partners or
Members, or any Employee while having care and custody of property outside
the Premises.
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U. Money means:
(i) currency, coins, and bank notes in current use anywhere in the world and
having a face value;
(ii) bullion;and
(iii) traveller's checks, register checks and money orders held for sale to the
public.
V. Occurrence means:
(i) Under Coverage A Fidelity and H(2) Fines and Penalties:
(1) an individual act;
(2) the combined total of all separate acts whether or not related; or
(3) a series of acts whether or not related;
committed by an Employee, Fiduciary or Vendor Employee acting alone or
in collusion with other persons,during the Policy Period shown in the
Declarations, before such Policy Period or both.
(ii) Under Coverage B Forgery or Alteration:
(1) an individual act;
(2) the combined total of all separate acts whether or not related; or
(3) a series of acts whether or not related;
committed by a person acting alone or in collusion with other persons,
involving one or more instruments, during the Policy Period shown in the
Declarations, before such Policy Period or both.
(iii) Under Coverage H(1) Virus Restoration paragraph (i): As respects a virus, all
covered costs incurred by You between the time the damage or destruction is
Discovered and the time Your Computer System is restored to the level of
operational capability that existed before the virus occurred. Recurrence of
the same virus after Your Computer System has been restored shall
constitute a separate occurrence.
(iv) Under all other coverages:
(1) an individual act or event;
(2) the combined total of all separate acts or events whether or not related;
or
(3) a series of acts or events whether or not related;
committed by a person acting alone or in collusion with other persons, or not
committed by any person, during the Policy Period shown in the Declarations,
before such Policy Period or both.
W. Other Property means any tangible property other than Money and Securities
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that has intrinsic value. Other Property does not include Computer Programs,
Electronic Data or any property specifically excluded under this Policy.
X. Premises means the interior of that portion of any building You occupy in
conducting Your business.
Y. Robbery means the unlawful taking of property from the care and custody of a
person by one who has:
(i) caused or threatened to cause that person bodily harm;or
(ii) committed an obviously unlawful act witnessed by that person.
Z. Safe Burglary means the unlawful taking of:
(i) Property from within a locked safe or vault by a person unlawfully entering the
safe or vault as evidenced by marks of forcible entry upon its exterior;or
(ii) A safe or vault from inside the Premises.
AA.Securities means negotiable or nonnegotiable instruments or contracts
representing either Money or property and includes:
(i) tokens, tickets, revenue and other stamps (whether represented by actual
stamps or unused value in a meter) in current use;
(ii) casino chips issued by You; and
(iii) evidences of debt issued in connection with credit or charge cards, which
cards are not issued by You;
but does not include Money.
BB.Subsidiary means any corporation or limited liability company in which, on or
prior to the effective date of this policy, You own or control directly, or through
one or more Subsidiaries, more than fifty percent(50%) of the outstanding
securities or voting rights representing the right to elect or appoint such entity's
board of directors, board of trustees, board of managers or a functional
equivalent.
CC.System Administration means the performance of any security function
including, but not limited to:
(i) defining authorized persons to access the system;
(ii) adding, deleting or changing Account Codes or passwords;
(iii) installing or deleting any system option which directs telephone call routing or
adds,drops or moves telephone lines;or
(iv) any other activity allowed by a hardware or software-based system option
that has been incorporated by a manufacturer or a vendor into a Voice
Computer System provided the system is not intended for the sole use of
the manufacturer or vendor.
DD.System Maintenance means performing hardware and software installation,
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diagnostic and correction and similar activities that are performed in the usual
custom and practice by a manufacturer or vendor to establish or maintain the
basic operational functionality of a Voice Computer System.
EE.System Password means a confidential and protected string of characters that
identifies or authenticates a person and permits that person to gain access to
Your Voice Computer System to perform System Administration or System
Maintenance or a component thereof.
FF. Theft means the unlawful taking of property to the deprivation of the Insured.
Solely with respect to Coverage A(3) Clients' Property, Theft shall mean the
unlawful taking of property to the deprivation of a Client.
GG. Transfer Account means an account maintained by You at a financial
institution from which You can initiate the transfer, payment or delivery of Money
or Securities:
(i) by means of electronic, telegraphic, cable, teletype, telefacsimile or telephone
instructions communicated directly through an electronic funds transfer
system; or
(ii) by means or written instructions (other than those described in Coverage B)
establishing the conditions under which such transfers are to be initiated by
such financial institution through an electronic funds transfer system.
HH.Vendor means an entity that provides a service to You under a written
agreement which includes a requirement to provide Crime or Fidelity insurance
covering Your property in the care,custody and control of the Vendor and/or its
Employees for a limit equal to or greater than that shown in the Declarations of
this Policy under Coverage A(1) Employee Theft. If such agreement is not valid
or collectable then this Policy will respond only to that portion of loss which would
have been excess of such requirement.
However, Vendor does not include any financial institution, asset manager,
broker, dealer or armored motor vehicle company.
II. Voice Computer System means a computer system installed in one location
which functions as a private branch exchange(PBX), voice mail processor,
automated call attendant or provides a similar capability used for the direction or
routing of telephone calls in a voice communications network.
JJ. Watchperson means any person retained by You specifically to have care and
custody of property inside the Premises and who has no other duties. However,
Watchperson does not include an Employee.
KK.We, Us or Our means the insurance company shown in the Declarations.
LL. You or Your means:
(i) the Named Insured shown in the Declarations;
(ii) any Subsidiary thereof; and
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(iii) solely with respect to Coverage A(2) ERISA, any Employee Benefit Plan.
Ill. Exclusions This Policy does not cover:
A. Acts Committed by You,Your Partners or Your Members
Loss resulting from Theft or any other dishonest act committed by:
(i) You;or
(ii) any of Your partners or Members;
whether acting alone or in collusion with other persons.
B. Acts of Employees Learned of by You Prior to the Policy Period
Loss caused by an Employee if the Employee had also committed Theft,
Forgery or any other dishonest act prior to the effective date of this Policy and
You or an Executive Employee not in collusion with the Employee, learned of
that Theft, Forgery or dishonest act prior to the Policy Period shown in the
Declarations.
