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Home My WebLink About20 Contract for Insurance20 To: Board of Directors From: Kim Harris Date. May 16, 2018 Subject: Consideration of the Award of a Contract for Property, Liability and Cyber Insurance 1. WHY THIS MATTER IS BEFORE THE BOARD The District's annual property, liability and cyber insurance coverage ends June 1, 2018 and requires Board approval for renewal. 2. HISTORY Due to the complexity of its insurance requirements, the District utilizes insurance brokerage services. In March, 2018, the District Board of Directors awarded the contract for insurance brokerage services for annual property, liability and cyber coverage to InterWest Insurance Services for up to a three-year term. 3. NEW INFORMATION The District worked with Matt Bauer and Tony Pozas with InterWest to complete the necessary letters and applications to obtain competitive bids for the insurance package. InterWest solicited quotes from various insurance companies for the policy period June 1, 2018 -June 1, 2019 and considered carriers based on insurance needs, price and rating of the company. InterWest's attached proposal (Attachment 1), summarizes the elements considered during the insurance renewal process. Over eleven carriers were approached including SDRMA (Work comp carrier), JPIA/ACWA, Liberty Mutual and Hallmark. The recommended quotes are summarized below: Coverage Company 2017/18 2018/19 Notes Property/ General Travelers $130,505 $130,020 Liability Excess Liability AWAC/Traveler $44,900 $57,079 s Earthquake Landmark/Essex $77,400 $59,856 Crime Chubb $4,776 $4,776 Pollution Steadfast $7,413 $7,413 3-year $25,800 Cyber Travelers $13,974 $13,203 Total $2799008 $2729347 Due to business reasons, OneBeacon who the District has been covered with for several years, decided to not renew its insurance coverage in California and declined to quote. Notable items of the insurance package are: Coverage limits are arranged differently with Travelers vs One Beacon, but the coverage limits are the same or better. • One Beacon provided $1 M occurrence/$5M aggregate for GL, Errors & Omissions, EPLi with a $10M Excess Umbrella over all these coverage lines. This provided $11M occurrence/$15M aggregate for these lines before other layers are attached. • Travelers provides $1 M occurrence/$2M aggregate for GL, $1 M/$1 M Errors & Omissions, $1M/$3M EPLi with a $15M Excess Umbrella over all these coverage lines. This provided $16M occurence/$17M aggregate for GL, $16M/$16M for E&O, $16M/$18M EPLi for these lines before other layers are attached. • Travelers Aggregate Limit for GL is $27MM. One Beacon was $25MM. Property: Deluxe Property Coverage is significantly more broad than most property forms with many extensions/coverages built in. • Travelers will conduct a Marshall Swift/Boekh (MSB) report every year to verify that all buildings are fully insured to value. This is run year over year to make sure buildings values are adequate. The blanket limit for buildings and business personal policies is $73,966,932 for this policy period. • Travelers has included increased limits for accounts receivable, ordinance/law coverage, outdoor property, personal effects, and valuable papers. • Deluxe Business Income with Extra Expense Coverage is being provided at all locations for a blanket limit of $2,500,000 and a deductible of 72 hours. • The property deductible decreases to $10,000 from $25,000, Auto: • Standard $1 M CSL with UM/UIM at $1 M and $5K Med Pay - a signed UM/UIM form will need to be completed • Both the liability and auto physical damage is rated on the composite rating schedule: no midterm endorsements for added or deleted vehicles as these cnanges wiii ae picmea up at the ena or the policy perioa. Professional Lines and Cyber: • These are separate lines of coverage and not sub limited under the General Liability or combined with each other. • Defense expenses are payable outside the limits of insurance. Employment Practices Liability: • Offering $1 M/1 M limits with a $15,000 deductible. • Claims -Made w/retro-date per provided supplements of 05/02/2002. • Defense expenses are payable inside the limits of insurance. Umbrella recap: • $15M Limits with a $10,000 retained limit. Travelers also provides the following support Risk Management services: • Dedicated public sector claims handling team for the casualty lines who are trained and dedicated to handle all auto, GL, professional, and WC claims for public sector entities. TDPUD will have dedicated claims adjustors and management staff. • For EPLi claims, Travelers offers a free consulting service through Jackson Lewis out of Phoenix: you can call prior to a claim or when a situation arises, and receive free guidance. This is in addition to the Labor Attorney Services InterWest Provides our clients through the Holden Law Group in Auburn. • Travelers also supports our loss control consultants with a dedicated public sector risk controls services team to help with any targeted areas of need. The proposed premium cost is $279,008, which is an approximately 2.39% decrease 4. FISCAL IMPACT Sufficient funds exist in the Board approved FY1Mir- Y19 budgets. 5. RECOMMENDATION Authorize the General Manager to execute contracts presented in the InterWest Renewal Proposal for the property, liability, and cyber insurance for an amount not to exceed $272,347 for the period beginning June 1, 2018 and ending June 1, 2019, 144 Kim Harris Human Resource /Risk Director Michael D. Holley General Manager 06/01/18 to 06/01/19 Presented by Matthew Bauer and Tony Pozas May 1, 2018 t 44 YUUR SERVICE TEAM Coverage and Policy Services Matthew Bauer Direct Line: Email: Tony Pozas 530-897-3158 mbauer@iwins.com Direct Line: 530-897-3174 Email: tpozas@iwins.com Natalie Brockus, CISR, AFIS Direct Line: 530-897-3148 Email: nbrockus@iwins.com Fax: 530-891-7748 Risk Management/Claims Risk Management Services: Dante Bellino Phone: 530-722-2635 Email: dbellino@iwins.com Property/Casualty Claims: Heather Hill Phone: 530-722-2613 Email: hhill@iwins.com Workers Compensation Claims: Denise Brown Phone: 530-823-6504 Email: dbrown@iwins.com Additional Services Surety Bonds: John Hopkins Phone: 530-897-3156 Email: