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DocuSign Envelope ID:A29AB125-209D-4CB9-854C-789BEC34FODD <br /> PREMIUM SUMMARY: <br /> Option 1: <br /> $813. Directors&Officers Liability and Entity Liability <br /> $892. Employment Practices Liability <br /> $1,705. POLICY TOTAL <br /> Option Information: <br /> POLICY COMMISSION: 20% <br /> BILLING TYPE: Direct Bill <br /> CONTINGENCIES: The above quote is expressly contingent upon receipt, review and acceptance of the subjectivities listed <br /> below. We must receive all of the items identified below on or before the Quotation Expiration date shown below. If all of <br /> these items are not received and approved by us on or before this date,this quote will automatically expire without further <br /> action or notice. <br /> Nothing is required at this time. <br /> IMPORTANT <br /> The foregoing quotation for coverage is subject to modification or withdrawal by the Company if, before the proposed inception <br /> date, any new, corrected or updated information becomes known which relates to any proposed Insured's claims history or risk <br /> exposure or which could otherwise change the underwriting evaluation of any proposed Insured, and the Company, in its sole <br /> discretion, determines that the terms of this quotation are no longer appropriate. <br /> This proposal does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from <br /> offering or providing insurance. To the extent any such prohibitions apply,this proposal is void ab initio. <br /> Quotation Expiration: October 30,2020 <br /> Notes: <br /> If you have any questions, please call me at(860)408-2594 <br /> Kelly Mercey <br /> Underwriter <br /> Fax Number: (555)555-5555 <br /> Email Address: Kelly.Mercey@Chubb.com <br /> Chubb Group Of Insurance Companies 82 Hopmeadow Street 860.408.2000 <br /> P.O. Box 2002 Fax 860.408.2002 <br /> Simsbury, CT 06070-7683 <br />