However, this provision shall not apply if the Theft, Forgery or other dishonest
act occurred prior to the Employee becoming Your Employee and the amount
of such act did not exceed $10,000.
C. Acts of Employees, Managers, Directors,Trustees or Representatives
Loss resulting from Theft, Forgery or any other dishonest act committed by any
of Your Employees, Managers, directors,trustees or authorized
representatives:
(i) whether acting alone or in collusion with other persons; or
(ii) while performing services for You or otherwise;
except when covered under Coverage A Fidelity and H Virus and Licensing
Violations.
D. Confidential Information
Loss resulting from:
(i) the unauthorized disclosure of Your confidential information including, but not
limited to, patents, trade secrets, processing methods or customer lists;or
(ii) the unauthorized use or disclosure of confidential information of another
person or entity which is held by You including, but not limited to, financial
information, personal information, credit card information or similar non-public
information.
E. Governmental Action
Loss resulting from seizure or destruction of property by order of governmental
authority.
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F. Indirect Loss
Loss that is an indirect result of an Occurrence covered by this Policy including,
but not limited to, loss resulting from:
(i) Your inability to realize income that You would have realized had there been
no loss of or damage to Money, Securities or Other Property.
(ii) payment of damages of any type for which You are legally liable. But, We
will pay compensatory damages arising directly from a loss covered under
this Policy.
(iii) payment of costs,fees or other expenses You incur in establishing the
existence or the amount of loss under this Policy except when covered under
Coverage I Expense.
G. Legal Fees,Costs and Expenses
Fees, costs and expenses incurred by You which are related to any legal action,
except when covered under Coverage B Forgery or Alteration or Coverage G
Identity Fraud Expense.
H. Nuclear Hazard
Loss or damage resulting from nuclear reaction or radiation, or radioactive
contamination, however caused.
I. War or Military Action
Loss or damage resulting from:
(i) war, including undeclared or civil war;
(ii) warlike action by a military force, including action in hindering or defending
against an actual or expected attack, by any government, sovereign or other
authority using military personnel or other agents;or
(iii) insurrection, rebellion, revolution, usurped power, or action taken by
governmental authority in hindering or defending against any of these.
Coverage A Fidelity does not cover:
J. Inventory Shortages
Loss, or that part of any loss, the proof of which as to its existence or amount is
dependent upon:
(i) an inventory computation; or
(ii) a profit and loss computation.
However, where You establish wholly apart from such computations that You
have sustained a loss, then You may offer Your inventory records and actual
physical count of inventory in support of the amount of loss claimed.
K. Trading
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Loss resulting from trading, whether in Your name or in a genuine or fictitious
account. Provided, however,that this exclusion shall not apply to direct losses
caused by Theft and/or Forgery which result in improper financial gain to an
Employee(direct losses as used herein shall mean only the amount of improper
financial gain to such Employee, which shall not include salary, commissions,
fees or other compensation, including, but not limited to promotions and raises
associated with employment, paid by You to such Employee).
Coverage C Inside and Outside the Premises does not cover:
L. Accounting or Arithmetical Errors or Omissions
Loss resulting from accounting or arithmetical errors or omissions.
M. Exchanges or Purchases
Loss resulting from the giving or surrendering of property in any exchange or
purchase.
N. Fire
Loss or damage resulting from fire, however caused, except:
(i) Loss of or damage to Money and Securities;and
(ii) Loss from damage to a safe or vault.
O. Kidnap, Ransom and Extortion
Loss of Money, Securities or Other Property resulting directly or indirectly from
kidnap, extortion or ransom payments surrendered to any person as a result of a
threat, including, but not limited to a threat of bodily harm, property damage,
denial of service, virus or other malicious instruction, product contamination
and/or dissemination of confidential information.
P. Money Operated Devices
Loss of property contained in any money operated device unless the amount of
Money deposited in it is recorded by a continuous recording instrument in the
device.
Q. Motor Vehicles or Equipment and Accessories
Loss of or damage to motor vehicles,trailers or semi-trailers or equipment and
accessories attached to them.
R. Vandalism
Loss from damage to the Premises or its exterior, or to any safe,vault,cash
register, cash box, cash drawer or Other Property by vandalism or malicious
mischief.
S. Voluntary Parting of Title to or Possession of Property
Loss resulting from Your, or anyone acting on Your express or implied authority,
being induced by any dishonest act to voluntarily part with title to or possession
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of any property.
Coverage D Computer and Funds Transfer Fraud does not cover:
T. Credit Card Transactions
Loss resulting from the use or purported use of credit, debit, charge, access,
convenience, identification, stored-value or other cards or the information
contained on such cards.
U. Inventory Shortages
Loss, or that part of any loss, the proof of which as to its existence or amount is
dependent upon:
(i) an inventory computation;or
(ii) a profit and loss computation.
However, where You establish wholly apart from such computations that You
have sustained a loss,then You may offer Your inventory records and actual
physical count of inventory in support of the amount of loss claimed.
Coverage H Virus and Licensing Violations does not cover:
V. Errors or Omissions
Loss resulting from errors or omissions in the design, programming or processing
of Computer Programs or Electronic Data.
W. Fraudulent Preparation or Input
Loss resulting from the fraudulent preparation or input of Electronic Data or
Computer Programs.
IV. Limit of Insurance The most We will pay for all loss resulting directly from an Occurrence is the
applicable Limit of Insurance shown in the Declarations.
If any loss is covered under more than one Coverage, the most We will pay for such
loss shall not exceed the largest Limit of Insurance available under any one of those
Coverages. However,this provision does not apply to Coverage A(2) ERISA.
V. Deductible We will not pay for loss resulting directly from an Occurrence unless the amount of
loss exceeds the Deductible Amount shown in the Declarations. We will then pay the
amount of loss in excess of the Deductible Amount, up to the Limit of Insurance.