jhopkins@iwins.com Personal Insurance: Sandy Sunderman Phone: 530-897-3152 Email: ssunderman@iwins.com Let our experience guide you. NAMED INSURED/LOCATIONS Truckee Donner Public Utility District 11570 Donner Pass Road Truckee, CA 96161 Mailing Address 11570 Donner Pass Road Truckee, CA 96161 Locations 1 15135 & 16363 Ski Slope Way Truckee, CA 96161 A&B Well 2 Airport Wells & Booster Truckee, CA 96161 Airport Well & Booster 3 14686 Slalom Way Truckee CA 96161 Alder Creek Booster 4 Alder Drive Boosters Truckee CA 96161 Alder Drive Boosters 5 12534 Sierra Drive West Truckee CA 96161 Armstrong Tank 6 11222 Trails End Road Truckee CA 96161 Bridge Street 6170 Tank 7 11348 Deerfield Drive Truckee CA 96161 Donner Creek Well 8 Donner Lake Tank Truckee CA 96161 Donner Lake Tank Let our experience guide you. NAMED INSURED/LOCATIONS 9 11777 & 11783 Bull Pine Trail Truckee CA 96161 Donner Trails Booster 10 11882 Ski Slope Way Truckee CA 96161 Donner View Booster 11 12564 Falcon Point Place Truckee CA 96161 Falcon Point Booster 12 11280 Valley Road Truckee CA 96161 Gateway Tank 13 Glacier Tank Truckee, CA 96161 Glacier Tank 14 10513 The Strand Truckee CA 96161 Glenshire Booster 15 15375 Kent Drive Truckee CA 96161 Glenshire Lower Tanks 16 10726 Chickwick Ranch & 15659 Sherwood Drive Truckee CA 96161 Glenshire Upper Tanks 17 Glenshire Well Truckee CA 96161 Glenshire Well 18 10565 Somerset Drive Truckee CA 96161 Glenshire Well #20 19 Herringbone Booster Truckee CA 96161 Herringbone Booster 20 Hirschdale Well & Treatment Truckee CA 96161 Hirschdale Well & Treatment 21 11069 Innsbruck Avenue Truckee, CA 96161 Innsbruck Avenue Let our experience guide you. NAMED INSURED/LOCATIONS 22 Martis Valley Well #1 Truckee CA 96161 Martis Valley Well #1 23 Martis Woods Tanks & Boosters Truckee CA 96161 Martis Woods Tanks & Boosters 24 10181 Indian Jack Road Truckee CA 96161 Northside Booster 25 12701 Fairway Drive Truckee CA 96161 Old Greenwood Well 26 12530 & 13046 Pinnacle Loop Truckee CA 96161 Pinnacle Loop 27 Ponderosa Palisades Booster Truckee CA 96161 Ponderosa Palisades Booster 28 11912 Rio Vista Drive Truckee CA 96161 Ponderosa Palisades West Booster 29 10620 No Other Way Truckee CA 96161 Prosser Annex Well 30 11059 & 11089 Beacon Road Truckee CA 96161 Prosser Heights Hydro 31 10964 Alder Drive Truckee CA 96161 Prosser Heights Wells 32 12007 Pine Forest Road Truckee CA 96161 Prosser Lakeview Tank 33 Prosser Village Well Truckee CA 96161 Prosser Village Well 34 14701 Mount Judah Drive Truckee CA 96161 Red Mountain Hydro Boosters Let our experience guide you. NAMED INSURED/LOCATIONS 35 Richards Blvd Booster Truckee CA 96161 Richards Blvd Booster 36 13036 Roundhill Drive Truckee CA 96161 Roundhill Boosters 37 10692 Pioneer Trail Truckee CA 96161 Sanders Well 38 10601 & 10665 Pine Cone Drive Truckee CA 96161 Sierra Meadows Boosters 39 11357 Stizmark Way Truckee CA 96161 Sitzmark Booster 40 16322 Ski Slope Way Truckee CA 96161 Ski Lodge Booster 41 15528 Ski Slope Way Truckee CA 96161 Ski Run Booster 42 11778 Cedar Trail Truckee CA 96161 Soma Sierra Booster 43 Southside Well #1 Truckee CA 96161 Southside Well #1 44 Southside Well #2 & Booster Truckee CA 96161 Southside Well #2 & Booster 45 12450 Stockholm Way Truckee CA 96161 Stockholm Booster 46 Wolfe Estates Boosters Truckee CA 96161 Wolfe Estates Booster 47 Wolfe Estates Tank Truckee CA 96161 Wolfe Estates Tank Let our experience guide you. NAMED INSURED/LOCATIONS 48 11570 Donner Pass Road Truckee CA 96161 District Office 49 11570 Donner Pass Road & Martis Valley and 11270 Trails End Road Truckee CA 96161— Corp Yard Stock of Transformers & Misc Equipment 50 Martis Valley Substation Truckee CA 96161 Bldg for Housing Controls 51 Truckee Substation Truckee CA 96161 Truckee Substation 52 Donner Lake Substation Truckee CA 96161 Donner Lake Substation 53 Tahoe Donner Substation Truckee CA 96161 Tahoe Donner Substation 54 Martis Valley Substation, N of Riverview Dr, S of Truckee River, Truckee CA 96161 Martis Valley Substation 55 Scada System Truckee CA 96161 Scada System 56 Fibreboard Well Truckee CA 96161 Fibreboard Well 57 Northside Well Truckee CA 96161 Northside Well 58 Glenshire Control Valve Truckee CA 96161 Glenshire Control Valve 59 1170 Trails End Road Truckee, CA 96161 Data Center 60 Gateway Booster Truckee, CA 96161 Gateway Pump Station Let our experience guide you. COMMERCIAL PROPERTY Carrier: Travelers Property &Casualty Co of America Policy Period: 06/01/18 to 06/01/19 AM Best Rating: A++ Description Blanket Limits Total Blanket Building, Contents, Computer Equipment $73,966,932 Total Blanket Business Income w/Extra Expense Limit $21500,000 Blanket Flood $10,000,000 SEE ATTACHED STATEMENT OF VALUES Building and Property Conditions: Covered Causes of Loss: Covered Cause of Loss Flood: Valuation: Special Broad Replacement Cost Business Income and Extra Expense Conditions: Including Rental Value Extended Period of Indemnity 180 days Waiting Period 72 hours Civil Authority Coverage 30 Days Supplemental Property Coverages (not all inclusive) Description: Pollutant Clean Up & Removal Debris Removal Building Ordinance Combined B&C —Each Scheduled Location Property inTransit —Per Occurrence Property at Other Location $100,000 $500,000 $5001000 $1001000 $1001000 Ded $251000 72 Hours *See Below Deductible $10,000 $10,000 $101000 $101000 $101000 *Flood Deductible: 01. At the premises locations) of the following Buildings) numbered: 001,003,006,007,009-012,014,015,018,021,024-026, 028-032,034,036-040,042,045,048-050,060 in any one occurrence: $50,000 02. At the premises location(s) of the following Building(s) numbered: 002,004,005,008,013,016,017,019,020,022,023,027,033, 03 5, 041, 043, 044, 04 6, 047, 051-059, 061 Let our experience guide you. in any one occurrence: $100,000 i3 COMMERCIAL PROPERTY ENHANCEMENTS Description Accounts Receivable: At all described premises In transit or at all undescribed premises Appurtenant Buildings and Structures Claim Data Expense Covered Leasehold Interest — Undamaged Improvements & Betterments Lesser of Your Business Personal Property limit or: Debris Removal (additional amount) Deferred Payments Duplicate Electronic Data Processing Data and Media Electronic Data Processing Data and Media At