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Home My WebLink About20241976.tiffC S Colorado Counties Casualty and Property Pool 2024 Excess Boiler & Equipment Breakdown Policy Liberty Mutual Policy No. YB2-L9L-468235-014 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 Boiler& Equipment Breakdown 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. The county has a $500 deductible for property claims. The pool pays up to $5,000 of each claim CAPP's excess insurance carrier pays up to $100 million per claim with sublimits unless otherwise stated in the CAPP Insuring Agreements. Comm ccu,+; ons o.1Iac / tc cc : E-IRCJ5 I MEN I IS L..), cw CCP/CO) 07/2_6/9A 2024-1976 P EOO3G O. Gallagher •••CORE 360 Named Insured Schedule Colorado Counties Casualty and Property Pool including the following members: • Alamosa • Archuleta • Baca • Bent • Chaffee • Cheyenne • Clear Creek • Conejos • Costilla • Crowley • Custer • Delta • Dolores • Elbert • Fremont • Garfield • Gilpin • Grand • Gunnison • Hinsdale • Huerfano • Jackson • Kiowa • Kit Carson • Lake • Las Animas Lincoln • Logan • Mineral • Moffat Montrose Morgan • Otero • Ouray • Park • Phillips • Prowers ▪ Pueblo • Rio Blanco • Rio Grande • Routt • Saguache • San Juan • San Miguel • Sedgwick • Summit • Teller • Washington • Weld • Yuma ••• Gallagher ••• CORE 360 - Equipment Breakdown Carrier: Liberty Mutual Fire Insurance Company Policy Period: January 1, 2024 to January 1, 2025 Policy form: Liberty PowerPro Select'. Covered Locations: Per Statement of Values on file with the Company, July 13, 2023 Limits: Amounts Coverages $ 100,000,000 Included Included $ 5,000,000 $ 5,000,000 365 Days $ 5,000,000 $ 10,000,000 $ 10,000,000 Total Limits Per Breakdown — Property Damage Expediting Expense Business Income with sublimits below Extra Expense Data or Media (Business Income) Business Income Period of Restoration Ordinance or Law Spoilage Damage Utility Interruption (the maximum limit for Utility interruption, subject to any applicable lower coverage limits, including Business Income, Extra Expense and/or Spoilage, respectively) Included Newly Acquired Premises — 90 days (note, additional premium may apply upon notification of new location to the carrier) Included Errors and Omissions Included Brands and Labels $ 2,500,000 Contingent Business Income/Extra Expense Covered Premises — all direct suppliers and recipients $ 10,000,000 Ammonia Contamination Included Consequential Loss $ 5,000,000 Data and Media $ 2,500,000 Hazardous Substance Included Water Damage $ 1,000,000 Off Premises Equipment $ 2,500,000 Miscellaneous Locations $ 15,000 Limited Coverage for Fungus, Wet Rot and Dry Rot $ 100,000 Green Upgrades — Increased Cost of Loss and Related Expenses 100 Miles/4 weeks Civil Authority Extension $ 250,000 Ingress/Egress $ 250,000 Claim Preparation Fees 150% Replacement Cost for Green Upgrade/Safety Improvements Amounts Coverages Deductibles: $ 5,000 Combined for all coverages 4 Hours Utility Interruption Waiting Period Valuation: Repair or Replacement Cost Terms / Conditions: • Business Income Coinsurance Waived • New Generation Included • 90 Days' Notice of Cancellation except 10 Days Nonpayment of Premium • No Connected Ready for Use Requirement • Arbitration Clause • Joint or Disputed Loss Agreement .2024 Arthur J. Gallagher & Co. All rights reserved. Gallagher ***CORE 360 - Equipment Breakdown (Continued) Duties in the Event of CTSI must provide prompt notice of the loss or damage including a description of the Loss: property involved. Allow the Company a reasonable time and opportunity to examine the property and premises before repairs are undertaken or physical evidence of the "Breakdown" is removed. Company shall be permitted to inspect the property proving the loss or damage and examine your books and records. Also, the Company shall have permission to take samples of damaged and undamaged property for inspection, testing and analysis. CTSI must send the Company a signed, sworn proof of loss within 60 days after the Company's request. Significant Exclusions (including but not limited to): • Earth Movement, Fire Perils, Windstorm, Hail, Lightning, etc. • Water including: a. Flood, surface water, waves (including tidal wave and tsunami), tides, tidal water, overflow of any body of water, or spray from any of these, all whether or not driven by wind (including storm surge); b. Mudslide or mudflow; c. Water that backs up or overflows or is otherwise discharged from a sewer, drain, sump, sump pump or related equipment; d. Water damage caused by the discharge or leakage of a sprinkler system or domestic water piping; Water underground surface pressing on, or flowing or seeping through: (1) Foundations, walls, floors or paved surfaces; (2) Basements, whether paved or not; (3) Doors, windows or other openings; or f. Waterborne material carried or otherwise moved by any of the water referred to in Paragraph a., c. ore., or material carried or otherwise moved by mudslide or mudflow. This exclusion applies regardless of whether any of the above, in Paragraphs a. through f., is caused by an act of nature or is otherwise caused. • Terrorism • Nuclear • War or Military Action • Explosion — section of caused by an explosion of "Covered Equipment" • Business Income/Extra Expense does not include loss of capacity payments, bonus payments nor penalties resulting from the interruption of business as respects income derived from sales of electricity to the local utility Cyber Incidents Claims Reporting As soon as CTSI is aware of an equipment breakdown loss, the claim is to reported directly to Instructions: Liberty as follows: E-mail: CLCIaimReports@LibertvMutuatcom Or Call 800-362-0000 Copies of any claims are also to be sent to: Arthur J. Gallagher Risk Management Services, Inc. Claims e-mail: GGB.NRCCIaimsCenter@ajg.com 2024 Arthur J. Gallagher 8 Co All rights reserved. PowerPro Select-. EQUIPMENT BREAKDOWN INSURANCE POLICY DECLARATIONS Issued by Liberty Mutual Fire Insurance Company Policy Number YB2-L9L-468235-014 Renewal of YB2-L9L-468235-013 Account Number 9468235 Named Insured Colorado Counties Casualty and Property Pool Mailing Address 800 Grant St Suite 400 Denver, CO 80203 Liberty Mutual. INSURANCE 175 Berkeley Street Boston, MA 02116 Issuing Office L-Warrenville Issue Date 12/21/2023 Sub Account 0000 Policy Period: The policy period is from 1/1/2024 to 1/1/2025 12:01 A.M. standard time at the Insured's mailing address. Premium: $92,253 (ANNUAL) Premium: Covered Premises: Submitted locations on file at inception of this policy. Coverage $92,253 (TERM) Limit Of Insurance Or Days/Hours Limit Per Breakdown 1. Property Damage 2. Expediting Expense 3. Business Income a. Extra Expense b. Extended Period Of Restoration (Number Of Days Of Coverage) c. Data Or Media 4. Spoilage Damage 5. Utility Interruption (The maximum limit for Utility Interruption, subject to any applicable lower coverage limits, including business income, extra expense, and/or spoilage, respectively) a. Coverage applies only if the interruption of services lasts at least: 6. Newly Acquired Premises a. (Number Of Days Of Coverage) 7. Ordinance Or Law 8. Errors And Omissions 9. Brands And Labels 10. Contingent Business Income/Extra Expense a. Covered Premises: b. Delivery of Services or Materials; or Sales: For the above Coverages, Insurance applies only to a coverage for which a Days/Hours or the word INCLUDED is shown. If INCLUDED is shown, then the Limit Per Breakdown. Coverage Limitations Ammonia Contamination Consequential Loss Data And Media Hazardous Substance Water Damage $100,000,000 Included Included Included $5,000,000 365 Days $5,000,000 $10,000,000 $10,000,000 4 Hours Included 90 Days $5,000,000 Included Included $2,500,000 All Direct Suppliers & Recipients All Services & Materials Limit of Insurance, a number of the limit for that coverage is pad of Limit Of Insurance $10,000,000 Included $5,000,000 $2,500,000 Included PPS DS 01 07 12 © 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. RP SC H P/SC/2024.02.09 Page 1 of 2 Limited Coverage For Fungus, Wet Rot And Dry Rot Limit $15,000 Business Income and/or Extra Expense — Number Of Days 30 Days Increased Cost of Loss and Related Expenses for "Green" Upgrades Property Damage Limit $100,000 Business Income and/or Extra Expense — Number of Days 30 Days Deductibles Amounts, Hours Or Days Combined Deductible Property Damage Business Income Extra Expense Spoilage Damage Utility Interruption Other: $5,000 Included in Combined Deductible Included in Combined Deductible Included in Combined Deductible Included in Combined Deductible Business Income, Extra Expense and/or Spoilage deductible apply Conditions And Optional Coverages Limit Of Insurance Business Income Report Date Business Income Annual Value Business Income Coinsurance Diagnostic Equipment Other Conditions Waived Included Limit of Insurance Off Premises Equipment Coverage: $1,000,000 0064 008057 RISK PLACEMENT SERVICES INC 525 W VAN BUREN ST STE 1325 CHICAGO, IL 60607 PPS DS 01 07 12 © 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted Page 2 of 2 material of Insurance Services Office, Inc., with its permission. Policy Number: YB2-L9L-468235-014 Issued by: Liberty Mutual Fire Insurance Company PLEASE READ YOUR POLICY CAREFULLY. EQUIPMENT BREAKDOWN POLICY INVENTORY This INVENTORY is to help you read your Policy. It is not a part of the Policy and is in no way a substitute for reading your entire Policy. Title Form Number Edition Date ANNUAL MEETING NOTICE/PARTICIPATING PROVISION POLICY INVENTORY EQUIPMENT BREAKDOWN DECLARATIONS EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM ADDITIONAL NAMED INSURED EQUIPMENT BREAKDOWN ENHANCEMENT ENDORSEMENT MISCELLANEOUS LOCATIONS EXCLUSION AMENDATORY OFF -PREMISES EQUIPMENT COVERAGE NOTICE OF CANCELLATION COMMON POLICY CONDITIONS COLORADO CHANGES - CANCELLATION AND NONRENEWAL CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT LIBERTY MUTUAL GROUP CALIFORNIA PRIVACY NOTICE COLORADO CHANGES COLORADO CHANGES - CONCEALMENT, MISREPRESENTATION OR FRAUD CYBER INCIDENT EXCLUSION U.S. TREASURY DEPARTMENTS OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") ADVISORY NOTICE TO POLICYHOLDERS LIL 90 04 06 23 PPS 00 03 03 13 PPS DS 01 07 12 EB 00 20 01 13 PPS 99 05 09 12 PPS 04 01 07 15 PPS 99 11 01 13 PPS 21 01 09 12 EB 99 63 09 10 PPS 02 01 09 12 IL 00 17 11 98 IL 02 28 09 07 IL0952 0115 IL 09 85 12 20 SNI 04 01 01 23 EB 01 42 09 07 IL 01 69 09 07 EB 10 01 06 21 IL P 001 01 04 PPS 00 03 0313 © 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 EQUIPMENT BREAKDOWN EB00200113 EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations. The words "we", "us" and "our" refer to the company providing this insurance. Other words and phrases that appear in quotation marks have special meaning. Refer to Section F. Definitions. A. Coverage 1. Covered Cause Of Loss Covered Cause of Loss is a "Breakdown" to "Covered Equipment". 2. Coverages Provided Each of the following coverages is provided if either a limit or the word INCLUDED is shown for that coverage in the Declarations. If neither a limit nor the word INCLUDED is shown, then that coverage is not provided. These coverages apply only to that portion of the loss or damage that is a direct result of a Covered Cause of Loss. a. Property Damage We will pay for direct damage to "Covered Property" located at the premises described in the Declarations. b. Expediting Expenses With respect to direct damage to "Covered Property", we will pay for the extra cost you necessarily incur to: (1) Make temporary repairs; and (2) Expedite the permanent repairs or replacement of the damaged property. c. Business Income And Extra Expense Or Extra Expense Only (1) We will pay: (a) Your actual loss of "Business Income" during the "Period of Restoration"; and (b) The "Extra Expense" you necessarily incur to operate your business during the "Period of Restoration". However, if coverage for "Extra Expense" only is indicated in the Declarations, then coverage for "Business Income" is not provided. We will consider the experience of your business before the "Breakdown" and the probable experience you would have had without the "Breakdown" in determining the amount of our payment. (2) If you have coverage for "Business Income" and "Extra Expense" or "Extra Expense" only and: (a) If a number of days is shown in the Declarations for Extended Period Of Restoration Coverage, it will replace the five consecutive days in the definition of "Period of Restoration". (b) If you have coverage for Ordinance or Law, then the "Period of Restoration" is extended to include the additional period of time required for demolition, removal, repair, remodeling or reconstruction. (c) If "Media" are damaged or "Data" are lost or corrupted, we will pay your actual loss of "Business Income" and/or "Extra Expense" during the time necessary to: (i) Research, replace or restore the damaged "Media" or lost or corrupted "Data"; and (ii) Reprogram instructions used in any covered "Computer Equipment". There shall be no coverage for any "Media" or "Data" that we determine are not or cannot be replaced or restored. Unless a higher limit is shown in the Declarations, we will pay the lesser of your actual loss of "Business Income" and/or "Extra Expense" up to 30 days after the "Period of Restoration", or $25,000. EB00200113 © Insurance Services Office, Inc., 2011 Page 1 of 19 d. Spoilage Damage (1) We will pay for the spoilage damage to raw materials, property in process or finished products, provided all of the following conditions are met: (a) The raw materials, property in process or finished products must be in storage or in the course of being manufactured; (b) You must own or be legally liable under written contract for the raw