VI. Conditions Conditions applicable to all Coverages:
A. Additional Premises or Employees
If, while this Policy is in force, You establish any additional Premises or hire
additional Employees, other than through consolidation or merger with, or
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purchase or acquisition of assets or liabilities of,another entity, such Premises
and Employees shall automatically be covered under this Policy. Notice to Us of
an increase in the number of Premises or Employees need not be given and no
additional premium need be paid for the remainder of the Policy Period shown in
the Declarations.
B. Cancellation
(i) The first Named Insured shown in the Declarations may cancel this policy by
mailing or delivering to Us advance written notice of cancellation.
(ii) We may cancel this policy by mailing or delivering to the first Named Insured
written notice of cancellation at least:
(1) 15 days before the effective date of cancellation if We cancel for non-
payment of premium; or
(2) 6O days before the effective date of cancellation if We cancel for any
other reason.
(iii) We will mail or deliver Our notice to the first Named Insured's last mailing
address known to Us.
(iv) Notice of cancellation will state the effective date of cancellation. The Policy
Period will end on that date.
v If this policy cancelled, We will send the first Named Insured any
( ) is premium
refund due. If We cancel,the refund will be pro rata. If the first Named
Insured cancels, the refund may be less than pro rata. The cancellation will
be effective even if We have not made or offered a refund.
(vi) If notice is mailed, proof of mailing will be sufficient proof of notice.
C. Changes
This Policy contains all the agreements between You and Us concerning the
insurance afforded. The First Named Insured shown in the Declarations is
authorized to make changes in the terms of this Policy with Our consent. This
Policy's terms can be amended or waived only by endorsement issued by Us and
made a part of this Policy.
D. Concealment, Misrepresentation or Fraud
This Policy is void in any case of fraud by You as it relates to this Policy at any
time. It is also void if You, at any time, intentionally conceal or misrepresent a
material fact concerning:
(i) this Policy;
(ii) the property covered under this Policy;
(iii) Your interest in the property covered under this Policy; or
(iv) a claim under this Policy.
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E. Consolidation—Merger or Acquisition
(i) Except as provided in Paragraph (ii), if You consolidate or merge with, or
purchase or acquire the assets or liabilities of, another entity:
(1) You must give Us written notice as soon as possible and obtain Our
written consent to extend the coverage provided by this Policy to such
consolidated or merged entity or such purchased or acquired assets or
liabilities. We may condition Our consent by requiring payment of an
additional premium;but
(2) For the first 90 days after the effective date of such consolidation,
merger or purchase or acquisition of assets or liabilities,the coverage
provided by this Policy shall apply to such consolidated or merged entity
or such purchased or acquired assets or liabilities, provided that all
Occurrences causing or contributing to a loss involving such
consolidation, merger or purchase or acquisition of assets or liabilities,
must take place after the effective date of such consolidation, merger or
II
purchase or acquisition of assets or liabilities.
(ii) For entities You acquire in which You own greater than fifty percent (50%) of
the voting stock or voting rights, coverage under this Policy shall
automatically become effective on the date of such acquisition with no
additional premium required, provided:
(1) All Occurrences causing or contributing to a loss involving the acquired
entity must take place after the effective date of such acquisition; and
(2) The assets of the acquired entity do not exceed thirty five percent(35%)
of Your total assets as reflected in Your most recent calendar quarter
consolidated financial statements immediately preceding the effective
date of the Policy.
F. Cooperation
You must cooperate with Us in all matters pertaining to this Policy as stated in its
terms and conditions.
G. Duties in the Event of Loss
After You or an Executive Employee Discovers a loss or a situation that may
result in loss of or damage to Money, Securities or Other Property that, in Your
best estimate, exceeds 50%of the Deductible Amount shown in the Declarations,
You must:
(i) notify Us as soon as practicable and in no event later than 90 days after
Discovery. If You have reason to believe that any loss (except for loss
covered under Coverage A Fidelity) involves a violation of law, You must also
notify the local law enforcement authorities.
(ii) submit to examination under oath at Our request and give Us a signed
statement of Your answers.
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(iii) produce for Our examination all pertinent records.
(iv) give Us a detailed, sworn proof of loss within 120 days.
(v) cooperate with Us in the investigation and settlement of any claim.
You must send Us, within 60 days after Our request, receipts, bills or other
records that support any claim for Identity Fraud Expenses covered under
Coverage G Identity Fraud Expense.
H. Examination of Your Books and Records
We may examine and audit Your books and records as they relate to this Policy
at any time during the Policy Period shown in the Declarations and up to 3 years
afterward.
I. Extended Period to Discover Loss
We will pay for loss You sustained prior to the effective date of cancellation of
this Policy, which is Discovered by You or an Executive Employee:
(i) No later than 60 days from the date of that cancellation. However, this
extended period to Discover loss terminates immediately upon the effective
date of any other insurance obtained by You, whether or not such other
insurance provides coverage for loss sustained prior to its effective date.
(ii) No later than 1 year from the date of that cancellation with regard to any
Employee Benefit Plans under Coverage A(2) ERISA.
J. Inspections and Surveys
(i) We have the right to:
(1) Make inspections and surveys at any time;
(2) Give You reports on the conditions We find;and
(3) Recommend changes.
(ii) We are not obligated to make any inspections, surveys, reports or
recommendations and any such actions We do undertake relate only to
insurability and the premiums to be charged. We do not make safety
inspections. We do not undertake to perform the duty of any person or
organization to provide for the health or safety of workers or the public. And
We do not warrant that conditions:
(1) Are safe or healthful;or
(2) Comply with laws, regulations, codes or standards.
(iii) This condition applies not only to Us, but also to any rating, advisory, rate
service or similar organization which makes insurance inspections, surveys,
reports or recommendations.
K. Joint Insured
(i) The first Named Insured will act for itself and for every other Insured for all
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purposes of this Policy. If the first Named Insured ceases to be covered,then
the largest Subsidiary, by asset size, will become the first Named Insured.