all described premises Employee Tools In any one occurrence Any one item Expediting Expenses Extra Expense Fine Arts At all described premises In transit Fire Department Service Charge Fire Protective Equipment Discharge Green Building Alternatives — Increased Cost Percentage 1% Maximum amount —each building Green Building Reengineering and Recertification Expense Limited Coverage for Fungus, Wet Rot or Dry Rot — Annual Aggregate Loss of Master Key Newly Constructed or Acquired Property: Buildings -each Personal Property at each premises Non -Owned Detached Trailers Ordinance or Law Coverage Outdoor Property Let our experience guide you. Limit $500,000 $250,000 $100,000 $25,000 $100,000 $5001000 $251000 $501000 Included* $ 25, 000 $2,500 $251000 $251000 $50,000 $25,000 Included* Included* $100,000 $25,000 $251000 $251000 $2,000,000 $1,000, 000 $25,000 $5001000 $501000 0 COMMERCIAL PROPERTY ENHANCEMENTS Any one tree, shrub or plant Outside Signs At all described premises At all undescribed premises Personal Effects Personal Property At Premises Outside of the Coverage Territory Personal Property In Transit Outside of the Coverage Territory Pollutant Cleanup and Removal —Annual Aggregate Preservation of Property Expenses to move and temporarily store property Direct loss or damage to moved property Reward Coverage 25% of covered loss up to a maximum of: Stored Water Theft Damage to Rented Property Undamaged Parts of Stock in Process Valuable Papers and Records — Cost of Research At all described premises In transit or at all undescribed premises Water or Other Substance Loss —Tear Out and Replacement Expense $100,000 $5,000 $50,000 $50,000 $25,000 $1001000 $250,000 Included* $25,000 $25,000 Included* $50,000 $500,000 $250,000 Included* Some of the Property Enhancements Coverages are subject to a Deductible, please see policy for specifics. Let our experience guide you. 10 MOBILE EQUIPMENT Carrier: Travelers Property & Casualty Co of America Policy Period: 06/01/18 to 06/01/19 W Best Rating: A++ Coverage: Blanket Equipment: $11605,380 Valuation: Actual Cash Value Co Insurance: None Deductible: $2,500 SEE ATTACHED STATEMENT OF VALUES Let our experience guide you. 11 CYBER Carrier: Policy Period: W Best Rating: Travelers Casualty & Surety Co of America 06/01/18to 06/01/19 r_m Third Party Retention Continuity Date Prior & Liability Limit Pending Insuring Proceeding Agreements Date A. Network and $25,000 for each Information Security $1,000,000 for each Claim 06/01/2016 06/01/2016 Claim B. Communication and $25,000 for each Media Liability $1,000,000 for each Claim Claim C. Regulatory Defense $1,000,000 for each $25,000 for each Expenses Regulatory Regulatory Claim Claim CYBERRISK RETROACTIVE DATE: 06/01/2016 First Party Limit of Insurance Retention Insuring Agreements D. Crisis Management $1,000,000 for each Single First Party $25,000 for each Single First Party Event Expenses Insured Event Insured Event E. Security Breach Remediation $1,000,000 for each Single First Party $25,000 for each Single First Party and Notification Expenses Insured Event Insured Event F. Computer Program and $1,000,000 for each Single First Party $ 25,000 for each Single First g Part y Electronic Data Restoration Insured Event Insured Event Expenses $1,000,000 for each Single First Party $25,000 or eachSingle First Party G. Computer Fraud Insured Event Insured Event H. Funds Transfer Fraud $1,000,000 for each Single First Party 25,000 or eachSinge First Party Insured Event Insured Event $1,000,000 for each Single First Party 25,000 or eachSinge First Party I. E-Commerce Extortion Insured Event Insured Event J. Business Interruption and $1,000,000 for each Single First Party Additional Expenses Insured Event CYBERRISK WAITING PERIOD �HOURS�: WITH RESPECTTO INSURINGAGREEMENT1:12 Let our experience guide you. 12 CYBER LIMIT DETAIL: Shared Additional Defense Limit of Liability: CyberRisk Policy Aggregate Limit: EXTENDED REPORTING PERIOD AND RUN-OFF: Extended Reporting Period for Cyber Coverage: Additional Premium Percentage: Additional Months: Run -Off Extended Reporting Period for Cyber Coverage: Additional Premium Percentage: Additional Months: N/A $1,000,000 N/A N/A ENDORSEMENTS (Not all inclusive): ACF-7006-0511 Removal of Short -Rate Cancellation Endorsement AFE-19008-0115 Federal Terrorism Risk Insurance Act Disclosure CYB-10028-0813 Replace Section V.C. Settlement Endorsement CYB-19001-0817 Final Non -Appealable Adjudication in the Underlying Action Exclusion Endorsement CYB-19004-0313 Fines and Penalties and Consumer Redress Funds Endorsement CYB-19015-0614 Replace Representation Section Endorsement CYB-19017-0315 Global Coverage Compliance Endorsement CYB-19019-0217 Privacy Policy Endorsement CYB-19022-0817 Contingent Business Interruption — IT Provider Endorsement CYB-19024-0715 Amend Definition of Covered Material to Include Non -Electronic Material CYB-19025-0815 Amend Acquisition or Creation of Subsidiaries Condition Endorsement CYB-19039-0217 180 Day Business Interruption Period Of Disruption Endorsement CYB-19042-0217 Designated Officer Endorsement CYB-19043-0217 Amend Claim Defense Condition Endt— Severability Of Cooperation Requirement CYB-19047-0217 Indemnified Independent Contractors Endorsement CYB-19048-0217 Expand E-Commerce Extortion To Include Acts By Employees Endorsement CYB-19051-0817 Social Engineering Fraud Insuring Agreement Endorsement CYB-19052-0817 Telecommunications Fraud Insuring Agreement Endorsement CYB-19053-0817 Reputational Harm Insuring Agreement Endorsement CYB-19055-0817 Payment on Behalf of the Insured Endorsement CYB-19056-0817 Amend Definition of Claim to Include Civil Investigative Demands and Requests for Information Endorsement CYB-19057-0817 Remove Specific Target Requirement for Computer System Disruption Endorsement CYB-19058-0817 Virtual Currency Coverage Endorsement CYB49060-0817 Business Interruption Wage and Overhead Coverage Endorsement CYB-19063-0817 Suspend Notice Reqrmnt for Info Subject to Law Enforcement or Court Order Endt CYB-19064-0817 State Inconsistency Endorsement CYB-19065-0817 Expand Definition of Communications and Media Wrongful Act Endorsement Let our experience guide you. 13 CRIME Carrier: Policy Period: AM Best Rating Federal Insurance Company 06/01/18to 06/01/19 A++ Organization: Truckee Donner Public Utility District and its Subsidiaries Crime Coverage Limit (A)Employee Theft Coverage $2,0001000 (B) Premises Coverage $2,0001000 (C) In Transit Coverage $2,000,000 (D) Forgery Coverage $2,000,000 (E)Computer Fraud Coverage $2,000,000 (F) Funds Transfer Fraud Coverage $2,000,000 (G) Money Order & Counterfeit Fraud Coverage $2,000,000 (H) Credit Card Fraud Coverage $2,000,000 (1) Client Coverage $2,000,000 (J) Expense Coverage $25,000 Retention: $5,000 14-02-13658 0314 Pension Protection Act Enhancement Endorsement 14-02-15348 0909 Amend Premises Coverage Insuring Clause Endorsement 14-02-16840 0410 Amend Exclusion 12(M) Endorsement 14-02-19671 0414 Privacy And Data Breach Exclusions Endorsement 14-02-7402 1002 Amend Definition of Employee Endorsement 14-02-21135 0616 Social Engineering Fraud Sub Limit $250,000 Retention $10,000 14-02-89310408 Amend Definition of Employee Endorsement 14-02-8932 1103 Amend Definition of Securities Endorsement 14-02-8933 1103 Amend Money Order and Counterfeit Currency Fraud Endorsement Let our experience guide you. 14 GENERAL LIABILITY Carrier: Travelers Property & Casualty Co of America Policy Period: 06/01/18 to 06/01/19 AM Best Rating: A++ COVERAGES General Liability Aggregate Limit Products/Completed Operations Aggregate Limit Coverage A Bodily Injury and Property Damage — Each Occurrence Coverage B Personal and Advertising Injury Damage to Rented Premises Medical Expense (Any one Person) Failure to Supply — Each Occurrence Employee Benefits Liability — Each Employee Employee Benefits Liability - Aggregate — Retro Date 05/01/02 DEDUCTIBLES TYPE Combined Bodily Injury/Property Damage Deductible Products/Completed Operations and Premises Ops Employment Benefits — Each Employee LIMITS $2,000,000 $2,000,000 $1,000,000 $1,000,000 $1,000,000 $10,000 $1, 000,000 $1,000,000 $3,000,000 AMOUNT $251000 Hazards Description Exposure Rate Electric Light or Power Companies Sales $3,165,300 $3.488 Water Company Sales $1,893,326 $8.952 Not auditable Let our experience guide you. 15 GENERAL LIABILITY ENDORSEMENTS CG 00 01 Commercial General Liability Cov Form CG DO 76 Exclusion -Lead CG D1 42 Exclusion -Discrimination CG D2 03 Amend -Non Cumulation Of Each Occ CG D2 42 Exclusion - War CG D2 43 Fungi Or Bacteria Exclusion CG D2 55 Amendment Of Coverage - Pollution CG D2 88 Employment -Related Practices Exclusion CG D3 05 Deductible Liability Insurance CG D3 26 Exclusion - Unsolicited Communication CG D4 09 Amendment Of Bodily Injury Definition CG D4 13 Amendment Of Coverage -Pollution- Cooling CG D4 19 Amend Of Property Damage Definition CG D4 20 Amend Other Ins Cond Mean Other Ins/Insr CG D4 21 Amend Contract Liab Excl-Exc To Named Ins CG D4 22 Amend Suppl Pay Tax Costs & Appeal Bonds CG D4 25 Other Ins-Addl Ins -Primary & Noncontrib CG D4 70 Excl-Employees & Volunteer Work As Insds CG D4 71 Amend Coverage B - Pers & Adv Injury CG D4 72 Excl - Law Enforcement Activities Or Ops CG D4 74 Mobile Equip Redefined - Public Entities CG D4 75 Excl - Health Care Serv-Public Entities CG D4 76 Excl -Public Use Of Private Property CG D4 86 Failure To Supply - Limited Coverage CG D6 18 Excl-Violation Of Consumer Fin Prot Laws CG D7 46 Excl-Access Or Discl Of Conf/Pers Info CG T4 78 Exclusion -Asbestos GN 0182 Coverage &Medical Payments Exclusion IL 00 21 Nuclear Energy Liability Exclusion IL T3 18 Common Policy Conditions -Deluxe IL T4 12 Amndt Common Policy Cond-Prohibited Covg IL T4 14 Cap On Losses Certified Act Of Terrorism Let our experience guide you. 16 PUBLIC ENTITIES XTEND ENDORSEMENT PUBLIC ENTITIES XTEND ENDORSEMENT CG D4 80 A. Reasonable Force Property Damage — Exception To Expected Or Intended Injury Exclusion Be Non -Owned Watercraft 50 Feet Long Or Less C. Owned Watercraft Less Than 25 Feet D. Aircraft Chartered With Pilot E. Damage To Premises Rented To You F. Increased Supplementary Payments G. Who Is An Insured — Public Entities, Elected Or Appointed Officials, And Members Of Your Boards H. Who Is An Insured — Employees And Volunteer Workers I. Who Is An Insured — Newly Acquired Or Formed Organizations 1. Blanket Additional Insured — Owners, Managers Or Lessors Of Premises K. Blanket Additional Insured — Lessors Of Leased Equipment L. Blanket Additional Insured — Persons Or Organizations For Your Ongoing Operations As Required By Written Contract Or Agreement M. Who Is An Insured — Liability For Conduct Of Unnamed Partnerships, Joint Ventures Or Limited Liability Companies N. Good Samaritan Services Coverage —Amendment of Occurrence Definition a Each Occurrence Limit 0. Contractual Liability —Railroads P. Knowledge And Notice Of Occurrence Or Offense Q. Unintentional Omission R. Blanket Waiver of Subrogation Let our experience guide you. SI PUBLIC ENTITY MANAGEMENT Carrier: Policy Period: AM Best Rating: Travelers Property & Casualty Co of America 06/01/18 to 06/01/19 Claims -Made Coverage COVERAGES Public Entity Management Liability — Each Wrongful Act Public Entity Management Liability — Aggregate — Retro Date 05/01/02 DEDUCTIBLES TYPE Public Entity Management Liability — Each Wrongful Act (Damages and Defense Expenses) Coverage Features LIMITS $1, 000, 000 $1,000,000 AMOUNT $151000 This coverage is designed to cover damages (other than bodily injury, personal injury, advertising injury or property damage) any insured is legally required to pay for a covered loss that results from the conduct of duties by or for a public entity or its boards and is caused by a wrongful act. Wrongful act is defined as any act, error or omission. However, employment related practices are not Who is an Insured: • Public Entity •Elected and Appointed Officials • Executive Officers and Directors • Boards and Board Members • Volunteer Workers • Legal Representatives • Employees (including employees of the entity's board) Endorsements PR TO 03 Public Entity Management Liability Coverage Part Declarations (Claims -Made) PR T10 Public Entity Management Liability Coverage Form (Claims -Made) 6 PR T4 27 Amendment Of Network And Information Security Wrongful Act Definition PR T3 54 Amendment Of Coverage — Designated Boards, Commissions, Or Governmental