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City Of Decatur �=� Gallagher <br /> � „�CC?RE 3�0. <br /> Endorsements include,but are not limited to: <br /> . • <br /> Illinois Notice Regarding the Religious Freedom Protection and Civil Union Act -ALL-34772(11/11) <br /> Forms Schedule-PF-48152(09/16) <br /> Signature Endorsement-CG1 K11 i(02/18) ' <br /> � Trade or Economic Sanctions Endorsement-PF-46422(07/15) <br /> , General Enhancement Endorsement—Cyber -PF-49468(08/17) <br /> ' Policyholder Disclosure Notice of Terrorism Insurance Coverage -TRIA11d(03/16) <br /> I Illinois Amendatory -PF-48296(10/16) <br /> ! Cyber Incident Response Fund Side-Car(option 1 only) -PF�8258(10/16) <br /> I Application Amended -PF-49452(08/17) <br /> ', Conduct Exclusion Amended -PF-49491 (08/17) <br /> !, Control Group Member Redefined -PF-48148(10/16) <br /> ' Period of Restoration-180 days -PF-48160(09/16) <br /> Binding Requirements: <br /> • • <br /> Subject to Currently Signed and Dated Application <br /> I Subject to do You use any Software or Hardware that Has Been Officially Retired(I.E. Considered"End-of-Life")by the , <br /> ', Manufacturer(E.G.Windows XP)?If Yes, Please Provide Specifics(What is it?Is it Connected to the Network/Isolated?)and <br /> ' Timeframe for Retiring <br /> �� Subject to Confirmation of no Losses 30 Days from the Effective <br /> ', Subject to Provide the"Home State°as Defined in the Non-admitted and Reinsurance Reform Act of 2010(NRRA)upon the <br /> ', Binding of This Placement. <br /> Premium $12,123.00 <br /> ESTIMATED PROGRAM COST $12,123.00 <br /> TRIA/TRIPRA PREMIUM $0.00 <br /> (+Additional Surcharges,Taxes and Fees as applicable) <br /> ��;E: <br /> .yq..}l.?. <br /> a{� 7'' <br /> .�;<" _ :�-i, <br /> .:� '�,.�-r: <br /> ;;.�:�. <br /> 28 �» ,,�" }�¢-:���. <br /> :Y�i'� �� �, '` <br /> t �{ .�r" y`} �`�� <br /> ,:. <br /> - u. <br /> �. �a: ��x. <br /> _._._. ,�: � , �;;. ` <br />