(ii) If any Insured, or partner, Member or officer of that Insured has knowledge of
any information relevant to this Policy,that knowledge is considered
knowledge of every Insured.
(iii) An Employee of any Insured is considered an Employee of every Insured.
(iv) If this Policy or any of its coverages is cancelled as to any Insured, loss
sustained by that Insured is covered only if it is Discovered by You or an
Executive Employee:
(1) No later than 60 days from the date of that cancellation. However, this
extended period to Discover loss terminates immediately upon the
effective date of any other insurance obtained by that Insured, whether
from Us or another insurer, replacing in whole or in part the coverage
afforded under this Policy, whether or not such other insurance provides
coverage for loss sustained prior to its effective date.
(2) No later than 1 year from the date of that cancellation with regard to any
Employee Benefit Plan(s)covered under Coverage A(2) ERISA.
(v) We will not pay more for loss sustained by more than one Insured than the
amount We would pay if all such loss had been sustained by one Insured
except as provided in Coverage A(2) ERISA.
(vi) Payment by Us to the first Named Insured for loss sustained by any Insured,
other than an Employee Benefit Plan, shall fully release Us on account of
such loss. Payment by Us to any Employee Benefit Plan(s)for loss
sustained by any Employee Benefit Plan(s), shall fully release Us on
account of such loss.
L. Legal Action Against Us
You may not bring any legal action against Us involving loss:
(i) unless You have complied with all the terms of this Policy;
(ii) until 90 days after You have filed proof of loss with Us; and
(iii) unless brought within 2 years from the date You or an Executive Employee
Discovered the loss.
If any limitation in this Condition is prohibited by law, such limitation is amended
so as to equal the minimum period of limitation provided by such law.
M. Liberalization
If We adopt any revision that would broaden the coverage under this Policy
without additional premium within 45 days prior to or during the Policy Period
shown in the Declarations, the broadened coverage will immediately apply to this
Policy.
II
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N. Other Insurance
If other valid and collectible insurance is available to You for loss covered under
this policy,We will only pay for the amount of loss that exceeds the Limit of
Insurance and Deductible Amount of that other insurance, whether You can
collect on it or not. Our payment for loss is subject to the terms and conditions of
this Policy.
However, if loss covered under this policy is subject to a Deductible,We will
reduce the Deductible Amount shown in the Declarations by the sum total of all
such other insurance plus any Deductible Amount applicable to that other
insurance.
O. Ownership of Property; Interests Covered
With respect to Coverage A(1) Employee Theft and A(4) Vendor Theft, the
property covered under this Policy is limited to property that You own or lease;
With respect to Coverage A(3) Clients' Property, the property covered under this
Policy is limited to property:
(i) that Your Client owns or leases;or
(ii) that Your Client holds for others whether or not Your Client is legally liable
for the loss of such property.
With respect to all other coverages, the property covered under this Policy is
limited to property:
(i) that You own or lease;or
(ii) that You hold for others whether or not You are legally liable for the loss of
such property.
However, this Policy is for Your benefit only. It provides no rights or benefits to
any other person or organization. Any claim for loss that is covered under this
Policy must be presented by You.
P. Policy Bridge—Discovery Replacing Loss Sustained
If this Policy replaces insurance that provided You with an extended period of
time after cancellation in which to discover loss and which did not terminate at
the time this Policy became effective:
(i) We will not pay for any loss that occurred during the Policy Period of that prior
insurance which is Discovered by You or an Executive Employee during
the extended period to Discover loss, unless the amount of loss exceeds the
Limit of Insurance and Deductible Amount of that prior insurance. In that
case, We will pay for the excess loss subject to the terms and conditions of
this Policy.
(ii) However, any payment We make for the excess loss will not be greater than
the difference between the Limit of Insurance and Deductible Amount of that
prior insurance and the Limit of Insurance shown in the Declarations. We will
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not apply the Deductible Amount shown in the Declarations to this excess
loss.
Q. Premiums
The first Named Insured shown in the Declarations:
(i) is responsible for the payment of all premiums;and
(ii) will be the payee for any return premiums We pay.
R. Records
You must keep records of all property covered under this Policy so that We can
verify the amount of any loss.
S. Recoveries
(i) Any recoveries, whether effected before or after any payment under this
Policy, whether made by Us or You, shall be applied net of the expense of
such recovery:
(1) First,to You in satisfaction of Your covered loss in excess of the amount
paid under this Policy;
(2) Second,to Us in satisfaction of amounts paid in settlement of Your
claim;
(3) Third,to You in satisfaction of any Deductible Amount;and
(4) Fourth,to You in satisfaction of any loss not covered under this Policy.
(ii) Recoveries do not include any recovery:
(1) From insurance, suretyship, reinsurance, security or indemnity taken for
Our benefit;or
(2) Of original Securities after duplicates of them have been issued.
T. Territory
Where legally permissible, this Policy covers loss that You sustain resulting
directly from an Occurrence taking place anywhere in the world.
U. Transfer of Your Rights and Duties Under This Policy
Your rights and duties under this Policy may not be transferred without Our
written consent except in the case of death of an individual Named Insured.
If You die, Your rights and duties will be transferred to Your legal representative
but only while acting within the scope of duties as Your legal representative.
Until Your legal representative is appointed, anyone having proper temporary
custody of Your property will have Your rights and duties but only with respect to
that property.
V. Transfer of Your Rights of Recovery Against Others to Us
You must transfer to Us all Your rights of recovery against any person or
Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
Page 22 of 24
CRI P001 CW 106/10)
2017 CAPP Excess Crime Policy Page 26 of 42
44.
HISCOX
Crime Insurance
Policy Form
organization for any loss You sustain and for which We have paid or settled.
You must also do everything necessary to secure those rights and do nothing
after loss to impair them.
W. Valuation—Settlement
(i) The value of any loss for purposes of coverage under this Policy shall be
determined as follows:
(1) Loss of Money but only up to and including its face value. We will, at
Your option, pay for loss of Money issued by any country other than the
United States of America:
(i) At face value in the Money issued by that country;or
(ii) In the United States of America dollar equivalent determined by the
rate of exchange published in The Wall Street Journal on the day the
loss was Discovered.