Units Or Departments IL T4 14 Cap On Losses From Certified Acts Of Terrorism Let our experience guide you. F�3 PUBLIC ENTITY EMPLOYMENT RELATED PRACTICES LIAWLTY Carrier: Travelers Property &Casualty Co of America Policy Period: 06/01/18 to 06/01/19 AM Best Rating: A++ Claims -Made Coverage COVERAGES LIMITS Employment — Related Practices — Each Wrongful Act Practice Offense $1,000,000 Employment — Related Practices — Aggregate — Retro Date 05/01/02 $1,0000000 DEDUCTIBLES TYPE AMOUNT Each Wrongful Employment Practice Offense Deductible Retention $15,000 (Damages and Defense Expenses) Coverage Features This coverage is designed to cover damages (other than bodily injury or property damage) any insured is legally required to pay for covered employment loss that results from a wrongful employment practice offense. Wrongful employment practice offense is defined to include discrimination, wrongful termination, harassment, retaliatory action, wrongful discipline, wrongful hiring, supervision, demotion, or failure to promote, and employment related misrepresentation, defamation, libel, slander, disparagement, and invasion of privacy. Who is an Insured: • Public Entity • Elected and Appointed Officials • Executive Officers and Directors • Boards and Board Members • Employees (including employees of the entity's board) • Legal Representatives • Volunteer Workers Public Entity Employment Practice Liability Coverage Forms PR TO 05 Public Entity Employment -Related Practices Liab Cov Part Dec (Claims -Made) PR T1 08 Public Entity Employment -Related Practices Liability Cov Form (Claims -Made) PR T3 72 Amendment Of Coverage — Designated Boards, Commissions, Or Governmental Units Or Departments Let our experience guide you. 19 COMMERCIAL AUTO Carrier: Policy Period: AM Best Rating: COVERAGE Travelers Property &Casualty Co of America 06/01/18to 06/01/19 A++ Combined Single Limit - $25,000 Deductible Medical Payments Uninsured Motorist Comprehensive Deductible Collision Deductible Hired Automobile Liability Non -owned Automobile Liability Hired Physical Damage Limit Comprehensive Deductible Collision Deductible Auditable Coverage Symbols: (1) Any Auto (2) All Owned Autos (3) Owned Private Passenger Autos Let our experience guide you. SYMBOLS) LIMITS OF LIABILITY 0 1 $1,000,00 2 $5,000 2 $1,000,000 2 (See Schedule of Vehicles) 2 (See Schedule of Vehicles) Included Included $1,000,000 $25,000 $25,000 (4) Owned Autos Other Than Private Passenger (5) All Owned Autos Requiring No -Fault Coverage (6) Owned Autos Subject To Compulsory U.M. Law (7) Autos Specified On Schedule (8) Hired Autos (9) Non -Owned Autos 20 COMMERCIAL AUTO LIABILITY, MEDICAL PAYMENTS AND UNINSURED MOTORIST COVERAGE: When liability, medical payments and/or insured motorist coverage is applicable, a "✓" will appear in the appropriate column. COMPREHENSIVE AND COLLISION DEDUCTIBLES: The applicable comprehensive and collision deductible is noted for each vehicle to which that coverage applies. Please note that comprehensive and collision deductibles apply separately to each vehicle. Vehicle Schedule: Comprehensive Collision Veh # State Veh Year Make/Model Deductible Deductible 1 CA 2007 CHEVR TRAIL $25,000 $25,000 2 CA 2013 FORD ESCAP $25,000 $25,000 3 CA 2014 JEEP CHERO $25,000 $25,000 4 CA 2015 JEEP CHERO $25,000 $25,000 5 CA 2015 JEEP CHERO $25,000 $25,000 6 CA 2015 JEEP CHERO $25,000 $25,000 7 CA 2015 JEEP CHERO $25,000 $25,000 8 CA 2014 CHEVR EXPRE $25,000 $25,000 9 CA 2007 CHEVR COLOR $25,000 $25,000 10 CA 2008 GMC CANYO $25,000 $25,000 11 CA 2006 CHEVR SILVE $25,000 $25,000 12 CA 2008 GMC SIERR $25,000 $25,000 13 CA 2006 CHEVR SILVE $25,000 $25,000 14 CA 2006 CHEVR SILVE $25,000 $25,000 15 CA 2006 CHEVR SILVE $25,000 $25,000 16 CA 2010 CHEVR SILVE $25,000 $25,000 17 CA 2013 GMC SIERR $25,000 $25,000 18 CA 2018 CHEVR SILVE $25,000 $25,000 19 CA 2012 INTER 7000 $25,000 $25,000 20 CA 2000 INTER 4000 $25,000 $25,000 21 CA 2007 INTER 7000 $25,000 $25,000 22 CA 2016 FORD F550 $25,000 $25,000 23 CA 2014 INTER 7000 $25,000 $25,000 24 CA 2017 INTER 7000 $25,000 $25,000 25 CA 2008 GMC SIERR $25,000 $25,000 26 CA 2018 CHEVR SILVE $25,000 $25,000 27 CA 2018 CHEVR SILVE $25,000 $25,000 28 CA 2015 LOAD TRAIL $25,000 $25,000 29 CA 1993 FLEMM 3 REE $25,000 $25,000 30 CA 1972 HDDAV SPOOL $25,000 $25,000 31 CA 1987 SHERM WIRE $25,000 $25,000 32 CA 2004 OTHER MODEL $25,000 $25,000 33 CA 2004 OTHER MODEL $25,000 $25,000 34 CA 2005 OTHER MODEL $25,000 $25,000 35 CA 2005 WESTE TRAIL $25,000 $25,000 Let our experience guide you. 21 COMMERCIAL AUTO Comprehensive Collision Veh # State Veh Year Make/Model Deductible Deductible 36 CA 2006 BUTLE POLE $25,, 000 $25000 37 CA 2008 TRAIL TRAIL $25,000 $25,000 38 CA 2006 CHEVR SILVE $25,000 $25,000 39 CA 2007 CHEVR SILVE $25,000 $25,000 40 CA 2007 CHEVR SILVE $25,000 $25,000 41 CA 2007 CHEVR SILVE $25,000 $25,000 42 CA 2013 GMC SIERR $25,000 $25,000 43 CA 2013 GMC SIERR $25,000 $25,000 44 CA 2018 CHEVR SILVE $25,000 $25,000 45 CA 2018 CHEVR SILVE $25,000 $25,000 46 CA 2018 CHEVR SILVE $25,000 $25,000 47 CA 2011 INTER 7000 $25,000 $25,000 48 CA 2011 FORD F550 $25,000 $25,000 49 CA 2011 FORD F550 $25,000 $25,000 50 CA 2011 FORD F550 $25,000 $25,000 51 CA 2016 FORD F550 $25,000 $25,000 52 CA 2014 INTER 7000 $25,000 $25,000 53 CA 2008 CHEVR SILVE $25,000 $25,000 54 CA 2011 CHEVR SILVE $25,000 $25,000 55 CA 2002 GMC NEW S $25,000 $25,000 56 CA 2005 FREIG M2 $25,000 $25,000 57 CA 1998 WESTE TRAIL $25,000 $25,000 58 CA 1989 TRAIL TK24 $25,000 $25,000 59 CA 2006 OTHER MODEL $25,000 $25,000 60 CA 2009 WANCO TRAIL $25,000 $25,000 61 CA 2016 HALLM TRAIL $25,000 $25,000 62 CA 2007 CHEVR SILVE $25,000 $25,000 63 CA 2006 CHEVR SILVE $25,000 $25,000 64 CA 1997 GMC SIERR $25,000 $25,000 65 CA 2001 OTHER MODEL $25,000 $25,000 66 CA 2014 BROOK TRAIL $25,000 $25,000 67 CA 2005 SHERM TRAIL $25,000 $25,000 68 CA 2013 HAUL TRAIL $25,000 $25,000 69 CA 2013 EH WA TRAIL $25,000 $25,000 Let our experience guide you. 22 DRIVERS DRIVER NAME STATE 001 Edward Atkins NV 002 Kristen Baumbach CA 003 Daniel Baumbach CA 004 Craig Beede CA 005 Lana Bell CA 006 David Bourque NV 007 Tige Burk CA 008 Susan Camara CA 009 Megan Campe CA 010 Casey Chavez NV 011 Shane Christian NV 012 CA 013 Robert Clarke CA 014 