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DocuSign Envelope ID:A551A38E-3703-439F-B000-AB96C3150AB4 <br /> Attachment C- Lex Loci Cyber Liability insurance policy <br /> Item 7.Exte lid ed Repo rtingPeizod A. Additional Premium: iao%of Annual Premium <br /> B. Additional Period: 12 Months <br /> Item 8.Policy Premium S1,310 <br /> urcharges/ sessments f Taxes So <br /> olicy Premium Plus applicable taxes and fees(if any) S1,310 <br /> Item g.Notice to Insurer <br /> A. Notice of Incident,Claud.or potential Claw By Mail: <br /> as sat forth in Section 'III.subsection C Director of Claims <br /> Chubb P.O.BOY Sio5 <br /> Scranton,PA i85o5-o3iB <br /> Fax Number:8y7-201-8787 <br /> By Email: <br /> cyberciaimreport@chubb.com OR <br /> aceclain s m-taotice@chubb,cam <br /> B. All Other Notices to the Insiuer Chief Underwriting Officer <br /> Chubb—Financial Lines <br /> 1133 Avenue of the Americas,32nd Floor <br /> Now York NY 10036 <br /> Chubb.lnsurecr <br /> PF- 8337(10 f 16) Page 3 of 3 <br />