(2) Loss of Securities but only up to and including their face value at the
close of business on the day the loss was Discovered. At Our option,
We may:
(i) Pay the market value of such Securities or replace them in kind, in
which event You must assign to Us all Your rights, title and interest
in and to those Securities; or
(ii) Pay the cost of any Lost Securities Bond required in connection with
issuing duplicates of the Securities. However, We will be liable only
for the payment of so much of the cost of the bond as would be
charged for a bond having a penalty not exceeding the lesser of the:
a. market value of the Securities at the close of business on the
day the loss was Discovered;or
b. the Limit of Insurance applicable to the Securities.
(3) Loss of or damage to Other Property or loss from damage to the
Premises or its exterior for the replacement cost of the property without
deduction for depreciation. However,We will not pay more than the
least of the following:
(i) The cost to replace the lost or damaged property with property of
comparable material and quality and used for the same purpose;
(ii) The amount You actually spend that is necessary to repair or replace
the lost or damaged property; or
(iii) The Limit of Insurance applicable to the lost or damaged property.
With regard to paragraph (i)through (iii) above, We will not pay on a
replacement cost basis for any loss or damage:
a. Until the lost or damaged property is actually repaired or
Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
Page 23 of 24
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2017 CAPP Excess Crime Policy Page 27 of 42
•,,A
HISCOX
Crime Insurance
Policy Form
replaced; and
b. Unless the repairs or replacement are made as soon as
reasonably possible after the loss or damage.
If the lost or damaged property is not repaired or replaced, We will
pay on an actual cash value basis.
(ii) We will, at Our option, settle loss or damage to property other than Money:
(1) In the Money of the country in which the loss or damage occurred; or
(2) In the United States of America dollar equivalent of the Money of the
country in which the loss or damage occurred determined by the rate of
exchange published in The Wall Street Journal on the day the loss was
Discovered.
(iii) Any property that We pay for or replaces becomes Our property.
Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
Page 24 of 24
CRI P001 Cw(06/10)
2017 CAPP Excess Crime Policy Page 28 of 42
elf+
HISCOX
Endorsement 1
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9603.1 Cancellation Amended Page 1 of 1
This endorsement modifies insurance provided under the CRIME INSURANCE Policy Form
whether written as a standalone policy or as a module attached to another policy.
SCHEDULE
Number of Days: 90
Paragraph (ii) of the Cancellation Condition is replaced by the following:
(ii)We may cancel this policy by mailing or delivering to the first Named Insured written notice of
cancellation at least:
(1) 15 days before the effective date of cancellation if We cancel for non-payment of
premium; or
(2) the Number of Days shown in the Schedule before the effective date of cancellation if We
cancel for any other reason.
All other terms and conditions remain unchanged.
CRI E9603 CW(06/10) Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
Endorsement effective: 01/01/2017 Policy No.: UC21191167.17
Endorsement No: 1 Processed Date:12/12/2016
341fr
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 29 of 42
•
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HISCOX
Endorsement 2
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9606.1 Crime Elite Endorsement Page 1 of 2
This endorsement modifies insurance provided under the CRIME INSURANCE Policy Form
whether written as a standalone policy or as a module attached to another policy.
1. Paragraph (i)of the Extended Period To Discover Loss Condition is replaced by the following:
(i) No later than 120 days from the date of that cancellation. However, this extended period to
Discover loss terminates immediately upon the effective date of any other insurance obtained
by You,whether or not such other insurance provides coverage for loss sustained prior to its
effective date.
2. Paragraph (iv)(1) of the Joint Insured Condition is replaced by the following:
(1) No later than 120 days from the date of that cancellation. However, this extended period to
Discover loss terminates immediately upon the effective date of any other insurance
obtained by that insured, whether from Us or another insurer, replacing in whole or in part
the coverage afforded under this Policy, whether or not such other insurance provides
coverage for loss sustained prior to its effective date.
3. The definition of You or Your is amended to include any joint venture in which You have a
controlling ownership interest. However, the most We will pay is the lower of the Limit of Insurance
applicable to the loss or Your equity interest.
4. The Acts of Employees Learned of By You Prior to the Policy Period Exclusion is replaced with the
following:
Acts of Employees Learned of by You Prior to the Policy Period
Loss caused by an Employee if the Employee had also committed Theft, Forgery or any other
dishonest act prior to the effective date of this Policy and You or any Executive Employee not in
collusion with the Employee, learned of that Theft, Forgery or dishonest act prior to the Policy
Period shown in the Declarations.
However, this provision shall not apply if the Theft, Forgery or other dishonest act occurred prior
to the Employee becoming Your Employee and the amount of such act did not exceed$25,000.
5. In paragraph I. Insuring Agreements, the Condition applicable to Coverage A and all subparts is
replaced with the following:
The following Condition applies to Coverage A and all subparts:
(i) However, all subparts of Coverage A terminate as to any Employee as soon You or an
Executive Employee not in collusion with the Employee learns of Theft, Forgery or any
other dishonest act committed by the Employee:
(1) after becoming employed by You; or
(2) if such Theft, Forgery or dishonest act exceeded$25,000, before becoming
employed by You.
All other terms and conditions remain unchanged.
CRI E9777 CW(06/10) Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
2017 CAPP Excess Crime Policy Page 30 of 42
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Endorsement 2
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9606.1 Crime Elite Endorsement Page 2 of 2
6. Paragraph ()(1) of the definition of Employee is deleted in its entirety and replaced with the
following:
(1) while in Your service and for the first 90 days immediately after termination of service,
unless such termination is due to Theft, Forgery or any other dishonest act committed by
the Employee;
7. The definition of Employee is amended to include any natural person independent contractor
whom You have the right to direct and control while performing acts within the usual duties of an
Employee.
All other terms and conditions remain unchanged.
