R2017-116 Liability Insurance Coverage for Transit System

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I N 1,1 R A POLICYHOLDER DISCLOSURE N' I -OTICE OF TERRORISM INSURANICE COVERAGE I ou are hereby notifled that under the Terrorism, Risk Insurance Act. as amended. that you have the nwhf ;-r, Purcriase insurance coverage for losses resulting from acts of terrorism as definec( J.n Sect. i� 102(1'(A) of lilt The ieFnn "act of terrorism" means any act that is certified by the Secretary of the Treasury, In consultatir,),-, Se-retary of Homeland Security and the Attorney General of the United States - to be an act of terrorism: to be a .",iolent act or an act that is dangerous to hurnan life, property or infrastructure,- to, have resulted in damage United' States, or outside o` "'Ile United States in the 'Case of certain air carriers OF vessels or he premises of t,, I . individual or individuals as PZF1 Of a(1, e`ort to Coerce ;he civ0;Ln nnission, and to have been committed by an 3_ poilak,_'-,n of United States or to influence the policy or affe,ct the conduct of *k)e United States Governnjent by cce,cior YOLI SIHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES PESUITING FROM CERTIFIED ACTS OF TERRORISIA, SUCH LOSSES MAY BE PARTIALLY P.Ellk/i'BURSED BY THE UNNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW HObVEVEP, YOU�, ' 0' I P LICY 10AY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS EXCLUSION! FOR NUCLEAR EVENTS UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENEIRALLIT RE;f.A(3' RSES 85% OF COVERED TERRORISM LOSSES EXCEEDING THE STATLITOML�' S7i_2I_ H Et Dt ElUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. � THAT PERCEN'ITAGE SHALL DECREASE BY 1 PERCENTAGE POINT PER CALENDAR YEAR BEGINNING JANUARY 1, 2016 UNIIL JANUARY 1, 2020 AS FOLLOWS: 16% CALENDAR YEAR 2016 17% CALENDAR YEAR 2017 18% CALENDAR YEAR 20118 19% CALENDAR YEAR 2019 20% CALENDAR YEAR 2020 [HE PREN11UM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLIUDc A,', y CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BYTHE FEDERAL GOVERNMENT U`NIDIE%� THE ACT YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS Ak4i=NCjF[,1, CONTAINIS BILLION CAP THAT LIMITS U.S, GOVERNMENT REIMBURSEMENT AS WELL AS il"SURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOLINTO"F SUCH LOSSES IN ANN( 014E CALENDAR YEAR EXCEEDS S100 BILLION IF THE AGGREGATE INSURED LOSSES FOR INSURER'S EXCEED S'00 BILLION, YOUR COVERAGE MAYBE REDUCED, Unless you sign this form and return it to us rejecting Terrorism Coverage, you will be covered for J'ei"0.risrrl asdefined, above and your premium for that coverage will be $ 119 GL. I I hereby reject Terrorism Coverage in accordance with the Terrorism Ris;K Insurance A-It Narnedinsured* Poi cv 'eriod� Signa-Ure Of 'r)SL)red Prir' Name/Title. T,, LIC-T,DIA-NEVVIREN Disclosure(01115)