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Home My WebLink About000350.tiff POLICY NUMBER : QSX01008-00 QBLE-3000 ( 07-19 ) CAI QB tp,,, QBE Specialty Insurance Company 55 Water Street , New York , New York 10041 Home Office : c/o CT Corporation System , 314 East Thayer Avenue , Bismarck , North Dakota 58501 LAW ENFORCEMENT LIABILITY DECLARATIONS NOTICE : THIS COVERAGE FORM PROVIDES CLAIMS MADE AND REPORTED COVERAGE . PLEASE REVIEW THE POLICY CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE AGENT OR BROKER . ITEM 1 . Named Insured and Mailing Address Colorado Counties Casualty and Property Pool c/o CTSI 800 Grant Street , Suite 400 Denver, CO 80203 ITEM 2 . Policy Period From : 1 /1 /2022 To : 1 /1 /2023 ( 12 : 01 am standard time at your address) ITEM 3 . Limit of Liability $ 4 , 000 , 000 each wrongful act $ 8 , 000 , 000 Policy Aggregate ITEM 4 . Deductible $ 1 , 000 , 000 each claim , including claims expenses ITEM 5 . Total Advance Premium $ 3 , 300 , 000 ITEM 6 . Claims Notification Notice of a claim , or an occurrence , which may result in a claim , should be given to : Attn : Alice Ivers Summit Risk Services SLT : $ 99 , 000 120 Gibraltar Road , Suite 210 Horsham , PA 19044 Phone Number: 215-443- 3595 (main ) Fax Number: 215- 773- 7725 qbeclaim@summitrisk . com ITEM 7 . Forms and Endorsements attached to the policy at inception : QBIL- 0285 (08- 14) , IL-2002 ( 12-21 ) , QBLE- 1000 (01 - 16) , QBLE-2044 (01 - 16) , QBLE-2045 (01 - 16) , QBLE-2019 (01 - 16) , QBLE-2010 ( 10-20) , PRU - EXS- 200005 ( 12- 18) , QBLE-2005 (01 - 16) , QBLE-2012 (01 - 16) , QBLE-2016 (04- 16) This policy is a claims- made policy which provides liability coverage only if a claim is made during the policy period or any applicable extended reporting period . QBLE-3000 ( 07-19) Page 1 of 2 QBE and the links logo are registered service marks of QBE Insurance Group Limited . In witness whereof, the Insurer has caused this policy to be executed , but it shall not be valid unless also signed by a duly authorized representative of the Insurer. Todd Jones Mark Pasko President Secretary 1/teses--3ZAI "This contract is delivered as a surplus line coverage under the 'Nonadmitted Insurance Act'. The insurer issuing this contract is not licensed in Colorado but is an eligible nonadmitted insurer. There is no protection under the provisions of the 'Colorado Insurance Guaranty Association Act'. " AJGRMS, Inc. - #113080 QBLE-3000 (07-19) Page 2 of 2 QBE and the links logo are registered service marks of QBE Insurance Group Limited. POLICY NUMBER : QSX01008-00 QBIL-0285 ( 08 -14) CBE ._ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRADE OR ECONOMIC SANCTIONS ENDORSEMENT This insurance coverage does not apply to the extent that trade or economic sanctions prohibit the insurer or any member of the insurer's group from providing insurance coverage , including , but not limited to, the payment of claims . All other terms and conditions of the policy remain the same . QBIL-0285 ( 08-14) Page 1 of 1 POLICY NUMBER : QSX01008-00 IL-2002 ( 12 -21 ) CZ) QBE , . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SERVICE OF PROCESS ENDORSEMENT When a cause of action arises in any of the states listed below , service of process applies as shown below for that state . As used in this endorsement, "the Company" shall mean QBE Specialty Insurance Company. ALABAMA Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Alabama as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary hereunder arising out of this contract of insurance . The Company further designates CT Corporation System , 2 North Jackson Street , Suite 605 , Montgomery , AL 36104 as the person to whom the Commissioner shall mail process . ALASKA Service of Process Clause U pon any cause of action arising in Alaska under this contract , the Company may be sued . The Company appoints the Director of Insurance for the State of Alaska as its attorney for acceptance of service of all legal process issued in this state in any action or proceeding arising out of this policy . Service of process upon the Director, or his successors in office , shall be lawful service upon the Company . The Company further designates CT Corporation System , 9360 Glacier Highway , Suite 202 , Juneau , AK 99801 as the person to whom the Director is authorized to mail such process or a true copy thereof. ARIZONA Service of Process Clause U pon any cause of action arising in Arizona under this contract , the Company may be sued in the circuit court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Director of Insurance of the State of Arizona by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 3800 North Central Avenue , Suite 460 , Phoenix, AZ 85012 , as the person to whom the Director shall mail process . ARKANSAS Service of Process Clause U pon any cause of action arising in Arkansas under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Arkansas and his successors in office by the clerk of the court in which the action is brought . The Company further designates The Corporation Company , 124 West Capitol Avenue , S uite 1900 , Little Rock , AR 72201 as the person to whom the Commissioner shall mail process . CALIFORNIA Service of Suit Clause The Company hereby designates CT Corporation System , 330 North Brand Boulevard , Glendale , California 91203 - 2336 as its true and lawful attorney in and for the State of California , upon whom all lawful process may be served in any action , suit or proceeding instituted in California by or on behalf of any insured or beneficiary against the Company arising out of this insurance policy , provided a copy of any process , suit , complaint or summons is sent by certified or registered mail to : 55 Water Street , 19th Floor, New York , NY 10041 . COLORADO Service of Process Clause U pon any cause of action under this policy , the Company may be sued in the district court of the county in which the cause of action arose . The Company appoints the Commissioner of Insurance for the State of Colorado as its attorney for acceptance of service of all legal process issued in this state in any action or proceeding arising out of this policy . S ervice of process upon the Commissioner shall be lawful service upon the Company . The Company further designates CT Corporation System , 7700 East Arapahoe Road , Suite 220 , Centennial , CO 80112 as the person to whom the Commissioner is authorized to mail such process or a true copy thereof. IL-2002 ( 12-21 ) © QBE. , 2021 Page 1 of 7 CONNECTICUT Service of Process Clause U pon any cause of action under this policy , the Company may be sued in the district court of the county in which the cause of action arose . The Company appoints the Commissioner of Insurance for the State of Connecticut as its attorney for acceptance of service of all legal process issued in this state in any action or proceeding arising out of this policy . Service of process upon the Commissioner shall be lawful service u pon the Company . The Company further designates CT Corporation System , 67 Burnside Avenue , East Hartford , CT 06108 as the person to whom the Commissioner is authorized to mail such process or a true copy thereof. DELAWARE Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Delaware as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates Delaware Department of Insurance , 1351 West North Street , Suite 101 , Dover, DE 19904 as the person to whom the Commissioner shall mail process . DISTRICT OF COLUMBIA Service of Process Clause The Company hereby designates the Commissioner of Insurance of the District of Columbia as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 1015 15th Street , NW, Suite 1000 , Washington , DC 20005 as the person to whom the Commissioner shall mail process . FLORIDA Service of Process Clause The Company hereby designates the Chief Financial Officer of the Department of Financial Services as its agent upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary hereunder arising out of this contract of insurance . The Company further designates CT Corporation System , 1200 South Pine Island Road , Plantation , FL 33324 as the person to whom the Chief Financial Officer shall mail process . GEORGIA Service of Process U pon any cause of action under this policy , the Company may be sued in the superior court of the county in which the cause of action arose . The Company appoints the Georgia Commissioner of Insurance as its attorney for acceptance of service of all legal process issued in this state in any action or proceeding arising o ut of this policy . Service of process upon