CRI E9606 CW(06/10) Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
Endorsement effective:01/01/2017 Policy No.: UC21191167.17
Endorsement No: 2 Processed Date:12/12/2016
u‘Lejk
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 31 of 42
III
elf+
HISCOX
Endorsement 3
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9611.1 Government Conversion (with Faithful Performance) Page 1 of 2
This endorsement modifies insurance provided under the CRIME INSURANCE Policy Form
whether written as a standalone policy or as a module attached to another policy.
SCHEDULE
Faithful Performance of Duty Limit of Insurance: $1,000,000
1. In paragraph I. Insuring Agreements, the following is added to Coverage A(1) Employee Theft:
We will pay for loss of or damage to Money, Securities, and/or Other Property resulting directly
from the failure of any Employee to faithfully perform his or her duties as prescribed by law, when
such failure has as its direct and immediate result a loss of Your covered property. The most We
will pay for loss arising out of any one Occurrence is the Limit of Insurance shown in the
Schedule. That Limit is part of, not in addition to,the Limit of Insurance shown in the Declarations.
2. The following is added to the Transfer of Your Rights of Recovery Against Others to Us Condition:
In the event of a loss covered under paragraph 1. above, We shall not pursue our right of recovery
against the Employee who failed to faithfully perform his or her duties as long as such failure does
not involve a theft or other dishonest act.
3. The following additional exclusions are added:
FP-O. Loss resulting from the failure of any entity acting as a depository for Your property or
property for which You are responsible.
FP-P. Damages for which You are legally liable as a result of:
(i) The deprivation or violation of the civil rights of any person by an Employee; or
(ii) The tortious conduct of an Employee, except the conversion of property of other
parties held by You in any capacity.
4. The following additional Condition is added to Coverage A:
The following Condition applies to Coverage A and all subparts:
We will indemnify any of your officials who are required by law to give bonds for the faithful
performance of their duties against loss through the failure of any Employee under the supervision
of that official to faithfully perform his or her duties as prescribed by law, when such failure has as
its direct and immediate result a loss of your covered property.
5. The coverage provided by this endorsement does not apply to Coverage A(2) ERISA.
6. In paragraph I. Insuring Agreements, the Condition applicable to Coverage A and all subparts is
amended such that a"Theft, Forgery, or any other dishonest act" shall include an act which would
be covered under Coverage A, as amended by this endorsement.
All other terms and conditions remain unchanged.
CRI E9777 CW(06/10) Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
2017 CAPP Excess Crime Policy Page 32 of 42
HISCOX
Endorsement 3
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9611.1 Government Conversion (with Faithful Performance) Page 2 of 2
7. Throughout the policy any references to partners, Managers or Members, are deleted in their
entirety.
8. The Consolidation-Merger or Acquisition Condition and any references to merged, consolidated
or acquired entities throughout the policy are deleted in their entirety.
9. The definition of Subsidiary is amended to read as follows:
Subsidiary means any agency, authority or district(including Special Districts)which is governed
directly by the governing body of any insured listed on the Declarations or by endorsement.
All other terms and conditions remain unchanged.
CRI E9611 CW(06/10) Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
Endorsement effective:01/01/2017 Policy No.: UC21191167.17
Endorsement No: 3 Processed Date:12/12/2016
34-1fr
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 33 of 42
49
HISCOX
Endorsement 4
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9622.1 Named Insured Added Page 1 of 2
SCHEDULE
Retroactive Date: N/A
Additional Named Insured Limit of Insurance Deductible Amount
(per occurrence) (per occurrence)
Alamosa County $1,000,000 $150,000
Archuleta County $1,000,000 $150,000
Baca County $1,000,000 $150,000
Bent County $1,000,000 $150,000
Chaffee County $1,000,000 $150,000
Cheyenne County $1,000,000 $150,000
Clear Creek County $1,000,000 $150,000
Conejos County $1,000,000 $150,000
Costilla County $1,000,000 $150,000
Crowley County $1,000,000 $150,000
Custer County $1,000,000 $150,000
Delta County $1,000,000 $150,000
Dolores County $1,000,000 $150,000
Eagle County $1,000,000 $250,000
Elbert County $1,000,000 $150,000
Fremont County $1,000,000 $250,000
Garfield County $1,000,000 $250,000
Gilpin County $1,000,000 $250,000
Grand County $1,000,000 $250,000
Gunnison County $1,000,000 $150,000
Hinsdale County $1,000,000 $150,000
Huerfano County $1,000,000 $150,000
Jackson County $1,000,000 $150,000
Kiowa County $1,000,000 $150,000
Kit Carson County $1,000,000 $150,000
La Plata County $1,000,000 $250,000
Lake County $1,000,000 $150,000
Las Animas County $1,000,000 $150,000
Lincoln County $1,000,000 $150,000
Logan County $1,000,000 $250,000
Mineral County $1,000,000 $150,000
Moffat County $1,000,000 $150,000
Montrose County $1,000,000 $250,000
Morgan County $1,000,000 $250,000
Otero County $1,000,000 $150,000
Ouray County $1,000,000 $150,000
Park County $1,000,000 $250,000
Phillips County $1,000,000 $150,000
Prowers County $1,000,000 $150,000
Pueblo County $1,000,000 $250,000
All other terms and conditions remain unchanged.
CRI E9622 CW(06/10) Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
2017 CAPP Excess Crime Policy Page 34 of 42
HISCOX
Endorsement 4
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9622.1 Named Insured Added Page 2 of 2
Rio Blanco County $1,000,000 $150,000
Rio Grande County $1,000,000 $150,000
Routt County $1,000,000 $250,000
Saguache County $1,000,000 $150,000
San Juan County $1,000,000 $150,000
San Miguel County $1,000,000 $150,000
Sedgwick County $1,000,000 $150,000
Summit County $1,000,000 $250,000
Teller County $1,000,000 $150,000
Washington County $1,000,000 $150,000
Weld County $1,000,000 $250,000
Yuma County $1,000,000 $150,000
1. The Additional Named Insured(s)shown in the Schedule are added as Named Insured. If a Limit
of Insurance or Deductible Amount is applicable to the Additional Named Insured, the Limit of
Insurance and Deductible Amount for all Insuring Agreements for which a Limit of Insurance is
shown in the Declarations is changed to the Limit of Insurance and Deductible Amount shown in
the Schedule.