materials, property in process or finished products; and (c) The spoilage damage must be due to the lack or excess of power, light, heat, steam or refrigeration. (2) We will also pay any necessary expenses you incur to reduce the amount of loss under this coverage. We will pay such expenses to the extent that they do not exceed the amount of loss that otherwise would have been payable under this Coverage Form. e. Utility Interruption If you have coverage for "Business Income" and "Extra Expense", "Extra Expense" only or Spoilage Damage, that coverage is extended to include loss resulting from the interruption of utility services, provided all of the following conditions are met: (1) The interruption is the direct result of a "Breakdown" to "Covered Equipment" owned, operated or controlled by the local private or public utility or distributor that directly generates, transmits, distributes or provides utility services which you receive; (2) The "Covered Equipment" is used to supply electric power, communication services, air conditioning, heating, gas, sewer, water or steam to your premises; and (3) The interruption of utility service to your premises lasts at least the consecutive period of time shown in the Declarations. Once this waiting period is met, coverage will commence at the initial time of the interruption and will be subject to all applicable deductibles. f. Newly Acquired Premises We will automatically provide coverage at newly acquired premises you have purchased or leased. This coverage begins at the time you acquire the property and continues for a period not exceeding the number of days indicated in the Declarations for Newly Acquired Premises, under the following conditions: (1) You must inform us, in writing, of the newly acquired premises as soon as practicable; (2) You agree to pay an additional premium as determined by us; The coverage for these premises will be subject to the same terms, conditions, exclusions and limitations as other insured premises; and (4) If the coverages and deductibles vary for existing premises, then the coverages for the newly acquired premises will be the broadest coverage and highest limits and deductible applicable to the existing premises. g. Ordinance Or Law Coverage The following applies despite the Ordinance Or Law Exclusion and provided these increases in loss are necessitated by the enforcement of or compliance with any ordinance or law that is in force at the time of the "Breakdown", which regulates the demolition, construction, repair or use of the building or structure. With respect to the building or structure that was damaged as a result of a "Breakdown": (1) We will pay for: (a) The loss in value of the undamaged portion of the building or structure as a consequence of enforcement of or compliance with an ordinance or law that requires the demolition of undamaged parts of the same building or structure; (b) Your actual cost to demolish and clear the site of the undamaged parts of the same building or structure as a consequence of enforcement of or compliance with an ordinance or law that requires the demolition of such undamaged property; and (3) EB00200113 © Insurance Services Office, Inc., 2011 Page 2 of 19 (c) The increased cost actually and necessarily expended to: (i) Repair or reconstruct the damaged or destroyed portions of the building or structure; and (ii) Reconstruct or remodel the undamaged portion of that building or structure with buildings or structures of like materials, height, floor area and style for like occupancy, whether or not demolition is required on: i. The same premises or on another premises if you so elect. However, if you rebuild at another premises, the most we will pay is the increased cost of construction that we would have paid to rebuild at the same premises; or ii. Another premises if the relocation is required by the ordinance or law. The most we will pay is the increased cost of construction at the new premises. (2) We will not pay for any: (a) Demolition or site clearing until the undamaged portions of the buildings or structures are actually demolished; (b) Increase in loss until the damaged or destroyed buildings or structures are actually rebuilt or replaced and approved by the regulating government agency; (c) Loss due to any ordinance or law that (i) You were required to comply with before the loss, even if the building was undamaged; and (ii) You failed to comply with; (d) Increase in loss, excess of the amount required to meet the minimum requirement of any ordinance or law enforcement at the time of the "Breakdown"; (e) Increase in loss resulting from a substance declared to be hazardous to health or environment by any government agency; (f) (g) (3) If: (a) Loss or expense sustained due to the enforcement of or compliance with any ordinance or law which requires the demolition, repair, replacement, reconstruction, remodeling or remediation of property due to the presence, growth, proliferation, spread or any activity of "Fungus", wet or dry rot; or Costs associated with the enforcement of or compliance with any ordinance or law which requires any insured or others to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to or assess the effects of "Fungus", wet or dry rot. The building or structure is damaged by a "Breakdown" that is covered under this policy; (b) There is other physical damage that is not covered under this policy; and (c) As a result of the building damage in its entirety, you are required to comply with the ordinance or law; then we will not pay the full amount of the loss under this coverage. Instead, we will pay only that proportion of such loss, meaning the proportion that the covered "Breakdown" loss bears to the total physical damage. But if the building or structure sustains direct physical damage that is not covered under this policy and such damage is the subject of the ordinance or law, then there is no Ordinance Or Law Coverage under this Coverage Part even if the building has also sustained damage by a covered "Breakdown". h. Errors And Omissions We will pay for any loss or damage, which is not otherwise payable under this Coverage Part, solely because of the items listed below: (1) Any error or unintentional omission in the description or location of property as insured under this Coverage Part or in any subsequent amendments; (2) Any failure through error to include any premises owned or occupied by you at the inception date of this Coverage Part; or EB00200113 © Insurance Services Office, Inc., 2011 Page 3 of 19 (3) Any error or unintentional omission by you that results in cancellation of any premises insured under this policy. No coverage is provided as a result of any error or unintentional omission by you in the reporting of values or the coverage you requested. It is a condition of this coverage that such errors or unintentional omissions shall be reported and corrected when discovered. The policy premium will be adjusted accordingly to reflect the date the premises should have been added had no error or omission occurred. i. Brands And Labels (1) If branded or labeled merchandise that is "Covered Property" is damaged by a "Breakdown", we may take all or any part of the property at an agreed or appraised value. If so, you may: (a) Stamp the word SALVAGE on the merchandise or its containers if the stamp will not physically damage the merchandise; or (b) Remove the brands or labels if doing so will not physically damage the merchandise. You must relabel the merchandise or its containers to comply with any law. (2) We will pay reasonable costs you incur to perform the activity described in Paragraphs (1)(a) and (1)(b), but the total we pay for these costs and the value of the damaged property will not exceed the applicable Limit of Insurance on such property. j. Contingent Business Income And Extra Expense Or Extra Expense Only Coverage (1) Subject to the same terms and conditions, the "Business Income" and "Extra Expense" or "Extra Expense" only coverage provided by this Coverage Part is extended to cover your loss, if any, resulting from a "Breakdown" to "Covered Equipment" at a premises shown in the Declarations, that is not owned or operated by you which: (a) Wholly or partially prevents the delivery of services or materials shown in the Declarations to you or from you to others for your account; or (b) Results in the loss of sales at your premises shown in the Declarations. (2) You shall use your influence to induce the contributing or recipient premises to make use of any other machinery, equipment, supplies or premises available in order to resume operations and delivery of services or materials to you, or the acceptance of products or services from you. You shall cooperate with the contributing or recipient premises to this effect in every way, but not financially unless authorized by us. B. Exclusions We will not pay for loss or damage caused directly or indirectly by any of the following. Such loss or damage is excluded, regardless of any other cause or event that contributes concurrently or in any sequence to the loss. The exclusions apply whether or not the loss event results in widespread damage or affects a substantial area. 1. Ordinance Or Law Increase in loss from the enforcement of or compliance with any ordinance, law, rule, regulation or ruling which restricts or regulates the repair, replacement, alteration, use, operation, construction, installation, cleanup or disposal of "Covered Property". However, the words use and operation shall be eliminated as respects a covered "Breakdown" to electrical supply and emergency generating equipment located on the premises of a hospital. 2. Earth Movement Earth movement, including, but not limited to, earthquake, tremors and aftershocks relating to earthquake, landslide, land subsidence, mine subsidence or volcanic action. 3. Water a. Flood, surface water, waves (including tidal wave and tsunami), tides, tidal water, overflow of any body of water, or spray from any of these, all whether or not driven by wind (including storm surge); b. Mudslide or mudflow; c. Water that backs up or overflows or is otherwise discharged from a sewer, drain, sump, sump pump or related equipment; d. Water damage caused by the discharge or leakage of a sprinkler system or domestic water piping; EB00200113 © Insurance Services Office, Inc., 2011 Page 4 of 19 e. Water under the ground surface pressing on, or flowing or seeping through: (1) Foundations, walls, floors or paved surfaces; (2) Basements, whether paved or not; (3) Doors, windows or other openings; or f. Waterborne material carried or otherwise moved by any of the water referred to in Paragraph a., c. or e., or material carried or otherwise moved by mudslide or mudflow. This exclusion applies, regardless of whether any of the above, in Paragraphs a. through f., is caused by an act of nature or is otherwise caused. An example of a situation to which this exclusion applies is the situation where a dam, levee, seawall or other boundary or containment system fails in whole or in part, for any reason, to contain the water. 4. Nuclear Hazard Nuclear reaction or radiation, or radioactive contamination, however caused. 5. War Or Military Action a. War, including undeclared or civil war; b. 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 c. Insurrection, rebellion, revolution, usurped power or action taken by governmental authority in hindering or defending against any of these. 6. An explosion. However, we will pay for loss or damage caused by an explosion of "Covered Equipment" of a kind specified in a. through g. below, if not otherwise excluded in this Section B.: a. Steam boiler; b. Electric steam generator; c. Steam piping; d. Steam turbine; e. Steam engine; f. Gas turbine; or g. Moving or rotating machinery when such explosion is caused by centrifugal force or mechanical breakdown. 7. Fire or combustion explosion including those that: a. Result in a "Breakdown"; b. Occur at the same time as a "Breakdown"; or c. Ensue from a "Breakdown". 8. "Fungus", Wet Rot And Dry Rot Presence, growth, proliferation, spread or activity of "Fungus", wet or dry rot. However, if a "Breakdown" occurs, we will pay the resulting loss or damage. This exclusion does not apply to the extent that coverage for "Fungus", wet rot or dry rot is provided elsewhere in this Coverage Form and then only for that portion of any loss or damage resulting from the presence, growth, proliferation, spread or activity of "Fungus", wet or dry rot as a result of a "Breakdown". 9. Any virus, bacterium or other microorganism that induces or is capable of inducing physical distress, illness or disease. However: a. If a "Breakdown" occurs, we will pay the resulting loss or damage; b. This exclusion does not apply to loss or damage caused by or resulting from "Fungus", wet rot or dry rot. Such loss or damage is addressed in Exclusion B.8.; c. Regardless of the application of this exclusion to any particular loss, the provisions of this Exclusion 9. do not serve to create coverage for any loss that would otherwise be excluded under this Coverage Form. 10. Explosion within the furnace of a chemical recovery type boiler or within the passage from the furnace to the atmosphere. 11. Damage to "Covered Equipment" undergoing a pressure or electrical test. 12. Water or other means used to extinguish a fire, even when the attempt is unsuccessful. 13. Depletion, deterioration, corrosion, erosion or wear and tear. However, if a "Breakdown" occurs, we will pay the resulting loss or damage. 