Orange County NC Website
DocuSign Envelope ID:33751333-2C77-4007-AD1 B-D260E24EFE47 <br /> Section B: Breach Expense Protection Annual Aggregate : $500,000 <br /> Sublimits: Network Interruption • $500,000 ) <br /> Data Destruction/Reconstruction : $500,000 ) <br /> a 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 /> c POLICY FEES: Not Applicable ) <br /> c STATE TAX: Included (Please refer to individual certificates of insurance) ) <br /> c STAMPING FEES: Included (Please refer to individual certificates of insurance) ) <br /> a STATE SURCHARGES: Included (Please refer to individual certificates of insurance) ) <br /> a BROKER FEES: NIL <br /> a <br /> c TOTAL: $999.00 <br /> c 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 /> a / �1L'ntas A. Wia l2La4 ) <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 /> Efr, + +r;+c:+c:,c:,c:,a.:Ma.:Ma ate rt�rt�w�+w�+r�+r�+r�+r�+r;+c:+c:,c:,c:,a.:MaM.:Mat�at� rt�w—r r r r r c`,+c`,+r`,+r`,+--k—w,—„E <br />