# Excess/Umbrella Policy

**Policy Number:** MKLM6XL30000344

## Markel American Insurance Company

**Endorsement Details:**

- **Endorsement Attached to and Made Part of Your Policy:** This endorsement is attached to and made part of your policy in response to the disclosure requirements of the Terrorism Risk Insurance Act.
- **Endorsement Purpose:** This endorsement does not grant any coverage or change the terms and conditions of any coverage under the policy.

## Confirmation of Certified Acts of Terrorism Coverage - Terrorism Risk Insurance Act

### Schedule

- **Terrorism Premium:** $4,637
- **Federal Share of Terrorism Losses:** 80%

### Disclosure of Premium

We have notified you that under the Terrorism Risk Insurance Act we must make certified acts of terrorism coverage available in the policies we offer.

Certified acts of terrorism coverage has been provided because either you have indicated to us or your agent that certified acts of terrorism coverage is desired or we have provided certified acts of terrorism coverage at no additional charge. If you have chosen to purchase certified acts of terrorism coverage, the premium charge is the amount shown in the Schedule of this notice.

If there is no premium shown above or the premium shown is $0, there is no separate premium for the coverage during this policy period.

### Disclosure of Federal Participation in Payment of Terrorism Losses

The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals a percentage (as shown in the Schedule of this notice) of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion.

**MUB TERR-1 01 15**
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