14. A "Breakdown" that is caused by any of the following causes of loss if coverage for that cause of loss is provided by another policy of insurance you have, whether collectible or not: a. Aircraft or vehicles; b. Freezing caused by cold weather; c. Lightning; d. Sinkhole collapse; e. Smoke; f. Riot, civil commotion or vandalism; or g. Weight of snow, ice or sleet. EB00200113 © Insurance Services Office, Inc., 2011 Page 5 of 19 15. A "Breakdown" that is caused by windstorm or hail. 16. A delay in, or an interruption of, any business, manufacturing or processing activity except as provided by the "Business Income" and "Extra Expense", "Extra Expense" only and Utility Interruption Coverages. 17. With respect to "Business Income" and "Extra Expense", "Extra Expense" only and Utility Interruption Coverages, the following additional exclusions shall apply: a. The business that would not or could not have been carried on if the "Breakdown" had not occurred; b. Your failure to use due diligence and dispatch and all reasonable means to operate your business as nearly normal as practicable at the premises shown in the Declarations; or c. The suspension, lapse or cancellation of a contract following a "Breakdown" extending beyond the time business could have resumed if the contract had not lapsed, been suspended or canceled. 18. Any indirect loss following a "Breakdown" to "Covered Equipment" that results from the lack or excess of power, light, heat, steam or refrigeration except as provided by the "Business Income" and "Extra Expense", "Extra Expense" only, Spoilage Damage and Utility Interruption Coverages. 19. With respect to Utility Interruption Coverage, any loss resulting from the following additional causes of loss whether or not coverage for that cause of loss is provided by another policy you have: a. Acts of sabotage; b. Collapse; c. Deliberate act(s) of load -shedding by the supplying utility; d. Freezing caused by cold weather; e. Impact of aircraft, missile or vehicle; f. Impact of objects falling from an aircraft or missile; g. Lightning; h. Riot, civil commotion or vandalism; i. Sinkhole collapse; j. Smoke; or k. Weight of snow, ice or sleet. 20. Any indirect result of a "Breakdown" to "Covered Equipment" except as provided by the "Business Income" and "Extra Expense", "Extra Expense" only, Spoilage Damage and Utility Interruption Coverages. 21. Neglect by you to use all reasonable means to save and preserve "Covered Property" from further damage at and after the time of the loss. C. Limits Of Insurance 1. The most we will pay for any and all coverages for loss or damage from any "One Breakdown" is the applicable Limit Of Insurance shown in the Declarations. 2. Any payment made will not be increased if more than one insured is shown in the Declarations. 3. For each coverage in Paragraph A.2., if: a. INCLUDED is shown in the Declarations, the limit for such coverage is part of, not in addition to, the Limit per Breakdown. b. A limit is shown in the Declarations, we will not pay more than the Limit of Insurance for each such coverage. 4. For any "Covered Equipment" that is: a. Used solely to supply utility services to your premises; b. Owned by a public or private utility; c. Not in your care, custody or control and for which you are legally liable; and d. Covered under this Coverage Form; the Limit Of Insurance for Property Damage stated in the Declarations is replaced by the sum of one dollar. If you are a public or private utility, 4.b. is replaced by the following: b. Owned by a public or private utility other than you. 5. Unless a higher limit or INCLUDED is shown in the Declarations, the most we will pay for direct damage as a direct result of a "Breakdown" to "Covered Equipment" is $25,000 for each of the following. The limits are part of, not in addition to, the Limit of Insurance for Property Damage or Limit per Breakdown. a. Ammonia Contamination The spoilage to "Covered Property" contaminated by ammonia, including any salvage expense. EB00200113 © Insurance Services Office, Inc., 2011 Page 6 of 19 b. Consequential Loss The reduction in the value of undamaged "Stock" parts of a product which becomes unmarketable. The reduction in value must be caused by a physical loss or damage to another part of the product. c. Data And Media Your cost to research, replace or restore damaged "Data" or "Media" including the cost to reprogram instructions used in any "Computer Equipment". d. Hazardous Substance Any additional expenses incurred by you for the cleanup, repair or replacement or disposal of "Covered Property" that is damaged, contaminated or polluted by a "Hazardous Substance". As used here, additional expenses means the additional cost incurred over and above the amount that we would have paid had no "Hazardous Substance" been involved with the loss. Ammonia is not considered to be a "Hazardous Substance" as respects this limitation. This coverage applies despite the operation of the Ordinance Or Law Exclusion. e. Water Damage The damage to "Covered Property" by water including any salvage expenses. If "Fungus", wet or dry rot results from damage by water as limited in this paragraph, loss or damage attributable to "Fungus", wet or dry rot will be: (1) Limited as described in Paragraphs C.6.a.(1) through C.6.a.(5); and (2) Part of the Water Damage limit, not in addition to it. 6. Limited Coverage For "Fungus", Wet Rot And Dry Rot a. Property Damage We will pay for loss or damage by "Fungus", wet or dry rot only when the "Fungus", wet or dry rot is the direct result of a "Breakdown" to "Covered Equipment" that occurs during the policy period. As used in this Limited Coverage, the term loss or damage means: (1) Direct physical loss or damage to "Covered Property" caused by "Fungus", wet or dry rot including the cost of removal of the "Fungus", wet or dry rot: (a) The cost to tear out and replace any "Covered Property" as needed to gain access to the "Fungus", wet or dry rot; and (b) The cost of testing performed after removal, repair, replacement or restoration of the damaged property is completed, provided there is a reason to believe that "Fungus", wet or dry rot is present. (2) The coverage described under Paragraph 6.a.(1) of this Limited Coverage is limited to $15,000. Regardless of the number of claims, this limit is the most we will pay for the total of all loss or damage arising out of all occurrences of "Breakdown" to "Covered Equipment" which take place within the 12 -month period starting with the beginning of the present annual policy period. With respect to a particular occurrence of loss which results in "Fungus", wet or dry rot, we will not pay more than a total of $15,000 even if the "Fungus", wet or dry rot continues to be present or active or recurs in a later policy period. (3) The coverage provided under this Limited Coverage does not increase the applicable Limit of Insurance on any "Covered Property". If a particular occurrence results in loss or damage by "Fungus", wet or dry rot, and other loss or damage, we will not pay more, for the total of all loss or damage, than the applicable Limit of Insurance on the affected "Covered Property". EB00200113 © Insurance Services Office, Inc., 2011 Page 7 of 19 If there is covered loss or damage to "Covered Property" not caused by "Fungus", wet or dry rot, loss payment will not be limited by the terms of this Limited Coverage, except to the extent that "Fungus", wet or dry rot causes an increase in the loss. Any such increase in the loss will be subject to the terms of this Limited Coverage. (4) If a Revised Limit is shown in the Declarations, the amount of $15,000 in Paragraph 6.a.(2) is replaced by the amount indicated in the Declarations. (5) If the Declarations indicates that the Separate Premises Option applies, then the amount of coverage ($15,000, unless a higher amount is shown in the Declarations) is made applicable to separate premises as described in the Declarations. For each premises so described, the amount of coverage is an annual aggregate limit, subject to the terms set forth in Paragraph 6.a.(2). b. Business Income And Extra Expense Or Extra Expense Only (1) If you have coverage for "Business Income" and "Extra Expense" or "Extra Expense" only, then Paragraph b.(1)(a) or b.(1)(b) applies, provided that the incurred loss or expense satisfies the terms and conditions applicable to the "Business Income" and "Extra Expense" or "Extra Expense" only coverage. (a) If. (i) The "Breakdown"; or (ii) Any damage from water resulting from the "Breakdown"; which resulted in "Fungus", wet or dry rot, does not in itself generate a loss of "Business Income" or an "Extra Expense", but the loss of "Business Income" or "Extra Expense" is solely due to loss or damage to property caused by "Fungus", wet or dry rot, then our payment under "Business Income" and "Extra Expense" or "Extra Expense" only is limited to the amount of loss and/or expense sustained in a period of not more than 30 days. The days need not be consecutive. EB00200113 (b) If a covered loss of "Business Income" or an "Extra Expense" was caused by loss or damage other than "Fungus", wet or dry rot, but remediation of "Fungus", wet or dry rot prolongs the "Period of Restoration", we will pay for loss and/or expense sustained during the delay (regardless of when such a delay occurs during the "Period of Restoration"), but such coverage is limited to 30 days. The days need not be consecutive. (2) If a Revised Number of Days is shown in the Declarations, the number of days (30) in Paragraph b.(1)(a) or b.(1)(b) is replaced by the number of days indicated in the Declarations. c. If you have coverage for Ordinance Or Law, then with respect to Property Damage, "Business Income" and "Extra Expense" or "Extra Expense" only, we will not pay under the Ordinance Or Law Coverage for (1) Loss or expense sustained due to the enforcement of or compliance with any ordinance or law which requires the demolition, repair, replacement, reconstruction, remodeling or remediation of property due to the presence, growth, proliferation, spread or any activity of "Fungus", wet or dry rot; or (2) The costs associated with the enforcement of or compliance with any ordinance or law which requires any insured or others to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to or assess the effects of "Fungus", wet or dry rot. 7. Increased Cost Of Loss And Related Expenses For"Green" Upgrades a. Property Damage Coverage is extended to include the additional loss or damage and related expenses incurred by you that are attributable to "Green" upgrades as a direct result of a "Breakdown" to "Covered Equipment" that occurs during the policy period. As provided in this "Green" upgrades coverage, we will pay for (1) Additional expense to repair or replace the damaged "Covered Property" except raw materials, property in process, finished goods and "Stock"; © Insurance Services Office, Inc., 2011 Page 8 of 19 (2) Related additional expenses to: (a) Reuse or salvage the damaged "Covered Property"; (b) Remove, transport and dispose of the recyclable damaged "Covered Property" and its construction waste to appropriate sites; and (c) Replace the damaged portions of roof section(s) of buildings or structures with a vegetated roof in accordance with the recommended procedures of a "Green standards - setter"; (3) Additional reasonable and customary expense to hire the services of an accredited architect or engineer with respect to any necessary design and engineering recommendations in the course of repair or replacement of damaged portions of the building; and (4) Additional reasonable expense to pay: (a) Fees imposed by the "Green standards -setter" in order to determine if certification or recertification is appropriate according to the organization's standard; (b) Fees to test "Covered Equipment" following its repair or installation as replacements, when such testing is undertaken in the course of submitting to the certification or recertification process; and After repair or reconstruction is completed, to flush out the renovated space and/or conduct air quality testing of the renovated space in accordance with the recommended procedures of a "Green standards - setter" and for the purpose of mitigating indoor air quality deficiencies resulting from the repair or reconstruction of the "Covered Property". As used here, additional expenses are limited to the additional cost incurred over and above the amount that we would have paid had no "Green" upgrades been involved with the loss. In addition, we will not pay for any: (i) Further modification if the "Covered Property" fails to obtain certification, recertification or a specific level of certification; or (C) (ii) Additional cost to repair or replace damaged property solely for the purpose of achieving points toward certification or recertification of the property by a "Green standards -setter". Unless a different limit or INCLUDED is shown in the Declarations, the most we pay under this "Green" upgrades coverage is an amount equal to 25% of the total Property Damage loss otherwise recoverable, subject to a maximum limit of $100,000. b. Business Income And Extra Expense Or Extra Expense Only If you have coverage for "Business Income" and "Extra Expense" or "Extra Expense" only and the terms and conditions applicable to the "Business Income" and "Extra Expense" or "Extra Expense" only coverage are satisfied, then: (1) If the remediation of the damaged "Covered Property" using "Green" upgrades prolongs the "Period of Restoration", we will pay for loss and/or expense sustained during the delay (regardless of when such a delay occurs during the "Period of Restoration"), but such coverage is limited to 30 days. The days need not be consecutive. (2) If a Revised Number of Days is shown in the Declarations, the number of days (30) in Paragraph b.