the Commissioner shall be lawful service upon the Company . The Company further designates CT Corporation System , 289 South Culver Street , Lawrenceville , GA 30046 as the person to whom the Commissioner is authorized to mail such process or a true copy thereof. HAWAII Service of Process Clause U pon any cause of action under this policy , the Company may be sued in the district court of the county in which the cause of action arose . The Company appoints the Commissioner of Insurance for the State of Hawaii as its attorney for acceptance of service of all legal process issued in this state in any action or proceeding arising out of this policy . Service of process upon the Commissioner shall be lawful service u pon the Company . The Company further designates The Corporation Company , Inc . , 1136 Union Mall , U uite 301 , Honolulu , HI 96813 as the person to whom the Commissioner is authorized to mail such process o r a true copy thereof. IDAHO Service of Process Clause U pon any cause of action arising in Idaho under this contract , the Company may be sued in the district court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Director of the Department of Insurance of the State of Idaho . The Company further designates CT Corporation System , 921 S . Orchard Street , Suite G , Boise , ID 83705 as the person to whom the Director shall mail process . ILLINOIS Service of Process Clause The Company hereby designates the Director of the Illinois Department of Insurance and his successor or successors in office as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary hereunder arising out of this contract of insurance . The Company further designates CT Corporation System , 208 South LaSalle Street , Suite 814 , Chicago , IL 60604 as the person to whom the Director shall mail process . IL-2002 ( 12-21 ) © QBE. , 2021 Page 2 of 7 INDIANA Service of Process Clause U pon any cause of action arising in Indiana under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Indiana by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 334 North Senate Avenue , Indianapolis , IN 46204- 1708 as the person to whom the Commissioner shall mail process . IOWA Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Iowa as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 400 East Court Avenue , Suite 110 , Des Moines , Iowa 50309 as the person to whom the Commissioner shall mail process . KANSAS Service of Process Clause U pon any cause of action arising in Kansas under this policy , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Kansas and his successor or successors in office . The Company further designates The Corporation Company , Inc . , 112 S . W. Seventh Street , Suite 3C , Topeka , KS 66603 as the person to whom the Commissioner shall mail process . KENTUCKY Service of Process Clause U pon any cause of action arising in Kentucky under this contract , the Company may be sued in the circuit court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Kentucky Secretary of State by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 306 West Main Street , Suite 512 , Frankfort , KY 40601 as the person to whom the Secretary of State shall mail process . LOUISIANA Service of Process Clause U pon any cause of action arising in Louisiana under this contract , the Company may be sued in the district court of the parish in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Louisiana Secretary of State . The Company further designates CT Corporation System , 3867 Plaza Tower Drive , Baton Rouge , LA 70816 as the person to whom the Secretary of State shall mail process . MAINE Service of Process Clause U pon any cause of action arising in this State under this policy , the Company may be sued in the Superior Court . Service of legal process against the Company may be made in any such action by service of two copies upon the designated agent . The Company further designates CT Corporation System , 128 State Street , #3 , Augusta , ME 04330 as the agent . MARYLAND Service of Process Clause U pon any cause of action arising in Maryland under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Insurance Commissioner of the State of Maryland by the clerk of the court in which the action is brought . The Company further designates The Corporation Trust Incorporated , 2405 York Road , Suite 201 , Lutherville Timonium , MD 21093 as the person to whom the Commissioner shall mail process . MASSACHUSETTS Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Massachusetts as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 155 Federal Street , Suite 700 , Boston , MA 02110 as the person to whom the Commissioner shall mail process . MICHIGAN Service of Process Clause U pon any cause of action arising in Michigan under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Director of Insurance , c/o Resident Agent , of the State of Michigan by the IL-2002 ( 12-21 ) © QBE. , 2021 Page 3 of 7 clerk of the court in which the action is brought . The Company further designates The Corporation Company , 40600 Ann Arbor Road East , Suite 201 , Plymouth , MI 48170 as the person to whom the Commissioner shall mail process . MINNESOTA Service of Process Clause U pon any cause of action arising in Minnesota under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Commerce of the State of Minnesota by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , Inc. , 1010 Dale Street North , Saint Paul , MN 55117 as the person to whom the Commissioner shall mail process . MISSISSIPPI Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Mississippi as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 645 Lakeland East Drive , Suite 101 , Flowood , MS 39232 as the person to whom the Commissioner shall mail process . MISSOURI Service of Process Clause U pon any cause of action arising in Missouri under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Director of Insurance of the State of Missouri and his successors in office by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 120 South Central Avenue , Clayton , MO 63105 as the person to whom the Director shall mail process . MONTANA Service of Process Clause U pon any cause of action under this policy , the Company may be sued in the district court of the county in which the cause of action arose . The Company appoints the Commissioner of Insurance of the State of Montana as its attorney for acceptance of the service of all legal process issued in this state in any action or proceeding arising out of this policy . Service of process upon the Commissioner shall be lawful service u pon the Company . The Company further designates CT Corporation System , 3011 American Way , Missoula , MT 59808 as the person to whom the Commissioner is authorized to mail such process or a true copy thereof. NEBRASKA Service of Process Clause U pon any cause of action arising in Nebraska under this policy , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Director of Insurance of the State of Nebraska . The Company further designates CT Corporation System , 5601 South 59th Street , Suite C , Lincoln , NE 68516 as the person to whom the Director shall mail process . NEVADA Service of Process Clause U pon any cause of action arising in Nevada under this contract , the Company may be sued in a district court of Nevada . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Nevada or the Commissioner's authorized representative . The Company further designates The Corporation Trust Company of Nevada , 701 South Carson Street , Suite 200 , Carson City , NV 89701 as the person to whom the Commissioner shall mail process . NEW HAMPSHIRE Service of Process Clause U pon any cause of action arising in New Hampshire under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of New Hampshire by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 2% Beacon Street , Concord , NH 03301 -4447 as the person to whom the Commissioner shall mail process . NEW JERSEY Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of New Jersey as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further IL-2002 ( 12-21 ) © QBE. , 2021 Page 4 of 7 designates CT Corporation System , 820 Bear Tavern Road , West Trenton , NJ 08628 as the person to whom the Commissioner shall mail process . NEW MEXICO Service of Process Clause U pon any cause of action arising in New Mexico under this contract , the Company may be sued in the district court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Superintendent of Insurance of the State of New Mexico by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 206 South Coronado Avenue , Espanola , NM 87532 as the person to whom the Superintendent shall mail process . NEW YORK Service of Process Clause The Company hereby designates the Superintendent of Financial Services of the State of New York , and his successors in office , as its true and lawful attorney upon whom all lawful process may be served in any action , suit , or proceeding instituted in this State by or on behalf of the insured or any beneficiary against the Company arising out of this policy of insurance . The Company further designates CT Corporation System , 28 Liberty Street , New York , NY 10005 as the person to whom the Superintendent shall mail process . NORTH CAROLINA Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of North Carolina , and his successor(s) in office , as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 160 Mine Lake Court , U uite 200 , Raleigh , NC 27615 as the person to whom the Commissioner shall mail process . NORTH DAKOTA Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of North Dakota as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 120 West Sweet Avenue , Bismarck , ND 58504 as the person to whom the Commissioner shall mail process . OHIO Service of Process Clause U pon any cause of action arising in Ohio under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Superintendent of Insurance of the State of Ohio by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 4400 Easton Commons Way , Suite 125 , Columbus , OH 43219 as the person to whom the Superintendent shall mail process . OKLAHOMA Service of Process Clause U pon any cause of action arising in Oklahoma under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Oklahoma by the clerk of the court in which the action is brought . The Company further designates The Corporation Company , 1833 South Morgan Road , Oklahoma City, OK 73128 as the person to whom the Commissioner shall mail process . OREGON Service of Process Clause U pon any cause of action arising in Oregon under this contract , the Company may be sued in the circuit court of the county in which the cause of action arose . The Company further designates CT Corporation System , 780 Commercial Street SE , Suite 100 , Salem , OR 97301 as the person to whom the process shall be mailed . PENNSYLVANIA Service of Process Clause U pon any cause of action arising in Pennsylvania under this contract , the Company may be sued in the court of the county in which the cause of action arose . The Company hereby designates the Commissioner of Insurance of the Commonwealth of Pennsylvania as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any IL-2002 ( 12-21 ) © OBE. , 2021 Page 5 of 7 beneficiary arising out of this contract of insurance . Service of process shall be made pursuant to the procedures provided by 42 Pa . C . S . Ch . 53 Subch . B ( relating to interstate and international procedure) . The Company further designates CT Corporation System , 600 North Second Street , Suite 401 , Harrisburg , PA 17101 as the person to whom the Commissioner shall mail process . RHODE ISLAND Service of Process Clause Upon any cause of action arising in Rhode Island under this policy , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Rhode Island by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 450 Veterans Memorial Parkway , Suite 7A , East Providence , RI 02914 as the person to whom the Commissioner shall mail process . SOUTH CAROLINA Service of Process Clause The Company hereby designates the Director of Insurance of the State of South Carolina as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 2 Office Park Court , Suite 103 , Columbia , SC 29223 as the person to whom the Director shall mail process . SOUTH DAKOTA Service of Process Clause Any cause of action against the Company arising in South Dakota under this policy shall be brought in the circuit court for the county in which the cause of action arose . Service of legal process against the Company may be made in any such action by service upon the Director of Insurance of the State of South Dakota and his successors in office . The Company further designates CT Corporation System , 319 South Coteau Street , Pierre , SD 57501 as the person to whom the Director shall mail a copy of the process . TENNESSEE Service of Process Clause The Company hereby designates the Commissioner of Commerce and Insurance of the State of Tennessee as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 300 Montvue Road , Knoxville , TN 37919 as the person to whom the Commissioner shall mail process . TEXAS Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Texas as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary hereunder arising out of this contract of insurance . The Company further designates CT Corporation System , 1999 Bryan Street , Suite 900 , Dallas , TX 75201 as the person to whom the Commissioner shall mail process . UTAH Service of Process Clause The Company hereby designates the Commissioner of Insurance of the State of Utah as its agent upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary hereunder arising out of this contract of insurance . The Company further designates CT Corporation System , 1108 East South Union Avenue , Midvale , UT 84047 as the person to whom the Commissioner shall mail process . VERMONT Service of Process Clause The Company hereby designates the Secretary of State of Vermont as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by or on behalf of the insured or any beneficiary arising out of this contract of insurance . The Company further designates CT Corporation System , 17 G W Tatro Drive , Jeffersonville , VT 05464 as the person to whom the Secretary of State shall mail process . VIRGINIA Service of Process Clause The Company hereby designates the Clerk of the Virginia State Corporation Commission as its true and lawful attorney upon whom may be served any lawful process in any action , suit or proceeding instituted by o r on behalf of the insured or any beneficiary hereunder arising out of this contract of insurance . The IL-2002 ( 12-21 ) © QBE. , 2021 Page 6 of 7 Company further designates CT Corporation System , 4701 Cox Road , Suite 285 , Glen Allen , VA 23060 as the person to whom the Clerk of the Commission shall mail process . WASHINGTON Service of Process Clause U pon any cause of action arising in Washington under this contract , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Washington by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 711 Capitol Way South , Suite 204 , Olympia , WA 98501 as the person to whom the Commissioner shall mail process . WEST VIRGINIA Service of Process Clause U pon any cause of action arising in West Virginia under this policy , the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Secretary of State of West Virginia by the clerk of the court in which the action is brought . The Company further designates CT Corporation System , 5098 Washington Street W, Suite 407 , Charleston , VVV 25313 as the person to whom the Secretary of State shall mail process . WISCONSIN Service of Process Clause U pon any cause of action arising in Wisconsin under this policy the Company may be sued in the court of the county in which the cause of action arose . Service of process against the Company may be made in such action by service upon the Commissioner of Insurance of the State of Wisconsin . The Company further designates CT Corporation System , 301 South Bedford Street , Suite 1 , Madison , WI 53703 as the person to whom the Commissioner shall mail process . WYOMING Service of Process Clause U pon any cause of action under this policy , the Company may be sued in the district court of the county in which the cause of action arose . The Company appoints the Commissioner of Insurance of the State of Wyoming as its attorney for acceptance of the service of all legal process issued in this state in any action or proceeding arising out of this policy . Service of process upon the Commissioner shall be lawful service upon the Company . The Company further designates CT Corporation System , 1908 Thomas Avenue , Cheyenne , WY 82001 as the person to whom the Commissioner is authorized to mail such process or a true copy thereof. All other terms and conditions of this policy remain unchanged . IL-2002 ( 12-21 ) © QBE. , 2021 Page 7 of 7 POLICY NUMBER : QSX01008-00 QBLE-1000 ( 01 -16 ) LAW ENFORCEMENT LIABILITY COVERAGE FORM CLAIMS MADE AND REPORTED NOTICE : THIS COVERAGE FORM PROVIDES CLAIMS MADE AND REPORTED COVERAGE . PLEASE REVIEW THE POLICY CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE AGENT OR BROKER. Various provisions in