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DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B <br /> OWE: ======W o <br /> Section B: Breach Expense Protection Annual Aggregate $500,000 <br /> Sublimits: Network Interruption $500,000 <br /> Data Destruction/Reconstruction $500,000 <br /> Section C: Personal Identity Protection Annual Aggregate NIL <br /> Identity Insurance (per enrollee) $15,000 <br /> RETENTIONS: Each and Every Claim / Incident <br /> A. $1000.00 <br /> B. $1000.00 <br /> C. $0.00 <br /> PROGRAM PRICE: $999.00 <br /> POLICY FEES: Not Applicable <br /> STATE TAX: Included (Please refer to individual certificates of insurance) <br /> STAMPING FEES: Included (Please refer to individual certificates of insurance) <br /> STATE SURCHARGES: Included (Please refer to individual certificates of insurance) <br /> BROKER FEES: NIL <br /> TOTAL: $999.00 <br /> RETROACTIVE DATE: April 28, 2016 <br /> ADDITIONAL TERMS/CONDITIONS <br /> TERMS AND CONDITIONS APPLY AS PER EACH RESPECTIVE POLICY FORM AND APPLICABLE <br /> ENDORSEMENTS. IN ADDITION, PROGRAM TERMS ARE PROVIDED AND PURSUANT TO THE IFI CUSTOMER <br /> AGREEMENT LOCATED AT HTTPS://BIZ.IDENTITYFRAUD.COM/CUSTOMER-AGREEMENT <br /> CANCELLATION: EACH POLICY IS SUBJECT TO THE CANCELLATION PROVISIONS AS FOUND IN THE POLICY (IES) OR <br /> CERTIFICATE(S) CURRENTLY IN USE BY THE INSURER(S). THE INSURANCE EFFECTED BY EACH INSURER MAY BE <br /> CANCELLED BY THE INSURER (SUBJECT TO STATUTORY REGULATION) BY MAILING, TO THE ENROLLEE AT THE ADDRESS <br /> STATED ON THE FACE OF THIS DOCUMENT,WRITTEN NOTICE STATING WHEN SUCH CANCELLATION SHALL BE EFFECTIVE.IN <br /> THE EVENT OF CANCELLATION BY THE ENROLLEE, A CUSTOMARY SHORT RATE RETURN OF AMOUNTS ALREADY PAID <br /> SHALL APPLY SUBJECT TO THE MINIMUM EARNED PROGRAM PRICE. <br /> THIS CONFIRMATION IS ISSUED SOLELY BASED UPON THE PROVIDERS AGREEMENT TO PROVIDE PROTECTION, TOGETHER <br /> WITH THE INSURERS AGREEMENT TO PROVIDE INSURANCE AND IS ISSUED BY THE UNDERSIGNED WITHOUT ANY LIABILITY <br /> WHATSOEVER AS AN INSURER. <br /> T�iovr�as�4. w�Gt'vt�arti <br /> Authorized Signature <br /> Identity Fraud, Inc/Identity Fraud Insurance Services <br /> 1700 N Broadway,Walnut Creek,CA 94596 <br /> 925-296-2600;CA License:OD40585 <br /> ©All rights reserved. <br /> 0 0 <br />