2. If a Retroactive Date is shown in the Schedule, this addition applies only to loss or damage that
You sustain resulting directly from an Occurrence taking place in its entirety after the Retroactive
Date shown in the Schedule which is Discovered by You or an Executive Employee on or after
the Endorsement Effective date and before the end of the Policy Period shown in the Declarations
or the period of time provided in the Extended Period To Discover Loss Condition. The definition
of Occurrence is amended with respect to the Additional Named Insured(s)to apply only to acts
committed or events occurring after the Retroactive Date shown in the Schedule.
All other terms and conditions remain unchanged.
CRI E9622 CW(06/10) Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
Endorsement effective: 01/01/2017 Policy No.: UC21191167.17
Endorsement No: 4 Processed Date:12/12/2016
akjejk
By : Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 35 of 42
elf+
HISCOX
Endorsement 5
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9625.1 Persons or Classes of Persons Included (with Sublimit' Page 1 of 1
SCHEDULE
Persons Or Classes Of Persons Sublimit of Insurance for
Coverages A(1)and A(3)
Elected or Appointed Officials N/A
1. The definition of Employee is amended to include any natural person or group of persons
described in the Schedule.
2. If a Sublimit of Insurance is indicated in the Schedule,the most We will pay under this insurance
for loss caused by any natural person or group of persons described in the Schedule is the
Sublimit of Insurance indicated. That Sublimit of Insurance will be part of, not in addition to, the
Limit of Insurance shown in the Declarations as applicable to Coverage A(1) Employee Theft and A
(3) Clients'Property.
All other terms and conditions remain unchanged.
CRI E9625 CW(06/10) Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
Endorsement effective:01/01/2017 Policy No.: UC21191167.17
Endorsement No: 5 Processed Date:12/12/2016
et4j4R
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 36 of 42
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HISCOX
Endorsement 6
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9704.1 Colorado Amendatory Endorsement Page 1 of 2
This endorsement modifies insurance provided under the CRIME INSURANCE Policy Form
whether written as a standalone policy or as a module attached to another policy.
In consideration of the premium charged, it is understood and agreed that the policy is modified as
follows:
1. In the CONDITIONS Clause, paragraph (ii)of B. Cancellation is replaced by the following:
If this policy has been in effect for less than 60 days, We may cancel this policy by mailing
or delivering to the first Named Insured written notice of cancellation at least:
a. 10 days before the effective date of cancellation if We cancel for nonpayment of
premium; or
b. 30 days before the effective date of cancellation if We cancel for any other reason.
2. In the CONDITIONS Clause, the following is added to B. Cancellation:
(vii) Cancellation Of Policies In Effect For 60 Days Or More
a. If this policy has been in effect for 60 days or more, or is a renewal of a policy We
issued, We may cancel this policy by mailing through first-class mail to the first Named
Insured written notice of cancellation:
(1) Including the actual reason, at least 10 days before the effective date of
cancellation, if We cancel for nonpayment of premium; or
(2) At least 45 days before the effective date of cancellation if we cancel for any other
reason.
We may only cancel this policy based on one or more of the following reasons:
(1) Nonpayment of premium;
(2) A false statement knowingly made by the Insured on the application for
insurance; or
(3) A substantial change in the exposure or risk other than that indicated in the
application and underwritten as of the effective date of the policy unless the first
Named Insured has notified us of the change and We accept such change.
(viii) Nonrenewal
If We decide not to renew this policy, We will mail through first-class mail to the first
Named Insured shown in the Declarations written notice of the nonrenewal at least 45
days before the expiration date, or its anniversary date if it is a policy written for a term of
more than one year or with no fixed expiration date.
If notice is mailed, proof of mailing will be sufficient proof of notice.
(ix) Increase in Premium Or Decrease In Coverage
We will not increase the premium unilaterally or decrease the coverage benefits on
renewal of this policy unless We mail written notice of our intention, including the actual
reason,to the first Named Insured's last mailing address known to Us, at least 45 days
before the effective date.
Any decrease in coverage during the policy term must be based on one or more of the
following reasons:
a. Nonpayment of premium;
b. A false statement knowingly made by the insured on the application for insurance; or
2017 CAPP Excess Crime Policy Page 37 of 42
HISCOX
Endorsement 6
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9704.1 Colorado Amendatory Endorsement Page 2 of 2
c. A substantial change in the exposure or risk other than that indicated in the application
and underwritten as of the effective date of the policy unless the first Named Insured
has notified Us of the change and We accept such change.
If notice is mailed, proof of mailing will be sufficient proof of notice.
3. In the CONDITIONS Clause, the following condition is added:
LP. Loss Payment
(i) We will give You notice of our intentions within 60 days after We receive the sworn proof
of loss; and
(ii) We will pay for covered loss or damage within 60 days after we receive the sworn proof of
loss, if You have complied with all the terms of this policy and:
a. We will have reached agreement with You on the amount of loss; or
b. An appraisal award has been made.
All other terms and conditions remain unchanged.
CRI E9704 CO (06/10) Includes copyrighted material of Insurance Services Offices, Inc.,with its permission.
Endorsement effective:01/01/2017 Policy No.: UC21191167.17
Endorsement No: 6 Processed Date:12/12/2016
0141fr
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 38 of 42
elf+
HISCOX
Endorsement 7
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9647.1 Subsidiary Definition Amended Page 1 of 1
This endorsement modifies insurance provided under the CRIME INSURANCE Policy Form
whether written as a standalone policy or as a module attached to another policy.