this policy restrict coverage . Read the entire policy carefully to determine your rights , duties , and what is and is not covered . Titles are used within this policy for convenience only and shall not control or affect the meaning or construction of any provision of this policy . Other words and phrases that appear in bold have special meaning . Refer to SECTION III- DEFINITIONS . In consideration of the payment of the premium , in reliance upon the information in the written application made a part hereof, and subject to all of the provisions of this policy , the Company agrees as follows : SECTION I — COVERAGE A . Insuring Agreement We will pay those sums that the Insured becomes legally obligated to pay as damages because of a wrongful act (regardless of whether or not such allegations prove to be groundless , false or fraudulent) arising out of the discharge of duties by or on behalf of the Named Insured as shown in the Declarations provided always that : a . the claim , on account of such wrongful act , is first made against the Insured and reported to us during the policy period , in compliance with SECTION IV - CONDITIONS - Item 4 . , or any applicable reporting period under SECTION III - EXTENDED REPORTING PERIODS ; b . such wrongful act took place in the coverage territory ; and c . as of the inception date of this policy , no Insured had any knowledge of any circumstance likely to result in or give rise to a claim nor could have reasonably foreseen that a claim might be made . For purposes of paragraph 1a . of SECTION I - COVERAGE A . Insuring Agreement , if, during the policy period or any applicable reporting period under SECTION III - EXTENDED REPORTING PERIODS , the Insured gives written notice to us , in accordance with SECTION IV - CONDITIONS - Item 4 . , of a wrongful act likely to result in a claim , then any claim that may subsequently be made against an Insured arising out of such wrongful act shall be deemed to have been made during the policy period or any applicable reporting period hereunder. B . Defense and Supplementary Payments 1 . The Company shall have the right and duty to defend any claim or suit against any insured even if the allegations of the claim or suit are groundless , false or fraudulent , and may make such investigation of any claim or suit at its discretion . The Company shall not be obligated to defend any claim or suit , pay any damages or claims expenses , or continue to defend any claim or suit after the Limit of Liability has been exhausted . 2 . No insured , except at its own cost and for its own account , shall , without written consent of the Company , make any payment , admit any liability , settle any claim or suit , assume any obligation , or incur any expense . 3 . The Company shall have the right, but no duty , to appeal any judgment . 4 . The Company will pay in addition to the applicable Limit of Liability : a . all claim expenses incurred by the Company , all costs taxed against the insured in any claim or suit defended by the Company , and any interest on the entire amount of any judgment therein which does not exceed the limit of the Company's liability. Claim expenses as used do not include salaries of officers or employees of the Company or the public entity ; b . premium on appeal bonds required in any suit defended by the Company , premium on bonds to release attachments in any such suit for an amount not in excess of the applicable Limit of Liability of this policy , but the Company shall have no obligation to apply for or furnish any such bonds ; c. reasonable expense incurred by the insured at the Company's request for assisting the Company in the investigation or defense of any claim or suit , including his or her attendance at hearings or trials ; QBLE-1000 ( 01 -16) Page 1 of 7 d . expenses incurred by an insured for first aid to others at the time of accident for bodily injury to which this policy applies . C . Limit of Liability 1 . The Limit of Liability shown in the Declarations is the most we will pay regardless of the number of: a . Insureds b . Claims made or suits brought ; or c . Persons or organizations making a claim or bringing a suit . 2 . Our total liability for damages as a result of all claims covered under this coverage shall not exceed the amount stated in Item 3 . of the Declarations as the Policy Aggregate Limit of Liability . 3 . Subject to the above provision respecting Policy Aggregate Limit , our liability for damages as a result of any one claim or suit covered under this policy shall not exceed the amount stated in Item 3 . of the Declarations as Limit of Liability for Each Wrongful Act . 4 . The Limits of Liability for this coverage apply separately to each consecutive annual period and to any remaining period of less than twelve ( 12) months , other than a reporting period , starting with the beginning of the policy period shown in the Declarations , unless the policy period is extended after issuance for an additional period of less than (twelve) 12 months . In that case , the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Liability . 5 . Any applicable reporting period under SECTION III - EXTENDED REPORTING PERIODS shall be deemed to be pad of the last preceding policy period for purposes of determining the Limits of Liability . The Limits of Liability do not apply separately to any reporting period under SECTION III - EXTENDED REPORTING PERIODS . SECTION II - EXCLUSIONS This policy does not apply and the Company has no obligation to defend any claim or suit : 1 . Auto , Watercraft or Aircraft For bodily injury or property damage arising out of the ownership , maintenance , operation , use , loading or unloading , or negligent entrustment of any (a) automobile , watercraft , aircraft , motorcycle , or other motorized means of transportation owned by operated by , rented by , or loaned to the insured ; or (b) to any other automobile , watercraft , aircraft , motorcycle , or other motorized unit operated by any person in the course of his employment by the insured . 2 . Pollution For the actual , alleged , or threatened discharge , dispersal , seepage , migration , release or escape of smoke , vapors , soot , fumes , acids , toxic chemicals , liquids or gases , lead in any form , electro - magnetic radiation , waste materials , or irritants , contaminants or pollutants into or upon land , the atmosphere , or any watercourse or body of water, However, this exclusion shall not apply to the handling or use of teargas , mace , or similar substances by any person while acting within the course and scope of their employment by the insured . 3 . Criminal Acts For damages arising out of the willful violation of a penal statute or ordinance committed by or with the knowledge or consent of the insured , or claims of injury arising out of acts of fraud committed by or at the direction of any insured with affirmative dishonesty or actual intent to deceive or defraud . 4. Contractual Liability For liability assumed by the insured under any contract or agreement whether written , oral , or implied except mutual law enforcement assistance agreements between political subdivisions . 5 . Other than the Named Insured Arising out of the performance of any act or service of law enforcement duty for anyone other than the named insured . This exclusion shall not apply if the act or service arises as the result of a mutual law enforcement assistance agreement or contract between political subdivisions , nor does it apply to " moonlighting" when approved by the named insured and declared on the application for this insurance . 6 . Worker's Compensation , Employers' Liability and Similar Laws For any obligation for which any insured , or any carrier as his insured may be held liable under the workers' compensation act, employers' liability law, unemployment compensation law , disability benefits law , Employee Retirement Income Security Act (ERISA) , Consolidated Omnibus Budget Reconciliation Act of 1988 (COBRA) or any similar law . QBLE-1000 ( 01 -16) Page 2 of 7 7 . Injury to an Insured For personal injury , bodily injury , or property damage sustained by any paid full time or pad time and/or auxiliary or volunteer law enforcement officer of the named insured directly or indirectly related to his or her employment by the named insured . 8 . Non -Monetary Damages For any claims or suits or demands seeking relief or redress in any form other than money damages , nor shall the Company have any obligation to indemnify an insured for any costs , fees or expenses which the insured shall become obligated to pay as a result of an adverse judgment for injunctive or declaratory relief; however , the Company will afford defense to an insured for such actions , claims , suits or demands , if not otherwise excluded , where compensatory damages are requested . 