(1) is replaced by the number of days indicated in the Declarations. (3) As used here, the prolonged "Period of Restoration" is limited to the additional days incurred over and above the amount needed had no "Green" upgrades been involved with the loss. c. The coverage provided under this "Green" upgrades coverage: (1) Does not increase any of the applicable Limits of Insurance; (2) Applies despite the operation of the Ordinance Or Law Exclusion; and (3) Does not reduce the coverage otherwise applicable for repair or replacement of "Covered Property" that qualified as "Green" prior to loss or damage, with comparable materials and products. EB00200113 © Insurance Services Office, Inc., 2011 Page 9 of 19 D. Deductibles 1. Application Of Deductibles We will not pay for loss or damage resulting from any "One Breakdown" until the amount of covered loss or damage exceeds the deductible shown in the Declarations for each applicable coverage. We will then pay the amount of covered loss or damage in excess of the deductible, up to the applicable Limit of Insurance. Deductibles apply separately for each applicable coverage except if: a. A deductible is shown as COMBINED for any of the coverages in the Declarations, then we will first subtract the combined deductible amount from the aggregate amount of any loss to which the combined deductible applies; or b. More than one "Covered Equipment" is involved in "One Breakdown", then only one deductible, the highest, shall apply for each of the applicable coverages. 2. Determination Of Deductibles a. Dollar Deductible If a dollar deductible is shown in the Declarations, we will first subtract the deductible amount from any loss we would otherwise pay. b. Time Deductible If a time deductible is shown in the Declarations, we will not be liable for any loss under that coverage that occurs during that specified time period immediately following a "Breakdown". If a time deductible is shown in days, each day shall mean 24 consecutive hours. c. Multiple Of Daily Value Deductible If a multiple of daily value is shown in the Declarations, this deductible will be calculated as follows: (1) For the entire premises where the loss occurred, determine the total amount of "Business Income" that would have been earned during the "Period of Restoration" had no "Breakdown" taken place. (2) Divide the result in Paragraph (1) by the number of days the business would have been 'open during the "Period of Restoration". The result is the daily value. (3) Multiply the daily value in Paragraph (2) by the number of days shown in the Declarations. We will first subtract this deductible amount from any loss we would otherwise pay. We will then pay the amount of loss or damage in excess of the deductible, up to the applicable Limit of Insurance. d. Percentage Of Loss Deductible If a deductible is expressed as a percentage of loss in the Declarations, we will not be liable for the indicated percentage of gross amount of loss or damage (prior to the applicable deductible or coinsurance) insured under the applicable coverage. e. Minimum Or Maximum Deductibles (1) If: (a) A minimum dollar amount deductible is shown in the Declarations; and (b) The dollar amount of the Multiple of Daily Value or the Percentage of Loss Deductible is less than the Minimum Deductible; then the Minimum Deductible amount shown in the Declarations will be the applicable deductible. (2) If: (a) A maximum dollar amount deductible is shown in the Declarations; and (b) The dollar amount of the Multiple of Daily Value or the Percentage of Loss Deductible is greater than the Maximum Deductible; then the Maximum Deductible amount shown in the Declarations will be the applicable deductible. E. Equipment Breakdown Protection Conditions The following conditions apply in addition to the Common Policy Conditions: 1. Loss Conditions a. Abandonment There can be no abandonment of any property to us. EB00200113 © Insurance Services Office, Inc., 2011 Page 10 of 19 b. Appraisal If we and you disagree on the value of the property or the amount of loss, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser. The two appraisers will select an umpire. If they cannot agree, either may request that the selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property and amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. Each party will: (1) Pay its chosen appraiser; and (2) Bear the other expenses of the appraisal and umpire equally. If there is an appraisal, we will still retain our right to deny the claim. c. Defense We may elect to defend you against suits arising from claims of owners of property. We will do this at our expense. d. Duties In The Event Of Loss Or Damage (1) You must see that the following are done in the event of loss or damage to "Covered Property": (a) Give us a prompt notice of the loss or damage. Include a description of the property involved. (b) As soon as possible, give us a description of how, when and where the loss or damage occurred. (c) Allow us a reasonable time and opportunity to examine the property and premises before repairs are undertaken or physical evidence of the "Breakdown" is removed. But you must take whatever measures are necessary to protect the property and premises from further damage. (d) As often as may be reasonably required, permit us to inspect the property proving the loss or damage and examine your books and records. Also, permit us to take samples of damaged and undamaged property for inspection, testing and analysis, and permit us to make copies from your books and records. g. (e) Send us a signed, sworn proof of loss containing the information we request to investigate the claim. You must do this within 60 days after our request. We will supply you with the necessary forms. (f) Cooperate with us in the investigation or settlement of the claim. (2) We may examine any insured under oath, while not in the presence of any other insured and at such times as may be reasonably required, about any matter relating to this insurance or the claim, including an insured's books and records. In the event of an examination, an insured's answers must be signed. Insurance Under Two Or More Coverages If two or more of this policy's coverages apply to the same loss or damage, we will not pay more than the actual amount of the loss or damage. f. Legal Action Against Us No one may bring a legal action against us under this Coverage Part unless: (1) There has been full compliance with all the terms of this Coverage Part; and (2) The action is brought within two years after the date of the "Breakdown"; or (3) We agree in writing that you have an obligation to pay for damage to "Covered Property" of others or until the amount of that obligation has been determined by final judgment or arbitration award. No one has the right under this policy to bring us into any action to determine your liability. Loss Payable Clause (1) We will pay you and the loss payee shown in the Declarations for loss due to a "Breakdown" to "Covered Equipment", as interests may appear. The insurance covers the interest of the loss payee unless the loss results from conversion, secretion or embezzlement on your part. (2) We may cancel the policy as allowed by the Cancellation Condition. Cancellation ends this agreement as to the loss payee's interest. If we cancel, we will mail you and the loss payee the same advance notice. EB00200113 © Insurance Services Office, Inc., 2011 Page 11 of 19 (3) If we make any payment to the loss payee, we will obtain their rights against any other party. h. Other Insurance (1) You may have other insurance subject to the same plan, terms, conditions and provisions as the insurance under this Coverage Part. If you do, we will pay our share of the covered loss or damage. Our share is the proportion that the applicable Limit of Insurance under this Coverage Part bears to the Limits of Insurance of all insurance covering on the same basis. (2) If there is other insurance covering the same loss or damage, other than that described in Paragraph (1), we will pay only for the amount of covered loss or damage in excess of the amount due from that other insurance, whether you can collect on it or not. But we will not pay more than the applicable Limit of Insurance. i. Privilege To Adjust With Owner In the event of loss or damage involving property of others in your care, custody or control, we have the right to settle the loss or damage with the owner of the property. A receipt for payment from the owner of that property will satisfy any claim of yours against us. j. Reducing Your Loss As soon as possible after a "Breakdown", you must: (1) Resume business, partially or completely; (2) Make up for lost business within a reasonable period of time. This reasonable period does not necessarily end when operations are resumed; and (3) Make use of every reasonable means to reduce or avert loss, including: (a) Working extra time or overtime at the premises or at another premises you own or acquire to carry on the same operations; (b) Utilizing the property and/or services of other concerns; (c) Using merchandise or other property, such as surplus machinery, duplicate parts, equipment, supplies and surplus or reserve stock you own, control or can obtain; or (d) Salvaging the damaged "Covered Property". k. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Part has rights to recover damages from another, those rights are transferred to us to the extent of our payment. That person or organization must do everything necessary to secure our rights and must do nothing after loss to impair them. But you may waive your rights against another party in writing: (1) Prior to a loss to your "Covered Property" or covered income. (2) After a loss to your "Covered Property" or covered income only if, at time of loss, that party is one of the following: (a) Someone insured by this insurance; (b) A business firm: (I) Owned or controlled by you; or (ii) That owns or controls you; or (c) Your tenant. This will not restrict your insurance. I. Valuation (1) We will determine the value of "Covered Property" in the event of loss or damage as follows: (a) The cost to repair, rebuild or replace the damaged property with property of the same kind, capacity, size or quality on the same site or another site, whichever is the less costly; or (b) The cost actually and necessarily expended in repairing, rebuilding or replacing on the same site or another site, whichever is the less costly; except we will not pay for such damaged property that is obsolete and useless to you. (2) If you elect or we require that the repair or replacement of the damaged "Covered Equipment" be done in a manner that enhances safety while maintaining the existing function, then we will pay, subject to the limit of insurance, up to an additional 25% of the property damage amount for the "Covered Equipment" otherwise recoverable. EB00200113 © Insurance Services Office, Inc., 2011 Page 12 of 19 (3) If: (a) Any damaged "Covered Property" is protected by an extended warranty, or maintenance or service contract; and (b) That warranty or contract becomes void or unusable due to a "Breakdown"; we will reimburse you for the unused costs of nonrefundable, nontransferable warranties or contracts. (4) Unless we agree otherwise in writing, if you do not repair or replace the damaged property within 24 months following the date of the "Breakdown", then we will pay only the smaller of the: (a) Cost it would have taken to repair or replace; or (b) Actual cash value at the time of the "Breakdown". (5) If all of the following conditions are met, property held by you for sale will be valued at the selling price as if no loss or damage had occurred, less any discounts you offered and expenses you otherwise would have had: (a) The property was manufactured by you; (b) The selling price of the property is more than the replacement cost of the property; and (c) You are unable to replace the property before its anticipated sale. (6) We will pay for loss to damaged "Data" or "Media" as follows: (a) Replacement cost for "Data" or "Media" that are mass produced and commercially available; and (b) The cost you actually spend to reproduce the records on blank material for all other "Data" or "Media", including the cost of gathering or assembling information for such reproduction. However, we will not pay for "Data" or "Media" that we determine are not or cannot be replaced with "Data" or "Media" of like kind and quality or property of similar functional use. (7) We will determine the value of "Covered Property" under Spoilage Damage Coverage as follows: (a) For raw materials, the replacement cost; (b) For property in process, the replacement cost of the raw materials, the labor expended and the proper proportion of overhead charges; and (c) For finished products, the selling price, as if no loss or damage had occurred, less any discounts you offered and expenses you otherwise would have had. (8) Any salvage value of property obtained for temporary repairs or use following a "Breakdown" which remains after repairs are completed will be taken into consideration in the adjustment of any loss. m. The following additional conditions apply to the "Business Income" and "Extra Expense" Coverage: (1) Annual Reports You must complete an Annual Report of Values form approved by us once each year. Your reports must reach us within three months of the annual report date shown in the Declarations and each anniversary of that date. (2) Adjustment Of Premium Upon receipt of the annual reports of values you furnish us, we will determine the amount of premium we earned for the past year. If the amount determined is more than the premium we have already charged for this coverage, you must pay the difference. If the amount determined is less than the premium we originally charged, we will refund the difference. However, the amount we return will not exceed 75% of the premium we originally charged. (3) Coinsurance This Coinsurance Condition applies only if we did not receive your Annual Report of Values form within three months of the due date as outlined in Paragraph (1). EB00200113 © Insurance Services Office, Inc., 2011 Page 13 of 19 (a) We will not pay the full amount of any loss if: (i) The "Business Income Actual Annual Value" at the time of loss is greater than the "Business Income Estimated Annual Value" shown in your latest report; or (ii) Your report was received by us more than three months after the due date, or your report is overdue. (b) Instead, we will determine the most we will pay using the following steps: (I) Divide the "Business Income Estimated Annual Value" by the "Business Income Actual Annual Value" at the time of the "Breakdown"; (ii) Multiply the total amount of the covered loss of "Business Income" by the figure determined in Step (i); and (iii) Subtract any applicable deductible from the amount determined in Step (ii). We will pay the amount determined in Step (iii) or the "Business Income" and "Extra Expense" limit of insurance, whichever is less. For the remainder, you will either have to rely on other insurance or absorb the loss yourself. If coverage is provided for more than one premises, then this Coinsurance Condition applies separately to each premises. 