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DocuSign Envelope ID:A05BAC11-3B82-4B08-8F14-C38030E0460A <br /> S zwwwwwwwwwwwww=120212 wn+Aaronfl,,,,,fl,,,, a,,,,, lfflfl nnron+nnnron+nron+nronnn+nron+ ,,,,: : ,: : ,,00 <br /> Section B: Breach Expense Protection Annual Aggregate $500,000 5 <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 /> r RETENTIONS: Each and Every Claim / Incident <br /> r A. $1000.00 <br /> r B. $1000.00 <br /> r C. $0.00 <br /> r <br /> r <br /> r <br /> r PROGRAM PRICE: $999.00 <br /> r POLICY FEES: Not Applicable <br /> r STATE TAX: Included (Please refer to individual certificates of insurance) <br /> r STAMPING FEES: Included (Please refer to individual certificates of insurance) <br /> r STATE SURCHARGES: Included (Please refer to individual certificates of insurance) <br /> r BROKER FEES: NIL <br /> r <br /> r TOTAL: $999.00 <br /> r <br /> r RETROACTIVE DATE: April 28, 2016 <br /> r <br /> r <br /> r ADDITIONAL TERMS/CONDITIONS <br /> k <br /> k <br /> k TERMS AND CONDITIONS APPLY AS PER EACH RESPECTIVE POLICY FORM AND APPLICABLE <br /> k ENDORSEMENTS. IN ADDITION, PROGRAM TERMS ARE PROVIDED AND PURSUANT TO THE IFI CUSTOMER <br /> k AGREEMENT LOCATED AT HTTPS://BIZ.IDENTITYFRAUD.COM/CUSTOMER-AGREEMENT <br /> k <br /> k CANCELLATION: EACH POLICY IS SUBJECT TO THE CANCELLATION PROVISIONS AS FOUND IN THE POLICY (IES) OR <br /> k CERTIFICATE(S) CURRENTLY IN USE BY THE INSURER(S). THE INSURANCE EFFECTED BY EACH INSURER MAY BE <br /> k CANCELLED BY THE INSURER (SUBJECT TO STATUTORY REGULATION) BY MAILING, TO THE ENROLLEE AT THE ADDRESS <br /> k STATED ON THE FACE OF THIS DOCUMENT,WRITTEN NOTICE STATING WHEN SUCH CANCELLATION SHALL BE EFFECTIVE.IN <br /> k THE EVENT OF CANCELLATION BY THE ENROLLEE, A CUSTOMARY SHORT RATE RETURN OF AMOUNTS ALREADY PAID <br /> k SHALL APPLY SUBJECT TO THE MINIMUM EARNED PROGRAM PRICE. <br /> k THIS CONFIRMATION IS ISSUED SOLELY BASED UPON THE PROVIDERS AGREEMENT TO PROVIDE PROTECTION, TOGETHER <br /> k WITH THE INSURERS AGREEMENT TO PROVIDE INSURANCE AND IS ISSUED BY THE UNDERSIGNED WITHOUT ANY LIABILITY <br /> k WHATSOEVER AS AN INSURER. <br /> k <br /> k <br /> k <br /> ( T1ion/cas A. wia'n�aw <br /> kAuthorized Signature <br /> k <br /> kIdentity Fraud, Inc/Identity Fraud Insurance Services <br /> k 1700 N Broadway,Walnut Creek,CA 94596 <br /> 925-296-2600;CA License:OD40585 <br /> ©All rights reserved. <br /> h, h, h,4,o <br />