9 . Investigative or Administrative Proceedings For any investigatory , administrative , disciplinary , or criminal proceeding against an individual insured except that the Company may at their own option appoint counsel in the defense of any such proceeding . Should the Company elect to appoint counsel , such election shall not constitute a waiver or estoppel of any rights the Company may have pursuant to the terms , conditions , exclusions and limitations of the policy . 10 . Employment Related Actions For any claim or suit arising out of the employment policies or practices of the named insured including , but not limited to , claims due to demotion , selection , dismissal , failure to promote or other personnel related actions . 11 . Nuclear Arising from the use or handling by any insured of any radioactive materials or hazardous , radioactive property . 12 . Damage to Property For property damage to : a . property owned , used , occupied by , or rented to the insured ; or b . property in the care , custody or control of the insured or as to which the insured is for any purpose exercising physical control . This Section 12 . b does not apply to personal property carried on persons at the time of their arrest . SECTION III - EXTENDED REPORTING PERIODS A . We will provide one or more extended reporting periods as described below . B . The extended reporting periods do not extend the policy period or change the scope of coverage provided under this policy , and apply only to a claim for damages arising out of wrongful acts that occur before the end of the policy period . C . The extended reporting periods do not reinstate or increase the Limits of Liability . D . A Basic Extended Reporting Period of sixty (60) days from the effective date of expiry or cancellation or nonrenewal of this policy is automatically provided without an additional charge . Subject to the terms of this policy , the Basic Extended Reporting Period applies to claim for damages that are first made against an Insured during the policy period and reported to us in accordance with SECTION IV - CONDITIONS - Item 4 . , no later than the end of the Basic Extended Reporting Period . The Basic Extended Reporting Period does not apply to a claim covered under any other insurance purchased subsequent to , or to replace , this policy . E. If this policy is canceled or not renewed for any reason other than nonpayment of premium or any other amount owed to us , an Optional Extended Reporting Period will be offered to you , subject to the payment of additional premium , and shall take effect on the effective date of cancellation or nonrenewal of this policy . The Optional Extended Reporting Period will remain in effect for a period of one , two , or three years , depending on which Optional Extended Reporting Period you purchase . Subject to the terms of this policy , the Optional Extended Reporting Period applies to a claim for damages reported to us , in accordance with SECTION IV - CONDITIONS — Item 4 . , no later than the end of the purchased Optional Reporting Period . Nonrenewal by us shall mean the refusal by us to renew the policy on any terms . Nonrenewal by us shall not mean a change in premium , deductibles , Limits of Liability or other terms . QBLE-1000 ( 01 -16) Page 3 of 7 The additional premium for the Optional Extended Reporting Period will depend on which option you choose , as shown below , but will be no more than 150 % of the annual premium for the last policy period . Option 1 1 year 75% Option 2 2 years 125% Option 3 3 years 150% We must receive a written request from you , together with payment of the additional premium due , within sixty (60) days after the effective date of cancellation or nonrenewal of this policy if you wish to purchase one of the Optional Extended Reporting Periods . You must state in your request which Optional Extended Reporting Period you wish to purchase . The Optional Extended Reporting Period will not go into effect unless you pay and we acknowledge receipt of the additional premium when due . Once in effect , the Optional Extended Reporting Period may not be canceled and the premium for the Optional Extended Reporting Period is fully earned . The Optional Extended Reporting Period does not apply to claims covered under any other insurance purchased subsequent to , or to replace , this policy . SECTION IV - CONDITIONS 1 . Inspection and Audit The Company shall be permitted , but not obligated , to inspect the named insured 's property and operations at any time . Neither the Company's right to make such inspections nor the making thereof nor any report thereon shall constitute an undertaking on behalf of or for the benefit of the Named Insured or others , to determine or warrant that such property or operations are safe , healthful , or in compliance with any law , rule or regulation . The Company may examine and audit the named insured 's books and records at any time during the policy period or any extension thereof and within three years after the final termination of this policy , as far as they relate to the subject matter of this insurance . 2 . Agreement and Severability. It is agreed that the particulars and information contained in the written application , a copy of which is attached , and the Declarations are the basis of this policy and are to be considered as incorporated in and constituting a part of the policy . As respects the particulars and information contained in the written application and the policy provisions set forth herein , this policy shall be constituted as a separate agreement with each insured . Nothing in this paragraph shall be construed to increase the Limit of Liability of the Company as set forth in this policy . 3 . Terms of Policy-Statute . Terms of this policy which are in conflict with the statutes of the state wherein this policy is issued are hereby amended to conform to such statutes . 4. Insureds duties in the event of an occurrence , claim , or suit. If during the Policy Period , an Insured becomes aware of a Wrongful Act that could give rise to a Claim against an Insured and gives written notice to the Insurer prior to the end of the Policy Period of the following : 1 . the names of all potential claimants ; 2 . the names of each Insured that committed the Wrongful Act ; 3 . a detailed description of the Wrongful Act ; 4 . the damage which has or may result from the Wrongful Act ; and 5 . the circumstances by which the Insured first became aware of such Wrongful Act ; Then any Claim which subsequently arises out of such Wrongful Act shall be treated as a Claim first made during the Policy Period . 5 . Action against the Company. No action shall lie against the Company unless , as a condition precedent thereto , there shall have been full compliance with all of the terms of this policy , nor until the amount of an insured 's obligation to pay shall have been finally determined either by judgment against the insured after trial or by written agreement of the insured , claimant and the Company . QBLE-1000 ( 01 -16) Page 4 of 7 Any person or organization or the legal representative thereof who has secured such judgment or written agreement shall thereafter be entitled to recover under this policy to the extent of the insurance afforded by this policy . No person or organization shall have any right under this policy to join the Company as a party to any action against an insured to determine the insured 's liability , nor shall the Company be impleaded by the insured or his legal representative . Bankruptcy or insolvency of insured or the insured 's estate shall not relieve the Company of any of its obligations hereunder. 