2. General Conditions a. Additional Insured If a person or organization is designated in this Coverage Part as an additional insured, we will consider them to be an insured under this Coverage Part to the extent of their interest. b. Bankruptcy The bankruptcy or insolvency of you or your estate will not relieve us of our obligation under this Coverage Part. c. Concealment, Misrepresentation Or Fraud This Coverage Part is void in any case of fraud, intentional concealment or misrepresentation of a material fact by you or any other insured, at any time, concerning: (1) This Coverage Part; (2) The "Covered Property"; (3) Your interest in the "Covered Property"; or (4) A claim under this Coverage Part. d. Liberalization If we adopt any standard form revision for general use that would broaden coverage in this Coverage Part without additional premium, the broadened coverage will immediately apply to this Coverage Part if the revision is effective within 45 days prior to or during the policy period. e. Mortgageholder (1) The term mortgageholder includes trustee. (2) We will pay for direct damage to "Covered Property" due to a "Breakdown" to "Covered Equipment" to each mortgageholder shown in the Declarations in their order of precedence, as interests may appear. (3) The mortgageholder has the right to receive loss payment even if the mortgageholder has started foreclosure or similar action on the "Covered Property". (4) If we deny your claim because of your acts or because you have failed to comply with the terms of this Coverage Part, the mortgageholder will still have the right to receive loss payment if the mortgageholder: (a) Pays any premium due under this Coverage Part at our request if you have failed to do so; (b) Submits a signed, sworn proof of loss within 60 days after receiving notice from us of your failure to do so; and (c) Has notified us of any change in ownership or material change in risk known to the mortgageholder. All of the terms of this Coverage Part will then apply directly to the mortgageholder. EB00200113 © Insurance Services Office, Inc., 2011 Page 14 of 19 g. (5) If we pay the mortgageholder for any loss and deny payment to you because of your acts or because you have failed to comply with the terms of this Coverage Part: (a) The mortgageholder's rights under the mortgage will be transferred to us to the extent of the amount we pay; and (b) The mortgageholder's right to recover the full amount of the mortgageholder's claim will not be impaired. At our option, we may pay to the mortgageholder the whole principal on the mortgage plus any accrued interest. In this event, your mortgage and note will be transferred to us and you will pay your remaining mortgage debt to us. (6) If we cancel this policy, we will give written notice to the mortgageholder 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. If we do not renew this policy, we will give written notice to the mortgageholder at least 10 days before the expiration date of this policy. If we suspend coverage, it will also be suspended as respects the mortgageholder. We will give written notice of the suspension to the mortgageholder. f. No Benefit To Bailee No person or organization, other than you, having custody of "Covered Property" will benefit from this insurance. Policy Period, Coverage Territory Under this Coverage Part: (1) We cover loss or damage commencing: (a) During the policy period shown in the Declarations; and (b) Within the coverage territory. (2) The coverage territory is: (a) The United States of America (including its territories and possessions); (7) (8) (b) Puerto Rico; and (c) Canada. h. Premium And Adjustments You shall report to us 100% of the total insurable values at each premises every year as of the anniversary date. The values shall be reported separately for each of the coverages provided. Premium for each anniversary will be promulgated for the ensuing period on the basis of rates in effect at the anniversary date and for all values at risk. You agree to keep the applicable records for each policy year available for inspection by our representatives at all times during business hours, during the respective policy year, and for a period of 12 months after the end of the respective policy year or after cancellation of this Coverage Part. i. Suspension Whenever "Covered Equipment" is found to be in, or exposed to, a dangerous condition, any of our representatives may immediately suspend the insurance against loss from a "Breakdown" to that "Covered Equipment". This can be done by delivering or mailing a written notice of suspension to: (1) Your last known address; or (2) The address where the "Covered Equipment" is located. Once suspended in this way, your insurance can be reinstated only by an endorsement for that "Covered Equipment". If we suspend your insurance, you will get a pro rata refund of premium for that "Covered Equipment". But the suspension will be effective even if we have not yet made or offered a refund. 3. Joint Or Disputed Loss Agreement a. This condition is intended to facilitate payment of insurance proceeds when: (1) Both a commercial property policy and this equipment breakdown protection policy are in effect; (2) Damage occurs to "Covered Property" that is insured by the commercial property policy and this equipment breakdown protection policy; and There is disagreement between the insurers as to whether there is coverage or as to the amount of the loss to be paid, if any, by each insurer under its own policies. (3) EB00200113 © Insurance Services Office, Inc., 2011 Page 15 of 19 b. This condition does not apply if: (1) Both the commercial property insurer(s) and we do not admit to any liability; and (2) Neither the commercial property insurer(s) nor we contend that coverage applies under the other insurer's policy. The provisions of this condition apply only if all of the following requirements are met: (1) The commercial property policy carried by the Named Insured, insuring the "Covered Property", contains a similar provision at the time of the loss or damage, with substantially the same requirements, procedures and conditions as contained in this condition; (2) The damage to the "Covered Property" was caused by a loss for which: (a) Both the commercial property insurer(s) and we admit to some liability for payment under the respective policies; or (b) Either: (I) The commercial property insurer(s) does not admit to any liability for payment, while we contend that: i. All liability exists under the commercial property policy; or ii. Some liability exists under both the commercial property policy and this equipment breakdown protection policy; (ii) We do not admit to any liability for payment, while the commercial property insurer(s) contends that: i. All liability exists under this equipment breakdown protection coverage policy; or ii. Some liability exists under both the commercial property policy and this equipment breakdown protection policy; or (iii) Both the commercial property insurer(s) and we: i. Do not admit to any liability for payment; and ii. Contend that some or all liability exists under the other insurer's policy; and (c) The total amount of the loss is agreed to by you, the commercial property insurer(s) and us. d. If the requirements listed in Paragraph c. above are satisfied, we and the commercial property insurer(s) will make payments to the extent, and in the manner, described as follows: (1) We will pay, after your written request, the entire amount of loss that we have agreed as being covered, if any, by this equipment breakdown protection policy and one-half (1/2) the amount of the loss that is in disagreement. (2) The commercial property insurer(s) will pay, after your written request, the entire amount of loss that they have agreed as being covered, if any, by the commercial property policy and one-half (1/2) the amount of loss that is in disagreement. (3) Payments by the insurers of the amounts that are in disagreement, as described in Paragraphs (1) and (2), do not alter, waive or surrender any rights of any insurer against any other with regard to the portion of the loss for which each insurer is liable. (4) The amount in disagreement to be paid by us under this condition shall not exceed the amount payable under the equivalent Loss Agreement(s) of the commercial property policy. (5) The amount to be paid under this condition shall not exceed the amount we would have paid had no commercial property policy been in effect at the time of loss. In no event will we pay more than the applicable Limit Of Insurance shown in the Declarations. (6) Acceptance by you of sums paid under this condition does not alter, waive or surrender any other rights against us. e. Arbitration (1) If the circumstances described in Paragraph c.(2)(a) exist and the commercial property insurer(s) and we agree to submit our differences to arbitration, the commercial property insurer(s) and we will determine the amount each will pay and will pay the insured within 90 days. Arbitration will then take place within 90 days after payment of the loss under the terms of this condition. EB00200113 © Insurance Services Office, Inc., 2011 Page 16 of 19 (2) If any of the circumstances described in Paragraph c.(2)(b) exist, then the commercial property insurer(s) and we agree to submit our differences to arbitration within 90 days after payment of the loss under the terms of this condition. (3) You agree to cooperate with any arbitration procedures. There will be three arbitrators: one will be appointed by us, and another will be appointed by the commercial property insurer(s). The two arbitrators will select a third arbitrator. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. A decision agreed to by two of the three arbitrators will be binding on both parties. Judgment on any award can be entered in any court that has jurisdiction. f. Final Settlement Between Insurers The insurer(s) found responsible for the greater percentage of the ultimate loss must return the excess contribution to the other insurer(s). In addition, the insurer(s) found responsible for the greater portion of the loss must pay Liquidated Damages to the other insurer(s) on the amount of the excess contribution of the other insurer(s). Liquidated Damages are defined as interest from the date the insured invokes this Agreement to the date the insurer(s) that contributed the excess amount is reimbursed. The interest is calculated at 1.5 times the highest prime rate from the Money Rates column of the Wall Street Journal during the period of the Liquidated Damages. Arbitration expenses are not a part of the excess contribution for which Liquidated Damages are calculated. Arbitration expenses will be apportioned between insurers on the same basis that the ultimate loss is apportioned. F. Definitions 1. "Breakdown": a. Means the following direct physical loss that causes damage to "Covered Equipment" and necessitates its repair or replacement (1) Failure of pressure or vacuum equipment; (2) Mechanical failure including rupture or bursting caused by centrifugal force; or (3) Electrical failure including arcing; unless such loss or damage is otherwise excluded within this Coverage Form. b. Does not mean or include: (1) Malfunction including but not limited to adjustment, alignment, calibration, cleaning or modification; (2) Defects, erasures, errors, limitations or viruses in computer equipment and programs including the inability to recognize and process any date or time or provide instructions to "Covered Equipment"; (3) Leakage at any valve, fitting, shaft seal, gland packing, joint or connection; (4) Damage to any vacuum tube, gas tube, or brush; (5) Damage to any structure or foundation supporting the "Covered Equipment" or any of its parts; (6) The functioning of any safety or protective device; or (7) The cracking of any part on an internal combustion gas turbine exposed to the products of combustion. 2. "Business Income" means the: a. Net Income (Net Profit or Loss before income taxes) that would have been earned or incurred; and b. Continuing normal operating expenses incurred, including payroll. 3. "Business Income Actual Annual Value" means the sum of the Net Income and continuing normal operating expenses incurred, including payroll that would have been earned had the "Breakdown" not occurred. 