Regina Cooley CA 015 Thomas Dwyer CA 016 David Emery CA 017 Ralph Ercolin CA 018 Kenneth Eyler CA 019 Charles Fillman NV 020 Ian Fitzgerald NV 022 Charles Gazso NV 023 Trey Griffin NV 024 Kimberly Harris CA 025 Michael Hatch NV 026 Forrest Heston NV 027 Stephen Hollabaugh CA 028 Michael Holley CA 029 Joseph Horvath CA 030 Shannon Hoyt CA 031 Jack Johnson CA 032 Neil Kaufman CA 033 Jesse Kindle NV 034 Melissa Kleffman CA 035 Shanna Kuhlemier CA 036 Cody LaPlaca NV Let our experience guide you. 23 DRIVERS DRIVER NAME STATE 037 James Leonard CA 038 Joshua Loubet CA 039 Jennifer Mason CA 040 Becky Mazzer CA 041 Dennis Mazzini CA 042 Kristin Mcafee CA 043 Tamara Mccollum CA 044 Mark Mehler CA 045 Elliot Mezger CA 046 Julie Nelson CA 047 Kathleen Neus CA 048 Sara Owens CA 049 Ronald Palmer CA 050 Linda Pendleton CA 051 Tricia Phillips CA 052 Steven Poncelet CA 053 CA 054 Ryan Pursel NV 055 Steven Roden NV 056 Patricia Ruby CA 058 Anabel Sanchez NV 059 Lauren Schaake- CA 060 Sanna Schlosser CA 061 Earl Smith CA 062 NV 063 Lisa Swartz CA 064 Steve Trevino CA 065 Roe Vernon CA 066 Clayton Walker CA 068 James Wilson CA 069 Regina Wise CA 070 Clayton Wise CA 071 Brian Wright CA 072 Stefan Youngren CA Note: All drivers must be reported. Any unreported driver may cause your policy to be cancelled by the insurance company. Let our experience guide you. 24 PRIMARY EARTHQUAKE Carrier: Landmark American Ins Company Policy Period: 06/01/18 to 06/01/19 AM Best Rating: A+ EARTHQUAKE COVERAGE LIMITS Property —Per Occurrence and Annual Aggregate $10,000,000 Business Income w/Extra Expense other than "Rental Value" $2,500,000 Valuation: Replacement Cost, Business Income — Actual Loss Total Insured Value $76,466,932 per Statement of Values on file w/Company 04/02/2018 Coverages: • Building (District office building including property described in the submission which includes tanks, wells, equipment, generators & substations) • Personal Property • Electronic Data Processing (Included as Personal Property) • Business Income with Extra Expense other than "Rental Value" • Radio & Television • Special Floater • Mobile Equipment Perils: Earthquake • Including Earthquake Sprinkler Leakage Form: ISO Forms — Current to 2012 versions & RSUI Forms Deductible: Earthquake -168 Hour Definition of Occurrence - 5.00% *subject to a minimum of $25,000 per occurrence(Prove, y Damage &Time Element) Including Earthquake Sprinkler Leakage * If the Deductible is expressed as a percentage (unless otherwise stated), the Deductible is calculated separately for and applies separately to each building that sustains loss or damage, the personal property at each building at which there is loss or damage to personal property. Personal property in the open. Business Income and Extra Expense. If there is damage to both a building and personal property in that building, separate deductibles apply to the building and to the personal property. Policy Attachments Exclusion of Pathogenic or Poisonous Biological or Chemical Material RSG 96014 0504 Let our experience guide you. 25 EXCESS/UMBRELLA Carrier: Travelers Property &Casualty Co of America Policy Period: 06/01/18 to 06/01/19 W Best Rating: A++ COVERAGE Aggregate Limits of Liability General Aggregate(Other than Products/Completed Operations) Coverage A -Bodily Injury and Property Damage Liability Coverage B -Personal and Advertising Injury Liability Retained Limit Products/ Completed Operations Aggregate Specialty Coverage Aggregate (Public Entity & EPLI) Any one occurrence subject to the Products/Completed Operations and the General Aggregate Limits Any one person or organization subject to the General Aggregate Limit of Liability Any one occurrence or offense No Coverage for Failure to Supply REMARKS: Subject to it's own coverage's and exclusions 15,000,000 $15,000,000 $15,000,000 $15,000,000 $15,000,000 $10,000 Let our experience guide you. 26 EXCESS/UMBRELLA ENDORSEMENTS U M 00 01 I L T3 68 UM 06 03 U M 06 09 U M 06 50 UM 06 88 Commercial Excess Liability (Umbrella) Insurance Federal Terrorism Risk Insurance Disclosure Crisis Management Expense Exclusion — Consumer Financial Protection Laws Exclusion — Access Or Disclosure Of Confidential Or Personal Information Amendment Of Conditions And Coverage For Financial Interest In Foreign Insured Organizations - Umbrella Exclusion — Discrimination UM 03 37 Reasonable Force —Bodily Injury Or Property Damage UM 00 76 Nuclear Energy Liability Exclusion Endorsement (Broad Form) UM 05 11 Amendment Of Coverage B - Personal Injury And Advertising Injury Liability UM 0196 Exclusion — Asbestos UM 0191 War Exclusion UM 02 12 Exclusion — Aircraft Products And Grounding UM 04 66 Amendment Of Bodily Injury UM 04 75 Definition Amendment Of Defense Of Claims Or Suits - Reasonable Expenses Incurred By The Insured At Our Request UM 04 76 Amendment Of Who Is An Insured - Insureds Added When Qualifying Under Scheduled Underlying Insurance Without Written Contract And Limitations Added For Limited Liability Companies & For Your Employees UM 04 78 Amendment Of Property Damage Definition UM 04 79 Amendment — Other Ins Condition And Meaning Of Other Insurance And Other Insurer UM 04 80 Amendment Of Defense Of Claims Or Suits — Taxed Costs UM 04 81 Amendment — Meaning Of You And Your And Meaning Of Employee UM 04 82 Amendment Of Contractual Liability Exclusion UM 04 83 Amendment Of Pollution Excl — Pollution Not Related To Autos — Limited Following form UM 04 84 Amendment Of Watercraft Or Aircraft Exclusion UM 04 85 Amendment Of Damage To Property Exclusion UM 04 86 Amendment Of Damage To Your Work Exclusion UM 04 87 Amendment Of Maintenance Of Underlying Insurance Condition UM 04 88 Waiver Of Our Right To Recover From Others UM 04 90 Auto Liability Exclusion — Limited Following Form UM 04 92 Pollution Exclusion — Pollution Related To Autos UM 05 08 Amendment Of Who Is An Insured - Your Executive Officers, Employees, Directors Or Stockholders Are Insureds Only When Qualifying Under Scheduled Underlying Insurance UM 05 09 Amendment Of Duties In The Event Of Occurrence Or Offense, Claim Or Suit And Representation Conditions - Public Entities Or Indian Tribes UM 05 12 Law Enforcement Activities Or Operations Exclusion UM 05 14 Public