Orange County NC Website
Browse       Search
POLICY NUMBER : <br /> IL09990115 <br /> THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN <br /> RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK <br /> INSURANCE ACT . THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR <br /> CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY . <br /> DISCLOSURE OF PREMIUM AND ESTIMATED PREMIUM <br /> FOR CERTIFIED ACTS OF TERRORISM COVERAGE <br /> ( PURSUANT TO TERRORISM RISK INSURANCE ACT ) <br /> SCHEDULE <br /> SCHEDULE — PART I <br /> Terrorism Premium ( Certified Acts ) <br /> ( A ) Premium through end of year ( 12 / 31 / ) $ See Declarations <br /> ( B ) Estimated Premium beyond the date specified above $ See Declarations <br /> ( Refer to Paragraph D . in this endorsement . ) <br /> This premium is the total Certified Acts premium attributable to the following Coverage Part ( s ) , <br /> Coverage Form ( s ) and /or Policy ( ies ) : <br /> All coverage parts other than . <br /> Social Service Professional Liability Endorsement ; and <br /> Business Auto Coverage <br /> Additional information , if any , concerning the terrorism premium . <br /> SCHEDULE — PART II <br /> Federal share of terrorism losses % Year : 20 <br /> ( Refer to Paragraph B . in this endorsement . ) <br /> SCHEDULE — PART II <br /> Federal share of terrorism losses 85 % Year : 2015 <br /> Federal share of terrorism losses 84 % Year : 2016 <br /> Federal share of terrorism losses 83 % Year : 2017 <br /> Federal share of terrorism losses 82 % Year : 2018 <br /> Federal share of terrorism losses 81 % Year : 2019 <br /> Federal share of terrorism losses 80 % Year : 2020 <br /> ( Refer to Paragraph B . of this endorsement ) <br /> Federal share of terrorism losses % Year : 20 <br /> Refer to Paragraph B . in this endorsement . <br /> Information required to complete this Schedule , if not shown above , will be shown in the Declarations . <br /> IL 09 99 01 15 © Insurance Services Office , Inc . , 2015 Page 1 of 2 <br />