1. In Clause II. Definitions, the definition of Subsidiary is deleted in its entirety and replaced with the
following:
BB.Subsidiary means any corporation or limited liability company in which, on or prior to the
effective date of this Policy, You own or control directly, or through one or more Subsidiaries,
more than fifty percent(50%) of the outstanding securities or voting rights representing the
right to elect or appoint such entity's board of directors, board of trustees, board of managers
or a functional equivalent.
However, this Policy does not cover Loss sustained by any Subsidiary occurring at any time
during which such entity was not a Subsidiary.
All other terms and conditions remain unchanged.
CRI E9647 CW(10/12)
Endorsement effective: 01/01/2017 Policy No.: UC21191167.17
Endorsement No: 7 Processed Date:12/12/2016
b"—PigR
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 39 of 42
HISCOX
Endorsement 8
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9654.1 Cyber Deception Endorsement Page 1 of 2
This endorsement modifies insurance provided under the CRIME INSURANCE Policy Form
whether written as a standalone policy or as a module attached to another policy.
SCHEDULE
Limit of Insurance Deductible Amount
Cyber Deception $250,000 $150,000
With regard to this Cyber Deception Endorsement,the provisions of the Policy to which this
endorsement is attached apply, unless modified by this endorsement.
1. The following additional Insuring Agreement is added to paragraph I. Insuring Agreements under
Coverage D: Computer and Funds Transfer Fraud:
Coverage D: Computer and Funds Transfer Fraud
(3) Cyber Deception
We will pay for loss of Money or Securities directly resulting from Cyber Deception committed by
a person falsely purporting to be a Vendor, Client or Employee and which results in Your
transfer, payment or delivery of such Money or Securities.
2. Solely with respect to the coverage provided by this Endorsement, definition HH. in paragraph II.
Definitions is deleted in its entirety and replaced with the following:
HH.Vendor means an entity that provides a service to You under a written agreement. However,
Vendor does not include any financial institution, asset manager, broker-dealer or armored
motor vehicle company.
3. The following additional definition is added to paragraph II. Definitions:
Cyber Deception means the intentional misleading or deception of an Employee, through social
engineering, pretexting, phishing, spear phishing or any other confidence trick communicated by
email, text, instant message, telephone or other electronic means.
4. Solely with respect to the coverage provided by this Endorsement, paragraph IV. Limit of
Insurance is deleted in its entirety and replaced with the following:
The most We will pay for all loss resulting directly from an Occurrence of Cyber Deception is the
Limit of Insurance shown in the Schedule.
CRI E9654 CW(10/14)
2017 CAPP Excess Crime Policy Page 40 of 42
ito
HISCOX
Endorsement 8
NAMED INSURED: Members of the Colorado Counties Casualty and Property Pool (see endorsement CRI E9622)
E9654.1 Cyber Deception Endorsement Page 2 of 2
5. Solely with respect to the coverage provided by this Endorsement, paragraph V. Deductible is
deleted in its entirety and replaced with the following:
We will not pay for loss resulting from Cyber Deception unless the amount of loss exceeds the
Deductible Amount shown in the Schedule. We will then pay the amount of loss in excess of the
Deductible Amount, up to the Limit of Insurance.
CRI E9654 CW(10/14)
Endorsement effective: 01/01/2017 Policy No.: UC21191167.17
Endorsement No: 8 Processed Date:12/12/2016
D4jk
By: Carl Bach
(Appointed Representative)
2017 CAPP Excess Crime Policy Page 41 of 42
HG
HISCOX ECONOMIC AND TRADE SANCTIONS POLICYHOLDER
NOTICE
Hiscox is committed to complying with the U.S. Department of Treasury Office of Foreign Assets Control (OFAC)
requirements. OFAC administers and enforces economic sanctions policy based on Presidential declarations of
national emergency. OFAC has identified and listed numerous foreign agents, front organizations,terrorists, and
narcotics traffickers as Specially Designated Nationals (SDN's) and Blocked Persons. OFAC has also identified
Sanctioned Countries. A list of Specially Designated Nationals, Blocked Persons and Sanctioned Countries may be
found on the United States Treasury's web site htto://www.treasmov/offices/enforcement/ofac./.
Economic sanctions prohibit all United States citizens (including corporations and other entities) and permanent
resident aliens from engaging in transactions with Specially Designated Nationals, Blocked Persons and Sanctioned
Countries. Hiscox may not accept premium from or issue a policy to insure property of or make a claim payment to a
Specially Designated National or Blocked Person. Hiscox may not engage in business transactions with a Sanctioned
Country.
A Specially Designated National or Blocked Person is any person who is determined as such by the Secretary of
Treasury.
A Sanctioned Country is any country that is the subject of trade or economic embargoes imposed by the laws or
regulations of the United States.
In accordance with laws and regulations of the United States concerning economic and trade embargoes, this policy
may be rendered void from its inception with respect to any term or condition of this policy that violates any laws or
regulations of the United States concerning economic and trade embargoes including, but not limited to the following:
(1) Any insured under this Policy, or any person or entity claiming the benefits of such insured,who is or becomes
a Specially Designated National or Blocked Person or who is otherwise subject to US economic trade
sanctions;
(2) Any claim or suit that is brought in a Sanctioned Country or by a Sanctioned Country government, where any
action in connection with such claim or suit is prohibited by US economic or trade sanctions;
(3) Any claim or suit that is brought by any Specially Designated National or Blocked Person or any person or
entity who is otherwise subject to US economic or trade sanctions;
(4) Property that is located in a Sanctioned Country or that is owned by, rented to or in the care,custody or control
of a Sanctioned Country government, where any activities related to such property are prohibited by US
economic or trade sanctions;or
(5) Property that is owned by, rented to or in the care, custody or control of a Specially Designated National or
Blocked Person, or any person or entity who is otherwise subject to US economic or trade sanctions.
Please read your Policy carefully and discuss with your broker/agent or insurance professional. You may also visit the
US Treasury's website at htto://www.treas.00v/offices/enforcemenUofac/.
Hiscox Inc. www.hiscozusa.com Page 1 of 1
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2017 CAPP Excess Crime Policy Page 42 of 42
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