Use Of Private Property Exclusion UM 04 15 Exclusion — Unsolicited Communications UM 05 15 Professional Health Care Services Exclusion — Limited Following Form — Public Entities UM 01 52 Employee Benefits Liability Endorsement UM 01 04 Abuse Or Molestation Exclusion UM 03 64 Fungi Or Bacteria Exclusion (Not Applicable In La) UM 03 78 Total Exclusion — Failure To Supply UM 03 04 Exclusion — Lead Let our experience guide you. 27 SECONDARY EXCESS/UMBRELLA Carrier: Endurance Risk Solutions Assurance Co Policy Period: 06/01/18 to 06/01/19 AM Best Rating: A+ LIMITS OFTHIS INSURANCE: $10,000,000 Each Occurrence Limit $10,000,000 Aggregate Limit LIMITS OF UNDERLYING EXCESS INSURANCE: $14,000,000 $14,000, 000 $14,000,000 FOLLOWED POLICY: General Liability -Each Occurrence Limit General Liability - Aggregate Limit Auto — Per Occurrence Company: Travelers Coverage: Excess of Primary (Defense outside the limits) Policy Period: From: June 1,2018 To: June 1,2019 Forms (notall inclusive): EXL60010813 Absolute Asbestos Exclusion EXL0509 0110 Exclusion for Mold &Other Naturally —Occurring Contaminants EXL0577 0110 Eminent Domain / Inverse Condemnation Exclusion EXL0516 0610 Exclusion —Violation of Information Statues EXL0524 0110 Crisis Response & Crisis Communication Mngmt Insurance Exclusion EXL0530 0110 Failure to Supply Exclusion EXL0513 0110 Lead Exclusion EXL0573 0110 Cyber Liability Exclusion EXL6066 0813 Nuclear Energy Liability Exclusion EXL6074 0813 Pollution Exclusion with Hostile Fire Exception EXL6088 0813 Silica, Silica -Related or Mixed Dust Exclusion EXL1323 0610 Sub Limited Coverage Exclusion EX10537 0110 Uninsured/Underinsured Motorist Exclusion EXL0562 0110 War Liability Exclusion EXL0907 0813 California Changes — Cancellation Non Renewal IL1201 0115 Exclusion of Certified Acts of Terrorism &Exclusion of other Acts EXL0203 0813 Excess Liability Coverage Follow Form (Short Form) Policy will not be broader than any underlying or excess layer Let our experience guide you. m POLLUTION Carrier: Arch Specialty Insurance Policy Period: 06/01/17 to 06101120 AM Best Rating: A+ LImItS Of Llablllty $1,000,000 Per Claim $1,000,000 Policy Aggregate Defense Costs are included within the Limits of Liability COVERAGE Coverage A - Cleanup Costs, Bodily Injury &Property Damage resulting from Pre-existing Pollution events Coverage B - Cleanup Costs, Bodily Injury & Property Damage resulting from New Pollution events Coverage C N/A Coverage D — Clean Costs, BI, & PD at Non Owned Locations Green Standards Aggregate Limit Insured Compensation Expense Limit Deductible $15,000 Each Pollution Event Retro Date 05/01/04 and 06/01/17 Endorsements: Non Owned Locations Schedule (blanket for all TSD Facilities) Third Party Transportation Coverage First Party Transportation Coverage Mold &Fungus Exclusion Min Earned Premium Endt (100% at inception) Divested Property Schedule (applies to the following loc: 15670 Donner Pass Rd, Truckee, CA) TRIA Terrorism Coverage (Optional; available for an additional 1%) OFAC Advisory Notice Regulatory compliance/ notice endorsements as necessary Let our experience guide you. 29 PREMIUM COMPARISON Insured: Truckee Donner P.U.D. COVERAGE EXPIRING PREMIUM General Liability Property (Intl Mandatory Terrorism) Inland Marine Business Auto Public Entity & EPLI Cyber Crime Pollution (3 year $22,237.79) Earthquake Primary Earthquake Secondary Primary Excess Secondary Excess $40,259 $591043 $1,585 $261086 $3,532 $131974 $4,776 $71412060 $51,600 (Intl $1600 T&F) $25,800 (Intl $800 T&F) $20,440 $24,500 (Intl $500 T&F) RENEWAL PREMIUM $33,717 $471482 $4,482 $301349 $131990 $131203 $4,776 $7,412460 $59,856 ($58k w/$1856 T&F) Non e $32,579 $24,500 (Intl $500 T&F) Estimated Total $279,007.60 $272,347 Binding Subject to Signed forms: Accepting or reject Terrorism Forms (Policies do not include Terrorism Coverage) A/P for Terrorism on Excess w/Endurance $240 A/P for Terrorism on Earthquake w/Landmark $58,000 Signed D1 Forms Signed UMBI/UMPD form Completed Business Income worksheet Completed Employment Benefits Application T&F =Taxes and Fees. Let our experience guide you. COMPENSATION DISCLOSURE STATEMENT InterWest Insurance Services, LLC, does business with multiple competing insurance companies, enabling us to offer a variety of coverage choices and customize a plan to satisfy your specialized needs. This proposal is an outline of the coverages offered by our insurers based on the information provided by your company. It does not include all terms, coverages, exclusions, limitations or conditions of the actual contract language. To fully understand the details of the coverages, terms and conditions, you need to review the policy contracts. At your request, the policy forms will be made available. The information contained in this proposal is based on the historical loss experience and exposures provided by you to InterWest and is not an actuarial study. For the services we provide to our clients, InterWest receives usual and customary commissions or fees, and occasionally fees in addition to commissions, from the insurance carriers providing the coverages. This commission percentage is set by the insuring company, not by us, and is included as part of the insurance premium you pay. We charge you nothing for the placement of your policies, as we are compensated for this service in the commission previously described. However, we may charge fees for other professional services that you ask us to perform. In addition to such fees and commissions, InterWest may also receive investment income on fiduciary funds temporarily held in our accounts, such as premiums or return premiums. In placing, renewing, consulting on or servicing retail insurance policies, InterWest may participate in contingent commission agreements with select insurers that provide for additional compensation if underwriting, profitability, volume or retention goals are achieved over multiple years. It is usually impossible to know at the time of placement whether that policy will contribute to, or detract from, our potential eligibility for future additional compensation from the insurer. If you have questions regarding the compensation received by InterWest or our affiliates in relation