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DocuSign Envelope ID:91 F43AFA-8CB4-4861-887A-F304C7A6614B <br /> Limitation of Liability <br /> The Act limits our liability to you under this policy. If d. $160,000,000, with respect to such Insured <br /> aggregate Insured Losses exceed$100,000,000,000 Losses occurring in calendar year 2018, the <br /> in a calendar year and if we have met our Insurer United States Government would pay 82% <br /> Deductible, we are not liable for the payment of any of our Insured Losses that exceed our <br /> portion of the amount of Insured Losses that Insurer Deductible. <br /> exceeds $100,000,000,000; and for aggregate e. $180,000,000, with respect to such Insured <br /> Insured Losses up to $100,000,000,000, we will pay Losses occurring in calendar year 2019, the <br /> only a pro rata share of such Insured Losses as United States Government would pay 81% <br /> determined by the Secretary of the Treasury. of our Insured Losses that exceed our <br /> Policyholder Disclosure Notice Insurer Deductible. <br /> 1. Insured Losses would be partially reimbursed by f. $200,000,000, with respect to such Insured <br /> the United States Government. If the aggregate Losses occurring in calendar year 2020, the <br /> industry Insured Losses exceed: United States Government would pay 80% <br /> a. $100,000,000, with respect to such Insured of our Insured Losses that exceed our <br /> Losses occurring in calendar year 2015, the Insurer Deductible. <br /> United States Government would pay 85% 2. Notwithstanding item 1 above, the United States <br /> of our Insured Losses that exceed our Government will not make any payment under <br /> Insurer Deductible. the Act for any portion of Insured Losses that <br /> b. $120,000,000, with respect to such Insured exceed$100,000,000,000. <br /> Losses occurring in calendar year 2016, the 3. The premium charge for the coverage your <br /> United States Government would pay 84% policy provides for Insured Losses is included in <br /> of our Insured Losses that exceed our the amount shown in Item 4 of the Information <br /> Insurer Deductible. Page or in the Schedule below. <br /> c. $140,000,000, with respect to such Insured <br /> Losses occurring in calendar year 2017, the <br /> United States Government would pay 83% <br /> of our Insured Losses that exceed our <br /> Insurer Deductible. <br /> Schedule <br /> State Rate Premium <br /> Form WC 00 04 22 B Printed in U.S.A. Page 2 of 2 <br />