6 . Other Insurance . The insurance afforded by this policy is primary insurance , except when stated to apply in excess of or contingent upon the absence of other insurance . When this insurance is primary and an insured has other insurance or coverage which is stated to be applicable to the damages on an excess or contingent basis , the amount of the Company's liability under this policy shall not be reduced by the existence of such other insurance . When both this insurance and other insurance apply to damages on the same basis , whether primary , excess or contingent , the Company shall not be liable under this policy for a greater proportion of the damages than that stated in the applicable contribution provision below : a . Contribution by Equal Shares . If all of such other valid and collectible insurance provides for contribution by equal shares , the Company shall not be liable for a greater proportion of such damages than would be payable if each insurer contributes an equal share until the share of each insurer equals the lowest applicable Limit of Liability under one policy or the full amount of the damages is paid , and with respect to any amount of damages not so paid the remaining insurers then continue to contribute equal shares for the remaining amount of the damages until each such insurer has paid its limit in full or full amount of the damages is paid . b . Contribution by Limits . If any such other insurance does not provide for contribution by equal shares , the Company shall not be liable for a greater proportion of such damages than the applicable Limit of Liability under this policy for such damages bears to the total applicable Limit of Liability of all valid and collectible insurance against such damages . The premises liability insurance afforded by this policy shall be in excess of any other valid and collectible premises liability insurance available to the insured whether such premises liability is stated to be primary , contributory , excess , contingent or otherwise , unless such other insurance is written only as specified excess insurance over the limit of liability provide in this policy . 7 . Subrogation . In the event of any payment under this policy , the Company shall be subrogated to all the insured 's rights of recovery against any person or organization and the insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights . The insured shall do nothing after the payment of judgment or settlement to prejudice such rights . 8 . Changes . Notice to any agent , or knowledge possessed by any agent or by any other person , shall not effect a waiver or a change in any part of this policy or estop the Company from asserting any right under the terms of this policy ; nor shall the terms of this policy be waived or changed , except by endorsement issued to form a part of this policy , and signed by a duly authorized representative of the Company . 9 . Assignment. Assignment of interest under this policy shall not bind the Company until its consent is endorsed heron ; if however, an insured shall die , such insurance as is afforded by this policy shall apply ( 1 ) to the insured 's legal representatives , but only while acting within the scope of their duties as such , and (2) with respect to the property of the insured , to the person having proper temporary custody thereof, as insured , but only until the appointment and qualification of the legal representative . 10 . Deductible . The Deductible amount , if any , stated in the Declarations is applicable to each claim and shall be subtracted from the total amount of money damages and claims expenses including ( 1 ) payments for damages and (2) investigation , adjustment , defense and/or appeal expenses , whether or not payment is made for damages , resulting from each claim and the Company shall be liable only for the difference between such Deductible amount and the amount of insurance otherwise applicable to such claim . QBLE-1000 ( 01 -16) Page 5 of 7 11 . Cancellation . This policy may be cancelled by the named insured by surrendering the policy to the Company or any of its authorized agents , or by mailing to the Company written notice stating when , thereafter, the cancellations shall be effective . This policy may be cancelled by the Company by mailing to the named insured at the address shown in the policy , written notice stating when not less than ten ( 10) days for non - payment of premium , or sixty (60) days for any other valid reason , thereafter, such cancellation shall be effective . The mailing of notice as aforesaid shall be sufficient proof of notice . The time of surrender or the effective date and hour of cancellation stated in the notice shall become the end of the policy period . Delivery of such written notice either by the named insured or by the Company shall be equivalent to mailing . If this policy shall be cancelled by the named insured , the Company shall retain the customary shod rate proportion of the premium hereon . Payment or tender of any unearned premium by the Company shall not be a condition precedent to the effectiveness of cancellation , but such payment shall be made as soon as practical . If the period of limitation relating to the giving of notice is prohibited or made void by any law controlling the construction thereof, such period shall be deemed to be amended to be equal to the minimum period of limitation of such law . 12 . Declarations . By acceptance of this policy , the named insured agrees that the information in the application is his agreement and representation , that this policy is issued in reliance upon the truth , accuracy and completeness of such representations , and that this policy embodies all agreements existing between himself and the Company or any of its agents relating to insurance . 13 . Sovereign Immunity . It is agreed that the Company will not avail itself of the defense of sovereign immunity to which the named insured may be entitled by reason of its being a public and /or governmental entity , unless the named insured requests the Company to raise such defense by written notice to the Company . It is further agreed that the named insured hereby releases the Company from all liability because of the failure on the pad of the Company to raise such defense , except in cases where the named insured specifically requests the Company to do so in a manner provided herein . 14. Consent to Settle . The Company will consult with the insured when the Company settles a claim or suit . If the insured refuses to consent to any settlement offer the Company receives and the insured elects to contest the claim or suit or continue any legal proceeding in connection with such claim or suit , the Company's liability will not exceed the settlement offer plus supplementary payments incurred as of the date of such refusal . SECTION V - DEFINITIONS Whenever used in this policy , the following words have these meanings : 1 . Automobile — means a land motor vehicle , trailer or semi-trailer designed for travel on public roads . 2 . Bodily Injury — means physical injury to any person including death , sickness , disease , mental anguish , or mental suffering associated with or arising from such physical injury , including bodily injury arising out of assault o r battery . 3 . Claims — means a demand received by the insured for money damages , service of suit , or institution or arbitration processing against the insured . 4. Claims Expenses — means fees charged by an attorney designated by the Company , or designated by the insured with the prior written consent of the Company , and all other fees , costs , and expenses resulting from the investigation , adjustment , defense and appeal of a claim . claims expenses shall not include salaries of e mployees of the Company or the insured . 5 . Damages — means any monetary amount which the insured is legally obligated to pay as a result of a claim or a suit for a wrongful act covered by this policy and shall include , but not be limited to judgments and settlements , but damages shall not include fines imposed by law , or matters which may be deemed uninsurable under the law pursuant to which this policy shall be construed . 6 . Insured — means the named insured , all full or part-time employees , all auxiliary or volunteer law enforcement officers of the named insured , and the public entity of which the law enforcement agency is a pad including the e lected and appointed officials for their law enforcement related acts . The insurance afforded applies separately to each insured against whom a claim is made or a suit is brought , except with respect to the limits of the Company's liability. 7 . Named Insured — means the entity named in Item 1 . of the Declarations . QBLE-1000 ( 01 -16) Page 6 of 7 8 . Occurrence — means an event , including continuous or repeated exposure to substantially the same generally harmful conditions . All claims arising out of the following events constitute one occurrence : a . a riot or insurrection ; b . a civil disturbance resulting in an official proclamation of state of emergency ; c . a temporary curfew ; or d . martial law . 