4. "Business Income Estimated Annual Value" means the sum of the Net Income and continuing normal operating expenses incurred, including payroll as estimated by you in the most recent Annual Report of Values form on file with us. 5. "Computer Equipment" means: a. Your programmable electronic equipment that is used to store, retrieve and process data; and b. Associated peripheral equipment that provides communication including input and output functions such as printing or auxiliary functions such as data transmission. It does not include "Data" or "Media". EB00200113 © Insurance Services Office, Inc., 2011 Page 17 of 19 6. "Covered Equipment": a. Means and includes any: (1) Equipment built to operate under internal pressure or vacuum other than weight of contents; (2) Electrical or mechanical equipment that is used in the generation, transmission or utilization of energy; (3) Communication equipment and "Computer Equipment"; and (4) Equipment in Paragraphs (1), (2) and (3) that is owned by a public or private utility and used solely to supply utility services to your premises. However, if Coverage A.2.e. Utility Interruption is provided, then Paragraph 6.a.(4) does not apply. Except for Paragraph 6.a.(4), Utility Interruption and Contingent "Business Income" and "Extra Expense" or "Extra Expense" only coverages, the "Covered Equipment" must be located at a premises described in the Declarations and be owned, leased or operated under your control. b. Does not mean or include any: (1) "Media"; (2) Part of pressure or vacuum equipment that is not under internal pressure of its contents or internal vacuum; (3) Insulating or refractory material, but not excluding the glass lining of any "Covered Equipment"; (4) Nonmetallic pressure or vacuum equipment, unless it is constructed and used in accordance with the American Society of Mechanical Engineers (A.S.M.E.) code or another appropriate and approved code; Catalyst; Vessels, piping and other equipment that is buried belowground and requires the excavation of materials to inspect, remove, repair or replace; Structure, foundation, cabinet or compartment supporting or containing the "Covered Equipment" or part of the "Covered Equipment" including penstock, draft tube or well casing; (5) (6) (7) (8) Vehicle, aircraft, self-propelled equipment or floating vessel including any "Covered Equipment" that is mounted upon or used solely with any one or more vehicle(s), aircraft, self- propelled equipment or floating vessel; Dragline, excavation or construction equipment including any "Covered Equipment" that is mounted upon or used solely with any one or more dragline(s), excavation or construction equipment; (10) Felt, wire, screen, die, extrusion plate, swing hammer, grinding disc, cutting blade, nonelectrical cable, chain, belt, rope, clutch plate, brake pad, nonmetal part or any part or tool subject to periodic replacement; (11) Machine or apparatus used solely for research, diagnosis, medication, surgical, therapeutic, dental or pathological purposes including any "Covered Equipment" that is mounted upon or used solely with any one or more machine(s) or apparatus unless Diagnostic Equipment is shown as INCLUDED in the Declarations; or (12) Equipment or any part of such equipment manufactured by you for sale. 7. "Covered Property" means any property that a. You own; or b. Is in your care, custody or control and for which you are legally liable. 8. "Data" means: a. Programmed and recorded material stored on "Media"; and b. Programming records used for electronic data processing, or electronically controlled equipment. 9. "Extra Expense" means the additional cost you incur to operate your business during the "Period of Restoration" over and above the cost that you normally would have incurred to operate the business during the same period had no "Breakdown" occurred. 10. "Fungus" means any type or form of fungus, including mold or mildew and any mycotoxins, spores, scents or by-products produced or released by fungi. (9) EB00200113 © Insurance Services Office, Inc., 2011 Page 18 of 19 11. "Green" means enhanced energy efficiency or use of environmentally -preferable, sustainable materials, products or methods in design, construction, manufacture or operation, as recognized by a "Green standards -setter". 12. "Green standards -setter" means an organization or governmental agency which produces and maintains guidelines related to "Green" products and practices. "Green standards -setters" include but are not limited to: a. The Leadership in Energy and Environmental Design (LEED®) program of the U.S. Green Building Council; b. ENERGY STAR, a joint program of the U.S. Environmental Protection Agency and the U.S. Department of Energy; and c. Green GlobesT"", a program of the Green Building Initiative. 13. "Hazardous Substance" means any substance other than ammonia that has been declared to be hazardous to health by a government agency. 14. "Media" means electronic data processing or storage media such as films, tapes, discs, drums or cells. 15. "One Breakdown" means if an initial "Breakdown" causes other "Breakdowns", all will be considered "One Breakdown". All "Breakdowns" at any one premises that manifest themselves at the same time and are the direct result of the same cause will be considered "One Breakdown". 16. "Period of Restoration" means the period of time that a. Begins at the time of the "Breakdown" or 24 hours before we receive notice of "Breakdown", whichever is later; and b. Ends five consecutive days after the date when the damaged property at the premises described in the Declarations is repaired or replaced with reasonable speed and similar quality. 17. "Stock" means merchandise held in storage or for sale, raw materials, property in process or finished products including supplies used in their packing or shipping. EB00200113 © Insurance Services Office, Inc., 2011 Page 19 of 19 Policy Number YB2-L9L-468235-014 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL NAMED INSURED This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM We will provide insurance under this policy to each of the persons or organizations shown as an additional named insured on the Schedule of this endorsement. We will adjust any covered loss only with you. You will pay the premium for the insurance we provide to the additional named insureds. In the event that you become bankrupt or insolvent, each additional named insured shall pay the premium for the insurance it receives. We will make our payment jointly to you and any person or organization shown on the Schedule of this endorsement. Additional Named Insured Per Schedule on File PPS 99 05 09 12 Schedule Location All Covered Locations Per Schedule on File with Us © 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number YB2-L9L-468235-014 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EQUIPMENT BREAKDOWN ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM A. The following coverage(s) are added to A.2. Coverages Provided of the EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM: k. Civil Authority If the Declarations show you have business income and/or extra expense coverage: (1) The applicable coverage is extended to cover loss caused by the action of civil authority that prohibits access to the premises described in the Declarations. The action of civil authority must directly result from a "Breakdown" to "Covered Equipment" or to equipment of the type covered by this policy that is located within 100 miles of a premise shown in the Declarations. (2) Coverage provided under (1) above will commence 24 hours after the time of the civil authority action and will continue until the earlier of: a. 4 consecutive weeks thereafter; or b. The date access is restored. I. Ingress/Egress We will pay for the actual loss of business income that you sustain if your ingress to, or egress from the premises described in the Declarations is prevented as a direct result of a "Breakdown" to "Covered Equipment" or to equipment of the type covered by this policy that is located off of the premises described in the declarations. This coverage does not apply if the ingress to or egress from your premises is prohibited by civil authority. The most we will pay for actual loss of Business Income you sustain under this coverage is $250,000. m. Claim Preparation Fees (1) We will pay the reasonable expenses that you incur when we require you to provide us with property value assessments, income statements, and other related documentation to show the extent of loss. This includes the cost of taking inventories, assessing property values, preparing income statements, and preparing other similar documentation. (2) We will not pay for: PPS 04 01 07 15 © 2015 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 3 a. Any expenses incurred for, billed by or payable to attorneys or adjusters, or their associates or subsidiaries b. Any costs in connection with E. Conditions, 1 Loss Conditions, b. Appraisal; or c. Any expenses incurred for, billed by or payable to insurance brokers or agents, or their associates or subsidiaries, without our written consent prior to such expenses being incurred. (3) The most we will pay for preparation of claim data expenses under this Coverage Extension in any "One Breakdown" is $250,000. This limit is part of, not in addition to, any applicable Limit per Breakdown as shown in the Declaration. B. Item f. (4) Newly Acquired Premises of A.2. Coverages Provided is deleted and replaced by the following: f.(4) The limit available for this coverage is the amount shown as the Newly Acquired Premises Limit in the Declarations. If the coverages and deductibles vary for existing premises, then the coverages for the newly acquired premises will be the broadest coverage and highest limits and deductible applicable to the existing premises. However, in no circumstance will the limit available for the newly acquired premises exceed the amount shown as the Newly Acquired Premises Limit in the Declarations. C. Item j. Contingent Business Income and Extra Expense or Extra Expense Only Coverage of A.2. Coverages Provided is deleted and replaced by the following: j. Dependent Location If you have selected the Business Income Coverage Extension or Extra Expense Coverage Extension, that applicable coverage is extended to cover loss caused by the necessary partial or total interruption of your business during the "Period of Restoration" for a "Dependent Location". The interruption must be caused by direct physical loss or damage at a "Dependent Location," shown in the Declarations or elsewhere in this Coverage Part, caused by or resulting from "Breakdown" to equipment of the type insured by this policy. However, coverage under this Coverage Extension does not apply when the only loss to "Dependent Location" is loss or damage to "Electronic Data, including destruction or corruption of "Electronic Data". "Dependent Location" means property operated by others whom you depend on to: (1) Deliver materials or services to you or to others for your account. But any property which delivers any of the following services is not a Supplying Location with respect to such utility services: air conditioning, communication services, electric power, gas, heating, refrigeration, steam, water or waste treatment. (2) Accept your products or services; (3) Manufacture products for delivery to your customers under contract of sale; or (4) Attract customers to your business. PPS 04 01 07 15 © 2015 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 2 of 3 D. The last paragraph of 7. Increased Cost of Loss And Related Expenses For "Green" Upgrades of section C. Limits Of Insurance is deleted and replaced by the following: Unless a different limit or INCLUDED is shown in the Declarations, the most we pay under this "Green" upgrades coverage is an amount equal to 50% of the total Property Damage loss otherwise recoverable. E. Item I. (2) Valuation of E.1. Loss Conditions is deleted and replaced by the following: If "Covered Equipment" requires replacement due to a "Breakdown", we will pay the additional cost to replace the equipment with equipment that we and you agree improves the environment, increases efficiency or enhances safety while maintaining the existing function, subject to the following conditions: (a) We will not pay more than one hundred fifty percent (150%) of what the cost would have been to replace with like kind and quality; (b) We will not pay to increase the size or capacity of the equipment; (c) This provision only applies to property damage coverage; (d) This provision does not increase any of the applicable limits; (e) This provision does not apply to any property valued on an "Actual Cash Value" basis; and (f) This provision does not apply to the replacement of component parts. F. Item 16. "Period of Restoration" under F. Definitions is deleted and replaced with the following: 16. "Period of Restoration" means the period of time that: a. Begins at the time of the "Breakdown"; and b. Ends on the earlier of: (1) The number of consecutive days indicated for the applicable "Period of Restoration" shown in the Declarations or elsewhere in this Coverage Part after the date when the property at the Covered Premises should be repaired, rebuilt or replaced with reasonable speed and similar quality; or (2) The date when business is resumed at a new permanent location. PPS 04 01 07 15 © 2015 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 3 of 3 Policy Number YB2-L9L-468235-014 Issued by: Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISCELLANEOUS LOCATIONS This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM The following is added to Paragraph A.2.: Miscellaneous Locations We will pay subject to a sub -limit of $ 2,500,000 for all loss or damage from any "One Breakdown," for a "Breakdown" to your "Covered Equipment" at any premise (within the policy territory) that is not scheduled in the Declarations or otherwise covered by us or this policy. No coverage is provided under this provision, however, for any property: (1) in transit; or (2) excluded elsewhere in this policy; or (3) for which coverage is found, in whole or in part, elsewhere in this policy. PPS 99 11 01 13 © 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number YB2-L9L-468235-014 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION AMENDATORY This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM Paragraph B.14 is deleted and replaced with the following: 14. A "Breakdown" that is caused by any of the following causes of loss: a. Aircraft or vehicles; b. Freezing caused by cold weather; c. Lightning; d. Sinkhole collapse; e. Smoke; f. Riot, civil commotion or vandalism; or g. Weight of snow, ice or sleet. PPS 21 01 09 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OFF -PREMISES EQUIPMENT COVERAGE This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN COVERAGE PART A. Coverage is extended for loss or damage to "Cov- ered Property" as a direct result of a "Breakdown" to "Covered Equipment" while such equipment is away from the premises described in the Declara- tions, and is: 1. Operated under your control; 2. Situated at a fixed location and not in transit; and 3. In use or connected and ready for use. B. Paragraph 6.b.