to insurance placement, please contact your InterWest representative. CA DOI #OB01094 Let our experience guide you. 31 CLIENT ACKNOWLEDGEMENT Coverages Proposed for huckeeDonnei. • Property • Cyber • Boiler & Machinery • Crime • Flood • General Liability • Equipment/Inland Marine • Business Auto • Umbrella/Excess Liability • Earthquake • D&O/Professional/EPLI • Pollution I have reviewed your proposal dated May 1, 2018. Please bind coverage on my (our) behalf. Please initial your choice below: As Proposed OR With the Following changes: Other Suggested Coverages Coverage Quote Requested Not Interested Increased Building Limits Increased Liability Limits Drone Coverage Authorized Signature: Let our experience guide you. Date: 32 Carrier Description Quote SDMRA (Same carrier as Workers' Comp) Package $281,901 Liberty Mutual Package No response - declination Declined due to type McKee Insurance Package of operations Sompo International- Endurance Excess Quoted- FTS exclusion No Lead, no Public Allied World Assurance Company Package and Entity w/o $25M Excess attachment $100,000 Min Hallmark Excess Premium for CA P.Ent. Wildfire exclusion, Berkely Higher Excess dam inspection Layers only reports Excludes FTS &Wildfire Colony, Swiss RE Excess layers Declined; Catlin stopped writing Public XL Catlin Lead Excess Entity biz after XL merger Would need to Markel Excess exclude FTS and Wildfire AXIS, RSUI, Great AM Custom, Trident, Excess Layers Pending Scottsdale Let our experience guide you. 33 SOMPO INTERNATIONAL Name of Applicant: Truckee Donner Public Utility District Date of Notice: May 03, 2018 Insurance Company: Endurance Risk Solutions Assurance Co. POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the Terrorism Risk Insurance Act, as reauthorized and amended, that you have a right to purchase insurance coverage for losses resulting from acts of terrorism, as defined in Section 102(l) of the Act: The term "act of terrorism" means any 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; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been 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. YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS, UNDER THIS FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 85% IN 2015 AND DECREASES ITS REIMBURSEMENT PERCENTAGE 1% EACH CALENDAR YEAR TO A TOTAL OF 80% IN 2020 OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE, THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS REAUTHORIZED AND AMENDED, CONTAINS A $100 BILLION CAP THAT LIlVIITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED. Acceptance or Rejection of Terrorism Insurance Coverage [ ] I hereby elect to purchase Terrorism coverage for certified acts of terrorism for a prospective premium of $ 240 [ ] I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand that I will have no coverage for losses resulting from certified acts of terrorism. Policyholder Signature Let our experience guide you. Date TRIA TRIN 0115 34 NOTICE; I. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE I S BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS. II. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS, III.THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW, THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. IV.THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON -UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR "SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL -FREE TELEPHONE NUMBER: 1-800- 9274357 OR INTERNET WEB SITE WWW.INSURANCE.CA.GOV. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON - UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC'S INTERNET WEB SITE AT WWWNAIC.ORG. V. FOREIGN I N S U R E R S SHOULD B E LICENSED B Y A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. VLFOR NON -UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IiD) LISTING OF APPROVED NONADMITTED NON -UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR "SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT T H A T Let our experience guide you. 35 INSURER. VIICALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: WWW.INS URANCE.CA.GOV. VIIIF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED FOR T H I S I N S U R A N C E WILL BE RETURNED TO YOU. Date: Insured: D-1(Effective January 1, 2017 Let our experience guide you. 36 Terrorism for Earthquake OFFER OF TERRORISM COVERAGE In accordance with the Terrorism Risk Insurance Act, we are required to offer the insured coverage for losses resulting from an act of terrorism, not otherwise excluded by this policy and as covered by the Terrorism Risk Insurance Act. All other policy provisions will apply to coverage for such act of terrorism. The insured must choose whether or not to pay the premium described below under DISCLOSURE OF PREMIUM for coverage for acts of terrorism that are certified by the Secretary of the Treasury as covered acts under the Terrorism Risk Insurance Act, or not to pay the premium, and reject this offer of coverage at the time of binding. In any case, if the insured rejects terrorism coverage in any scheduled underlying policy, this policy is written to exclude terrorism. If the premium shown in the DISCLOSURE OF PREMIUM is not collected and the insured does not reject coverage for terrorism this policy will be issued excluding acts of terrorism. DISCLOSURE OF PREMIUM If you accept this offer, the portion of your premium for the policy term attributable to coverage for all acts of terrorism covered under toincluding terrorist acts certified under the Act is $ 58,000.00 . 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. Under the formula, the United States Government generally reimburses 85% through 2015; 84% beginning on January 1, 2016; 83% beginning on January 1, 2017; 82% beginning on January 1, 2018; 81 % beginning on January 1, 2019 and 80% beginning on January 1, 2020, of covered terrorism losses that exceed 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. CAP 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 the Insurer has met our Insurer deductible under the Terrorism Risk Insurance Act, the Insurer will 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 Treasury. Let our experience guide you. 37