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DocuSign Envelope ID:A4C366A3-F5D9-473B-9218-AF49BCCA02E0 <br /> W1 I S <br /> through offshore accounts. FATCA only applies if you are a U.S. company or individual <br /> or a non-U.S. company paying premium through a U.S. insurance broker to a non-U.S. <br /> insurer. In order to comply with FATCA, insurance companies and intermediaries must <br /> meet certain legal requirements. Insurance placed with an insurance company that is not <br /> FATCA compliant may result in a 30% withholding tax on your premium. Where <br /> FATCA is applicable to you, in order to avoid this withholding tax, Willis will only place <br /> your insurance with FATCA-compliant insurers and intermediaries for which no <br /> withholding is required unless you instruct us to do otherwise and provide your advance <br /> written authorization to do so. If you do instruct Willis to place your insurance with a <br /> non-FATCA compliant insurer or intermediary, you may have to pay an additional <br /> amount equivalent to 30% of the premium covering U.S.-sourced risks to cover the <br /> withholding tax. If you instruct us to place your insurance with a non-FATCA compliant <br /> insurer but you do not agree to pay the additional 30% withholding if required, we will <br /> not place your insurance with such insurer. Please consult your tax adviser for full details <br /> of FATCA. <br /> Premium Financing <br /> You may choose to use a premium finance company, property appraiser, structured <br /> settlement firm or other similar service provider in connection with the insurance <br /> coverages we place for you or the services we provide to you. Premium finance options <br /> are not always available, but where they are, Willis currently works with industry leading <br /> finance providers for this service. Where permitted by law, we receive a fee for the <br /> administrative services we provide those companies. These services include processing <br /> the premium finance applications and marketing and sales support they do not have. If <br /> you would like more information about the fee we receive,please let us know. <br /> Premium Payment/Handling of Funds <br /> You agree to provide immediately available funds for payment of premiums by the <br /> payment dates specified in the insurance policies, invoices or other payment documents. <br /> Failure to pay premium on time may prevent coverage from incepting or result in <br /> cancellation of coverage by the insurer. We will not be responsible for any consequences <br /> that may arise from any delay or failure by you to pay the amount payable by the <br /> indicated date. <br /> We will handle any premiums you pay through us and any funds which we receive from <br /> insurers or intermediaries for payment or return to you in accordance with the <br /> requirements and restrictions of applicable state and federal insurance laws and <br /> regulations and state unclaimed property laws. In some cases we may transfer your funds <br /> directly to insurers. In other cases we may be required to transfer your funds to third <br /> parties such as wholesale brokers, excess and surplus lines brokers, or managing general <br /> agents for carrying out transactions for you. <br /> US Retail Conditions Page 7 of 10 30 July 2014 <br />