9 . Personal Injury — means : a . assault and/or battery ; b . false arrest , detention or imprisonment , or malicious prosecution ; c . false or improper service of process ; d . humiliation or mental distress ; e . the publication or utterance of libel or slander or other defamatory or disparaging material , or a publication or utterance in violation of an individual 's right to privacy; except publications or utterances in the course of or related to advertising , broadcasting or telecasting by or on behalf of the named insured ; f. violation of civil rights or discrimination protected under 42 USC 1981 et sequentia or State Law ; g . wrongful entry , eviction or other invasion of the right of public occupancy; if such offense occurs during the policy period . 10 . Policy Territory — means coverage is worldwide provided that the claim or suit is brought within the United States of America , its territories or possessions , Puerto Rico or Canada . This policy shall not apply to any risk which would be in violation of the laws of the United States including , but not limited to , U . S . economic or trade sanction laws or export control laws administered by the U . S . Treasury , State , and Commerce Department . 11 . Property Damage — means : a . physical injury to or destruction of tangible property , including loss of use thereof at any time resulting there from ; or b . loss of use of tangible property which has not been physically injured or destroyed . 12 . Suit — means a civil proceeding in which monetary damages are claimed because of a wrongful act to which this insurance applies suit includes : a . an arbitrational proceeding in which the insured must submit or does submit with the Company's consent; or b . any other alternative dispute resolution proceeding in which such damages are claimed and to which an insured submits with the Company's consent . 13 . Wrongful Act — means an actual or alleged error or omission , negligent act , neglect or breach of duty by an insured while conducting law enforcement activities , which result in : a . personal injury , or b . bodily injury , or c. property damage , caused by an occurrence . All other terms and conditions of this policy remain unchanged . QBLE-1000 ( 01 -16) Page 7 of 7 ENDORSEMENT # 1 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ENDORSEMENT - NUCLEAR ENERGY LIABILITY ( Broad Form ) This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form 1 . This insurance does not apply : A . Under any Liability Coverage to personal injury or property damage : 1 ) with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association , Mutual Atomic Energy Liability Underwriters , Nuclear Insurance Association of Canada or any of their successors , or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability ; or 2) Resulting from the hazardous properties of nuclear material and with respect to which (a) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954 , or any law amendatory thereof, or (b) the insured is , or had this policy not been issued would be , entitled to indemnity from the United States of America , or any agency thereof, under any agreement entered into by the United States of America , or any agency thereof, with any person or organization . B . Under any Liability Coverage , to personal injury or property damage resulting from the hazardous properties of nuclear material , if: 1 ) The nuclear material (a) is at any nuclear facility owned by , or operated by or on behalf of, an insured or (b) has been discharged or dispersed therefrom : 2) The nuclear material is contained in spent fuel or waste at any time possessed , handled , used , processed , stored , transported or disposed of by or on behalf of an insured ; or 3) The personal injury or property damage arises out of the furnishing by an insured of services , materials , pads or equipment in connection with the planning , construction , maintenance , operation or use of any nuclear facility but if such facility is located within the United States of America , its territories or possessions or Canada , this exclusion (3) applies only to property damage to such nuclear facility and any property thereat . 2 . As used in this endorsement : Hazardous properties include radioactive , toxic or explosive properties ; nuclear material means source material , special nuclear material or by-product material ; source material , special nuclear material , and by-product material have the meanings given them in the Atomic Energy Act of 1954 or any law amendatory thereof; spent fuel means any fuel element or fuel component , solid or liquid , which has been used or exposed to radiation in a nuclear reactor; waste means any waste material (a) containing by-product material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content , and (b) resulting from the operation by any person or organization of any nuclear facility included under the first two paragraphs of the nuclear facility means : A . Any nuclear reactor; B . Any equipment or device designed or used for ( 1 ) separating the isotopes of uranium or plutonium , (2) processing or utilizing spent fuel or (3) handling , processing or packaging waste ; C . Any equipment or device used for the processing , fabricating , or alloying of special nuclear if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams or uranium 235 ; QBLE-2044 ( 01 -16) Page 1 of 2 D . Any structure , basin , excavation , premises or place prepared or used for the storage or disposal of waste ; and includes the site on which any of the foregoing is located , all operations conducted on such site and all premises are used for such operations ; nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material ; property damage includes all forms of radioactive material . All other terms and conditions of this policy remain unchanged . QBLE-2044 ( 01 -16) Page 2 of 2 ENDORSEMENT #2 This endorsement , effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - MINIMUM EARNED PREMIUM This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is hereby understood and agreed that a minimum of twenty-five percent (25%) of the premium shown on the Declarations page shall be fully earned at the inception date of the policy . All other terms and conditions of this policy remain unchanged . QBLE-2045 ( 01 -16) Page 1 of 1 ENDORSEMENT #3 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - GENERAL CHANGE LINE OF DUTY DEATH COVERAGE This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is understood and agreed that the following is added to SECTION I — COVERAGE , Part B . Defense and Supplementary Payments , paragraph 4 . e . expenses incurred by the named insured not to exceed $50 , 000 for voluntary payments made by the named insured to the family , or members of the household , of a an insured who is fatally injured as the result of a felony which occurs while that insured is acting within the course and scope of their employment for the named insured and during the policy period . The maximum limit for this coverage is $ 100 , 000 per " policy period . " The coverage afforded by this endorsement does not apply to : i . Suicide ; ii . Injury caused by a beneficiary of this coverage ; iii . Heart attack or stroke which occurs more than twenty-four (24) hours after the felonious injury ; or iv. Conditions or symptoms related to HIV, AIDS or any other communicable disease . All other terms and conditions of this policy remain unchanged . QBLE-2019 ( 01 -16) Page 1 of 1 ENDORSEMENT #4 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMUNICABLE DISEASE EXCLUSION This endorsement modifies insurance provided under the following : Law Enforcement Coverage Form It is agreed that the policy is amended as follows : 1 . SECTION II - EXCLUSIONS is amended to add the following : • Communicable Disease This policy does not apply to any claim , suit , damages or claims expenses based upon , arising out of, directly or indirectly resulting from or in connection with any communicable disease including , but not limited to , the COVID- 19 virus . Notwithstanding anything in this policy to the contrary , this exclusion applies to such claim or suit (including any bodily injury , property damage , or personal injury alleged therein) , claims expenses or damages based upon , arising out of, directly or indirectly resulting from or in connection with any actual or alleged negligence or wrongful act by any insured in : a . the hiring , training , employing , monitoring or supervision of any employee or others , including any employee or others that may be infected with and/or spread communicable disease ; b . controlling , monitoring , or supervising the care of any person in the care , custody or control of any insured ; c . obtaining or providing medical treatment or medical monitoring for any person ; d . testing or screening for communicable disease ; e . the quarantining of any person ; f. the failure to prevent the spread of communicable disease ; g . the failure to advise of the existence of communicable disease ; or h . the failure to report the communicable disease to the authorities . 