# Coverage Terms & Conditions

## ATTACHED FORMS:
- CC-1K11k (04/22)
- Signatures

## ENDORSEMENTS:
- ALL-23345b (07/13) Policyholder Notice - Commercial Lines Deregulation New York (NYFTZ)
- XSE - 50761 (07/18) Declarations - Enhanced Commercial Umbrella Liability Policy
- XSE-50764 (07/18) Schedule of Retained Limits - Enhanced Commercial Umbrella Liability Policy
- XSE-51108 (07/18) Table of Contents - Enhanced Commercial Umbrella Liability Policy
- XSE-50762 (05/18) Enhanced Commercial Umbrella Liability Policy
- ALL-20887a (03/16) Chubb Producer Compensation Practices & Policies
- IL P 001 (01/04) U.S. Treasury Department's Office Of Foreign Assets Control ("OFAC") Advisory Notice To Policyholders
- XSE-52226 (03/19) Policyholder Notice - Catastrophe Management Coverage
- XSE-52231 (03/19) Claims Loss Notification Form
- XSE-53703 (04/20) "Scheduled Retained Limit" Amendatory Endorsement (All "Other Insurance" May Reduce Or Erode The "Scheduled Retained Limit")
- XSE-52224a (10/19) Access, Collection, Release, or Disclosure of Information; Electronic Data Exclusion – Limited Bodily Injury and Redefined Property Damage Exceptions (Retained Limit)
- XSE-50714 (07/18) Additional Named Insureds
- XSE-50715a (10/19) Aircraft Products And Grounding Hazard Exclusion
- XSE-51819a (05/20) Amendatory Endorsement – New York Changes
- XSE-52240a (12/21) Broad Form Named Insured Endorsement (Named Insured's Interest)
- XSE-50717 (07/18) Cap On Losses From Certified Acts Of Terrorism
- XSE-52227 (03/19) Difference In Conditions / Difference In Limits Endorsement
- XSE-52232 (03/19) Earlier Notice Of Cancellation Provided By Us
- XSE-53711 (06/20) Enhanced Coverage Self-Insured Retention Amendment (Split Retentions)
- XSE-50735 (07/18) Fellow Employee Exclusion Deleted
- XSE-52234 (03/19) Foreign Loss Indemnity Endorsement
- XSE-50741a (05/19) Incidental Medical Malpractice Injury
- XSE-53385 (01/20) Industrial Aid Aircraft – New York
- XSE-51212 (10/18) New York Changes – Cancellation And Nonrenewal
- XSE-50748 (07/18) Notice OT Occurrence Of Claim
- XSE-52605a (06/20) Other Insurance Amendment (Primary And Non-Contributory Where Required By Contract)
- XSE-52221 (05/19) Pollution Exclusion Amendatory – Enhanced Exceptions
- XSE-50756a (09/20) Tie In Of Limits
- MS-322330.1 (03/21) "Key Individual" Definition Amendatory Endorsement
- MS-275567.5 (03/20) Electronic Chat Rooms Or Bulletins Boards Endorsement
- MS-275567.6 (03/20) Employee Benefit Follow Form Endorsement [Claims Made]
- MS-1027632.1 (04/20) Exclusion - Head Trauma Injury
- MS-275567.8 (03/20) Insureds In Media and Internet-Type Businesses Exclusion Amendatory Endorsement
- MS-325346 (04/21) Knowledge of Occurrence (Designated Persons or Departments)
- MS-275567.17 (04/20) Liberalization Clause Endorsement
- MS-275567.11 (03/20) Nuclear Liability Exclusion Amendatory Endorsement
- MS-275567.13 (03/20) Professional and Financial Services Exclusion - Limited Exception for Resulting "Bodily Injury" and "Property Damage"
- MS-1154080a (05/22) Specified Area Exclusion
- MS-275567.14 (03/20) Technology Services Errors and Omissions Exclusion Endorsement
- MS-308337.2 (09/20) Waiver of Governmental Immunity
- XSE-52219a (06/20) Amendatory Endorsement - Various Provisions
- TRIA11e (08/20) Disclosure Pursuant to Terrorism Risk Insurance Act

## SUBJECT TO:
- Receipt of binders for underlying policies
- Receipt of signed certification for Commercial Deregulation if applicable
- Receipt of signed TRIA acceptance/declination documents at binding
- Receipt and favorable review of underlying policies within sixty (60) days

Page 3 of 4