(8) of Section F. Definitions does not apply to coverage provided by this endorse- ment to the extent that "Covered Equipment" may be mounted upon or used solely with a vehicle or self-propelled equipment, unless such "Covered Equipment" is used in the operation or propulsion of the vehicle or self-propelled equipment. EB 99 63 0910 © Insurance Services Office, Inc., 2009 Page 1 of 1 ❑ Policy Number YB2-L9L-468235-014 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION CHANGE This endorsement modifies insurance provided under the following: COMMON POLICY CONDITIONS Item A. 2. b. of the Cancellation Condition is replaced with the following: b. 90 days before the effective date of cancellation if we cancel for any other reason. PPS 02 01 09 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or deliv- ering to us advance written notice of cancella- tion. 2. We may cancel this policy by mailing or deliv- ering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to 4. Notice of cancellation will state the effective state of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any 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 ef- fective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be suffi- cient proof of notice. B. 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. C. Examination Of Your Books And Records We may examine and audit your books and rec- ords as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections. We do not un- dertake 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: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes in- surance inspections, surveys, reports or rec- ommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom- mendations we may make relative to certifica- tion, under state or municipal statutes, ordi- nances or regulations, of boilers, pressure ves- sels or elevators. E. Premiums The first Named Insured shown in the Declara- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. 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 repre- sentative. Until your legal representative is ap- pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO CHANGES - CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following: 2. 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 cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. B. The following is added to the Cancellation Com- mon Policy Condition: 7. 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 is- sued, 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 cancel- lation, 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 insur- ance; or (3) A substantial change in the exposure or risk other than that indicated in the ap- plication and underwritten as of the ef- fective date of the policy unless the first Named Insured has notified us of the change and we accept such change. C. The following is added and supersedes any other provision to the contrary: 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. IL 02 28 09 07 © ISO Properties, Inc., 2006 Page 1 of 2 D. The following condition is added: 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 through first-class mail writ- ten 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: 1. Nonpayment of premium; 2. A false statement knowingly made by the in- sured 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 poli- cy 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. IL 02 28 09 07 © ISO Properties, Inc., 2006 Page 2 of 2 IL 09 52 01 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: BOILER AND MACHINERY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART STANDARD PROPERTY POLICY A. Cap On Certified Terrorism Losses "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a "certified act of terrorism" include the following: 1. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and 2. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. B. Application Of Exclusions The terms and limitations of any terrorism exclusion, or the inapplicability or omission of a terrorism exclusion, do not serve to create coverage for any loss which would otherwise be excluded under this Coverage Part or Policy, such as losses excluded by the Nuclear Hazard Exclusion or the War And Military Action Exclusion. IL 09 52 01 15 © Insurance Services Office, Inc., 2015 Page 1 of 1 POLICY NUMBER: YB2-L9L-468235-014 IL 09 85 12 20 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE SCHEDULE — PART I Terrorism Premium $ 0 (Certified Acts) This premium is the total Certified Acts premium attributable to the following Coverage Part(s), Coverage Form(s) and/or Policy(ies): Equipment Breakdown Protection Coverage Form Additional information, if any, concerning the terrorism premium: SCHEDULE — PART II Federal share of, 80 % 2020 and Each Subsequent terrorism losses Calendar Year (Refer to Paragraph B. in this endorsement.) Information required to complete this Schedule, if not shown above, will be shown in the Declarations. IL 09 8512 20 © Insurance Services Office, Inc., 2020 Page 1 of 2 A. Disclosure Of Premium In accordance with the federal Terrorism Risk Insurance Act, we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorist acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Schedule of this endorsement or in the policy Declarations. B. Disclosure Of Federal Participation In Payment Of Terrorism Losses The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals a percentage (as shown in Part II of the Schedule of this endorsement or in the policy Declarations) of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Page 2 of 2 © Insurance Services Office, Inc., 2020 IL 09 8512 20 LIBERTY MUTUAL GROUP CALIFORNIA PRIVACY NOTICE Commercial Lines (excluding Workers' Compensation) (Effective January 1, 2023) (Last Updated November 2022) Liberty Mutual Group and its affiliates, subsidiaries, and partners (collectively "Liberty Mutual" or "we", "us" and "our") provide insurance to companies and other insurers. This Privacy Notice explains how we gather, use, and share your data. This Privacy Notice applies to you if you are a Liberty Mutual commercial line insured or are a commercial line claimant residing in California. It does not apply to covered employees or claimants under Workers' Compensation policies. If this notice does not apply to you, go to libertymutual.com/privacy to review the applicable Liberty Mutual privacy notice. What Personal Data Do We Collect? The types of personal data we gather and share depend on both the product and your relationship to us. For example, we may gather different data if you are a claimant reporting an injury than if you want a quote for commercial property insurance. The data we gather can include your Social Security Number, income, transaction data such as account balances and payment history, and data from consumer reports. It may also include data gathered in connection with our provision of insurance services, when you apply for such services, or resulting from other contacts with you. It may also include: Identifiers, including a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, Social Security Number, driver's license number, or other similar identifiers; Personal data, such as your name, signature, Social Security Number, physical characteristics or description, address, telephone number, driver's license or state identification card number, insurance policy number, education, employment, employment history, bank account number, financial data, precise geolocation, medical data, or health insurance data; Protected classification characteristics described in California Civil Code § 1798.80(e), including age, race, color, national origin, citizenship, religion or creed, marital status, medical condition, physical or mental disability, sex (including gender, gender identity, gender expression, pregnancy or childbirth and related medical conditions), sexual orientation, or veteran or military status; Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories and tendencies; Internet or other similar network activity, including browsing history, search history, information on a consumer's interaction with a website, application, or advertisement; Professional or employment related information, including current or past job history; Inferences drawn from other personal information, such as a profile reflecting a person's preferences, characteristics, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes; Risk data, including data about your driving and/or accident history; this may include data from consumer reporting agencies, such as your motor vehicle records, and loss history information, health data, or criminal convictions; Claims data, including data about your previous and current claims, which may include data regarding your health, criminal convictions, third party reports, or other personal data; and Sensitive Data as defined under the California Privacy Rights Act when used to infer characteristics of an individual. For information about the types of personal data we have collected in the past twelve (12) months, please go to Imi.co/caorivacynotices and click on the link for the California Privacy Policy (Consumers). SNI 04 01 01 23 © 2022 Liberty Mutual Insurance Page 1 of 6 How Do You Gather My Data? We gather your personal data directly from you. For example, you provide us with data when you: We also gather your personal data from other people. For example: • ask about or buy insurance, or file a claim • your insurance agent or broker • pay your policy • your employer, association or business (if you are insured through them) • visit our websites, call us, or visit our office • our affiliates or other insurance companies about your transactions with them • consumer reporting agencies, Motor Vehicle Departments, and inspection services, to gather your credit history, driving record, claims history, or value and condition of your property • other public directories and sources • third parties, including other insurers, brokers and insurance support organizations who you have communicated with about your policy or claim, anti -fraud databases, sanctions lists, court judgments and other databases, government agencies, open electoral register, or in the event of a claim, third parties including other parties to the claim witnesses, experts, loss adjusters and claim handlers • other third parties who take out a policy with us and are required to provide your data such as when you are named as a beneficiary or where a family member has taken out a policy which requires your personal data Organizations that share data with us may keep it and disclose it to others as permitted by law. For data about how we have gathered personal data in the past twelve months, please go to Imi.co/caprivacvnotices and click on the link for the California Privacy Policy (Consumers). How Do We Use Your Personal Data? Liberty Mutual uses your data to provide you with our products and services, and as otherwise provided in this Privacy Notice. We may use your data and the data of our former customers for our business and other compatible purposes. Our business purposes include, for example: Business Purpose Data Categories Do we share or sell your information as defined by CPRA Market, sell and provide insurance. • Identifiers • No This includes, for example: • Personal Information • calculating your premium; • Protected Classification Characteristics • determining your eligibility fora • Commercial Information quote; • Internet or other similar network activity • confirming your identity and • Professional or employment related servicing your policy; information • Inferences drawn from other personal information • Risk data • Claims data • Sensitive Data SNI 04 01 01 23 © 2022 Liberty Mutual Insurance Page 2of6 Business Purpose Data Categories Do we share or sell your information as defined by CPRA Manage your claim. This includes, for example: • managing your claim, if any; • conducting claims investigations; conducting medical examinations; conducting inspections, appraisals; • providing roadside assistance; • providing rental car replacement or repairs; • Identifiers • Personal Information • Protected Classification Characteristics • Commercial Information • Internet or other similar network activity • Professional or employment related information • Inferences drawn from other personal information • Risk data • Claims data • No Day to Day Business and Insurance