2 . The DEFINITIONS Section is amended to add the following : • Communicable disease means an infectious disease transmissible from person to person by direct contact with an affected person or that person 's discharges or body fluids . All other terms and conditions of this policy remain unchanged . QBLE-2010 ( 10-20) Page 1 of 1 ENDORSEMENT #5 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . SCHEDULE OF PARTICIPATING MEMBERS This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is hereby agreed that Item 1 of the Declarations is amended to reflect the Schedule of Participating Members below . SCHEDULE OF PARTICIPATING MEMBERS Alamosa Las Animas Archuleta Lincoln Baca Logan Bent Mineral Chaffee Moffat Cheyenne Montrose Clear Creek Morgan Conejos Otero Costilla Ouray Crowley Park Custer Phillips Delta Prowers Dolores Pueblo Elbert Rio Blanco Fremont Rio Grande Garfield Routt Gilpin Saguache Grand San Juan Gunnison San Miguel Hinsdale Sedgwick Huerfano Summit Jackson Teller Kiowa Washington Kit Carson Weld La Plata Yuma Lake All other terms and conditions of the policy remain unchanged . PRU -EXS -200005 ( 12-18) Page 1 of I ENDORSEMENT #6 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - RETROACTIVE DATE This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is understood and agreed that that SECTION I - COVERAGE , A . Insuring Agreement, is deleted and replaced by the following : SECTION I - COVERAGE A . Insuring Agreement 1 . We will pay those sums that the insured becomes legally obligated to pay as damages because of a wrongful act (regardless of whether or not such allegations prove to be groundless , false or fraudulent) arising out of the discharge of duties by or on behalf of the Named Insured as shown in the Declarations provided always that : a . The claim on account of such wrongful act is first made against the insured and reported to us during the policy period , in compliance with SECTION IV - CONDITIONS - Item 4 . , or any applicable reporting period under SECTION III - EXTENDED REPORTING PERIODS ; b . Such wrongful act took place in the policy territory ; and c. As of the inception date of this policy , no Insured had any knowledge of any circumstance likely to result in or give rise to a claim nor could have reasonably foreseen that a claim might be made ; and d . Such wrongful act was first committed by the Insured on or after (see Endorsement — General Change Retroactive Dates Amendment) and prior to the end of the policy period . For purposes of paragraph 1 a . of SECTION I - COVERAGE A . Insuring Agreement , if, during the policy period or any applicable reporting period under SECTION III - EXTENDED REPORTING PERIODS , the Insured gives written notice to us , in accordance with SECTION IV - CONDITIONS - Item 4 . , of a wrongful act likely to result in a claim then any claim subsequently made against an insured arising out of such wrongful act shall be deemed to have been made during the policy period or any applicable reporting period hereunder. All other terms and conditions of this policy remain unchanged . QBLE-2012 ( 01 -16) Page 1 of 1 ENDORSEMENT #7 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - GENERAL CHANGE RETROACTIVE DATES AMENDMENT This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is understood and agreed that the Endorsement — Retroactive Date , Section I — Coverage , Part A . Insuring Agreement , sub-section d . is deleted and replaced by the following : d . Such wrongful act was first committed by the Insured on or after the date shown below as the Retroactive Date for each Participating Member County and prior to the end of the policy period . MEMBER COUNTY RETOACTIVE DATE MEMBER COUNTY RETOACTIVE DATE Alamosa July 1 , 1986 Las Animas July 1 , 1986 Archuleta July 1 , 1986 Lincoln July 1 , 1986 Baca July 1 , 1986 Logan July 1 , 1986 Bent July 1 , 1986 Mineral July 1 , 1986 Chaffee July 1 , 1986 Moffat July 1 , 1986 Cheyenne February 16 , 1987 Montrose July 1 , 1987 Clear Creek July 1 , 1986 Morgan July 1 , 1986 Conejos July 1 , 1986 Otero July 1 , 1986 Costilla July 1 , 1986 Ouray July 1 , 1986 Crowley July 1 , 1986 Park July 1 , 1986 Custer January 1 , 1997 Phillips July 1 , 1986 Delta July 1 , 1988 P rowe rs July 1 , 1986 Dolores July 1 , 1986 Pueblo July 1 , 1986 Elbert July 1 , 1986 Rio Blanco July 1 , 1986 Fremont July 1 , 1987 Rio Grande July 1 , 1986 Garfield July 1 , 1986 Routt July 1 , 1986 Gilpin July 1 , 1986 Saguache July 1 , 1986 Grand July 1 , 1987 San Juan July 1 , 1986 Gunnison July 1 , 1986 San Miguel July 1 , 1986 Hinsdale July 1 , 1986 Sedgwick July 1 , 1986 Huerfano July 1 , 1986 Summit July 1 , 1986 Jackson July 1 , 1986 Teller July 1 , 1986 Kiowa July 1 , 1986 Washington July 1 , 1986 Kit Carson July 1 , 1986 Weld January 15 , 1986 La Plata July 1 , 1986 Yuma July 1 , 1986 Lake April 1 , 1987 All other terms and conditions of this policy remain unchanged . QBLE-2005 (01 -16) Page 1 of 1 ENDORSEMENT #8 This endorsement, effective on 1 / 1 /2022 at 12 : 01 am , forms a part of Policy No . QSX01008- 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - SELF -INSURED RETENTION In consideration of the premium charged , it is understood and agreed that SECTION I — COVERAGE , B . Defense and Supplementary Payments , paragraph 1 . is deleted in its entirety and replaced with the following : B . Defense and Supplementary Payments 1 . The Company has the right and duty to defend the insured (s) against a claim covered by this policy even if any of the allegations of the claim are groundless , false or fraudulent . Self- Insured Retention Provision . Until the insured has paid either damages or claim expenses that equal the Self- Insured Retention , the insured has the right to appoint defense counsel , subject to the Company's written consent and approval , to defend a claim even if any of the allegations of the claim are groundless , false or fraudulent . Such counsel will be paid at the Company's agreed hourly rates . Upon Insured's payments for either damages or claim expenses that equal the Self- Insured Retention , the Company then has the right to appoint counsel of its choice for the defense of any such claim . When the insured has exercised its right to appoint counsel , the insured or counsel will provide the Company with status reports and other relevant information about the claim as requested by the Company. In addition , the insured will provide a quarterly bordereaux, or loss run , listing all claims , whether previously reported to us or not , along with the claimant name , date of loss , date of report, loss description , and current amounts paid and reserved for both defense and settlement. It is further agreed and understood that , wherever the word " deductible " is used in this policy the words " Self- Insured Retention " are substituted . All other terms and conditions of this policy remain unchanged . QBLE-2016 ( 04-16) Page 1 of 1 ENDORSEMENT #9 This endorsement , effective on 1 /01 /2022 at 12 : 01 am , forms a part of Policy No . QLC01041 - 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - GENERAL CHANGE This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is understood and agreed that the POLICY NUMBER on the Declarations page is amended to read as follows : POLICY NUMBER : QLC01041 -00 It is further understood and agreed that wherever the policy number is represented as QSX01008- 00 in this policy the correct policy number: QLC01041 -00 is substituted . All other terms and conditions of this policy remain unchanged . QBLE-2005 (01 -16) Page 1 of 1 ENDORSEMENT # 10 This endorsement , effective on 1 /01 /2022 at 12 : 01 am , forms a part of Policy No . QLC01041 - 00 issued to Colorado Counties Casualty and Property Pool c/o CTSI by QBE Specialty Insurance Company . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT - GENERAL CHANGE This endorsement modifies insurance provided under the following : Law Enforcement Liability Coverage Form It is hereby understood and agreed that the policy is amdended as follows : ENDORSEMENT #3- GENERAL CHANGE- LINE OF DUTY DEATH COVERAGE is deleted in its entirety . All other terms and conditions of this policy remain unchanged . QBLE-2005 ( 01 -16) Page 1 of 1 Hello