# Canadian Policyholder Message

Because this policy includes coverage for Canadian exposures, we are required by Canadian law to report the following information to the Canadian Federal Government:

- The name and Canadian address of the insured under the policy;
- The amount of premiums attributable to Canadian exposures; and
- The name and address of the non-Canadian broker or agent through whom the policy was entered into or renewed.

This information is required of us so that the Canadian Federal Government may determine your tax liability under the Canadian Excise Tax Act. You are solely responsible for the payment of any taxes that may be due.

For further information regarding your responsibilities under the Canadian Excise Tax Act, please consult your attorney or tax advisor.