Operations. This includes, for example: • creating, maintaining, customizing, and securing accounts; supporting day-to-day business and insurance related functions; doing internal research for technology and development; marketing, advertising and creating products and services; conducting audits related to a current contact with a consumer and other transactions; • as described at or before the point of gathering personal data or with your authorization; • Identifiers • Personal Information • Protected Classification Characteristics •Commercial Information • Internet or other similar network activity • Professional or employment related information • Inferences drawn from other personal information • Risk data • Claims data • No Security and Fraud Detection. This includes, for example: • detecting security issues; • protecting against fraud or illegal activity, and to comply with regulatory and law enforcement authorities; managing risk and securing our systems, assets, infrastructure, and premises; help to ensure the safety and security of Liberty staff, assets, and resources, which may include physical and virtual access controls and access rights management; supervisory controls and other monitoring and reviews, as permitted by law; and emergency and business continuity management; • Identifiers • Personal Information • Protected Classification Characteristics • Commercial Information • Internet or other similar network activity • Professional or employment related information • Inferences drawn from other personal information • Risk data • Claims data • No SN104 01 01 23 © 2022 Liberty Mutual Insurance Page 3 of 6 Business Purpose Data Categories Do we share or sell your information as defined by CPRA Regulatory and Legal Requirements. • Identifiers • No This includes for example: • Personal Information • controls and access rights • Protected Classification Characteristics management; • Commercial Information to evaluate or conduct a • Internet or other similar network activity merger, divestiture, restructuring, reorganization, dissolution, or other sale or • Professional or employment related information • Inferences drawn from other personal transfer of some or all of information Liberty's assets, whether as a • Risk data going concern or as part of bankruptcy, liquidation, or similar proceeding, in which personal data held by Liberty is among the assets transferred; • Claims data • exercising and defending our legal rights and positions; to meet Liberty contract obligations; • to respond to law enforcement requests as required by applicable law, court order, or governmental regulations; as otherwise permitted by law; Improve Your Customer Experience • Identifiers • No and Our Products. This includes, for • Personal Information example: • Commercial Information • improve your customer • Internet or other similar network activity experience, our products, and • Professional or employment related service; information • to provide support, personalize, and develop our website, products, and services; • Inferences drawn from other personal information • Risk data • create and offer new products and services; • Claims data Analytics to identify, understand, and manage our risks and products. • Identifiers • Personal Information • No This includes, for example: • Protected Classification Characteristics • conducting analytics to better • Commercial Information identify, understand, and • Internet or other similar network activity manage risk and our products; . Professional or employment related information • Inferences drawn from other personal information; • Risk data • Claims data • Sensitive Data SNI 04 01 01 23 © 2022 Liberty Mutual Insurance Page 4 of 6 Business Purpose Data Categories Do we share or sell your information as defined by CPRA Customer service and technical • Identifiers • No support. This includes, for example: • Personal Information • answer questions and provide • Commercial Information notifications; • Internet or other similar network activity • provide customer and technical • Professional or employment related support. information • Inferences drawn from other personal information • Risk data • Claims data Cross -Context Behavioral • Identifiers • We share this Advertising • IP address information with • Internet or other similar network activity service providers such as search engines and social media platforms. Liberty Mutual will not collect additional categories of personal information or use the personal information we collected for materially unrelated, or incompatible purposes without updating our notice. Do We Disclose Your Personal Data? Liberty Mutual does not sell your personal data as defined by California law. Liberty Mutual shares your personal data as disclosed above. The California privacy law defines sharing as "communicating orally, in writing, or by electronic or other means, a consumers personal information, to a third party for cross -context behavioral advertising, whether or not for monetary or other valuable consideration." This occurs when you visit the Liberty Mutual website. Cookies or pixels are deployed that then allow us to show you targeted advertisements when you visit other websites or social media platforms. You have the right to opt -out of this type of sharing and you may learn more about those rights at Imi.co/caprivacychoices. This type of sharing is different from disclosing personal information to other entities to perform a service related to providing insurance or processing your claim. How we disclose data to these types of entities is set forth below. Liberty Mutual may disclose personal data with affiliated and non-affiliated third parties, including: • Liberty Mutual affiliates; • Service Providers (such as auto repair facilities, towing companies, property inspectors, and independent adjusters); • Insurance support organizations; • Brokers and agents; • Public entities (e.g. regulatory, quasi -regulatory, tax or other authorities, law enforcement agencies, courts, arbitrational bodies, and fraud prevention agencies); • Consumer reporting agencies; • Advisors including law firms, accountants, auditors, and tax advisors; • Insurers, re -insurers, policy holders, and claimants; • Group policyholders (for reporting claims data or an audit); • A person, organization, affiliates or service providers conducting actuarial or research studies; and • As permitted by law. We may also disclose data with other companies that provide marketing services on our behalf or as part of a joint marketing agreement for products offered by Liberty Mutual. We will not disclose your personal data with others for their own marketing purposes. We may also disclose data about our transactions (such as payment history) and experiences (such as claims made) with you to our affiliates. SNI 04 01 01 23 © 2022 Liberty Mutual Insurance Page 5 of 6 Liberty Mutual may disclose the following categories of personal data as needed for business purposes: Identifiers Protected Classification Characteristics Internet or other similar network activity Inferences drawn from personal data Claims Data Personal Data Commercial Data Professional, employment, and education data Risk Data For information about how we have shared personal information in the past twelve (12) months, please go to Imi.co/caprivacvnotices and click on the link for the California Privacy Policy (Consumers). How Long Does Liberty Mutual Retain Each Category of Personal Data? We retain your information in accordance with our legal obligations, our records retention policies, or as otherwise permitted by law. For example, we may have a legal obligation to retain information relating to your policies or claims with us. We will delete your data once the legal obligation expires or after the period of time specified in our records retention policies. The period of retention is subject to our review and alteration. How to Contact Us: You can submit requests, seek additional information, or obtain a copy of our Privacy Notice in an alternative format by either: Calling: Email: Online: 800-344-0197 privacvCa)_libertvmutual.com Libertvmutualgroup.com/privacv-policv/data-request Imi.co/caprivacychoices Postal Address: Liberty Mutual Insurance Company Attn: Privacy Office 175 Berkeley St. 6th Floor Boston, MA 02116 SNI 04 01 01 23 O 2022 Liberty Mutual Insurance Page 6 of 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO CHANGES This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN COVERAGE PART The following Condition is added to Paragraph 1. Loss Conditions in Section E. Equipment Break- down Protection Conditions: LOSS PAYMENT 1. We will give you notice of our intentions within 30 days after we receive the sworn proof of loss; and 2. We will pay for covered loss or damage within 30 days after we receive the sworn proof of loss, if you have complied with all the terms of this Cov- erage Form and: a. We have reached agreement with you on the amount of loss; or b. An appraisal award has been made. EB01420907 © ISO Properties, Inc., 2006 Page 1 of 1 D THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO CHANGES - CONCEALMENT, MISREPRESENTATION OR FRAUD This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART - FARM PROPERTY - OTHER FARM PROVISIONS FORM - ADDITIONAL COVERAGES, CONDITIONS, DEFINITIONS FARM COVERAGE PART - LIVESTOCK COVERAGE FORM FARM COVERAGE PART - MOBILE AGRICULTURAL MACHINERY AND EQUIPMENT COVERAGE FORM The CONCEALMENT, MISREPRESENTATION OR FRAUD Condition is replaced by the following: CONCEALMENT, MISREPRESENTATION OR FRAUD We will not pay for any loss or damage in any case of 1. Concealment or misrepresentation of a material fact; or 2. Fraud; committed by you or any other insured ("insured") at any time and relating to coverage under this policy. IL 01 69 09 07 © ISO Properties, Inc., 2006 Page 1 of 1 EQUIPMENT BREAKDOWN EB10010621 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CYBER INCIDENT EXCLUSION This endorsement modifies insurance provided under the following: EQUIPMENT BREAKDOWN COVERAGE PART The following exclusion is added to Paragraph B. Exclusions: We will not pay for loss or damage caused directly or indirectly by the following. Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss. Cyber Incident 1. Unauthorized access to or use of any computer system (including electronic data). 2. Malicious code, virus or any other harmful code that is directed at, enacted upon or introduced into any computer system (including electronic data) and is designed to access, alter, corrupt, damage, delete, destroy, disrupt, encrypt, exploit, use or prevent or restrict access to or the use of any part of any computer system (including electronic data) or otherwise disrupt its normal functioning or operation. 3. Denial of service attack which disrupts, prevents or restricts access to or use of any computer system, or otherwise disrupts its normal functioning or operation. EB10010621 © Insurance Services Office, Inc., 2020 Page 1 of 1 ILP0010104 U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") ADVISORY NOTICE TO POLICYHOLDERS No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. This Notice provides information concerning possible impact on your insurance coverage due to directives issued by OFAC. Please read this Notice carefully. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based on Presidential declarations of "national emergency". OFAC has identified and listed numerous: • Foreign agents; • Front organizations; • Terrorists; • Terrorist organizations; and • Narcotics traffickers; as "Specially Designated Nationals and Blocked Persons". This list can be located on the United States Treas- ury's web site — http//www.treas.gov/ofac. In accordance with OFAC regulations, if it is determined that you or any other insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC. When an insurance policy is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without authorization from OFAC. Other limitations on the premiums and payments also apply. IL P 001 01 04 © ISO Properties, Inc., 2004 Page 1 of 1 Policy Number YB2-L9L-468235-014 Issued by Liberty Mutual Fire Insurance Company ANNUAL MEETING NOTICE Your policy is issued by a stock insurance company subsidiary of the Liberty Mutual Holding Company Inc., a Massachusetts mutual holding company. The named insured first named in the Declarations is a member of Liberty Mutual Holding Company Inc. As a member of Liberty Mutual Holding Company Inc., the named insured first named is entitled, among other things, to vote either in person or by proxy at the annual meeting or special meetings of said company. The Annual Meeting of Liberty Mutual Holding Company Inc. is at its offices located at 175 Berkeley Street, Boston, Massachusetts, on the second Wednesday in April each year at ten o'clock in the morning. Members of Liberty Mutual Holding Company Inc. may request a copy of the company's annual financial statements, which are posted on Liberty Mutual's website at www.libertymutual.com or by writing to Liberty Mutual Holding Company Inc., 175 Berkeley Street, Boston, Massachusetts, 02116, Attention: Corporate Secretary. PARTICIPATING PROVISION You may be eligible to participate in the distribution of surplus funds of the company through any dividends that may be declared for this policy. A declaration or payment of dividends is not guaranteed. The amount of any dividends that may be declared shall be to the extent, and upon the conditions fixed and determined by the Board of Directors and in compliance with any laws that apply. In witness whereof, the company has caused this policy to be signed by its President and its Secretary. LIL90040623 SECRETARY PRESIDENT © 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Hello