City Council/Public Finance and Economic Development Authority/Parking Authority
June 17, 2024

2024-2025

Alliant Insurance Services, Inc.
2180 Harvard Street, Ste 460 Sacramento, CA 95815 PHONE (916) 643-2700FAX (916) 643-2750
www.alliant.com
License No.0C36861

Presented on June 3, 2024 by:

Kevin J. Bibler
Senior Vice President
Evan Washburn
Account Executive

City of Merced

2024-2025 Alliant Property Insurance Program (APIP) Executive Summary Page 1 of 2 City of Merced

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)
July 1, 2024 – July 1, 2025

EXECUTIVE SUMMARY

Attached please find the annual renewal summary of the Alliant Property Insurance Program (APIP) for t he 7/1/2024 renewal. An overview of the most significant issues is discussed here.

After multiple years of a difficult property market with double digit rate increases, the property mar ket is significantly improving as we approach the 7/1/2024 APIP renewal. While the market is much better this year, we do e xpect most insureds in the APIP program to have single digit rate increases at renewal. Generally, Insured’s that are loss free and/or non-Catastrophe (CAT) exposed will have lower than average rate increases while insured’s that are los s challenged and/or CAT exposed will have higher than average rate increases.

For the 2024/25 renewal, Berkshire Hathaway Specialty Insurance (BHSI) will lead the first $30,000,000 of the program.

Maximum program limits are $1,000,000,000 and will be placed with worldwide markets rated at A.M. Best A- VII or higher. Insureds should note several key highlights for this year’s renewal:

 Boiler & Machinery cover for participating insured s of the APIP Boiler Program will be maintained wit h Hartford Steam Boiler (HSB), who will also continue to perform required jurisdictional inspections.  Cyber (Privacy Liability) Coverage for both 1st an d 3rd parties will be provided by Beazley Syndicate at Lloyd’s, A.M. Best Rated A XV, (for those eligible insureds) with coverage as outlined on the following proposa l which includes a summary of proposed changes for this renewal. Additional excess options are available, if requested for insureds with good security controls in place. The Cyber market has stabilized somewhat after bei ng extremely volatile in the past few years due to a p ronounced increase in ransomware claims and worldwi de unrest. Due to the difficulty of even maintaining Cyber coverage for many public entities, we believe the Cyber coverage provided by APIP represents one of the best values in the marketplace. Please note claims reporting timeframe limitations for this coverage
 Pollution Coverage for both 1 st and 3 rd parties will be provided by Ironshore Specialty Insurance Company, A.M.

Best Rated A XV, (for those eligible insureds) with coverage as outlined on the following proposal which includes a summary of proposed changes for this renewal. Please note claims reporting timeframe limitations for this coverage
 Vehicles/Contractor’s Equipment – please note on t he attached proposal whether the vehicle/contractor s equipment valuation is Replacement Cost (new) or Ac tual Cash Value (ACV). If Replacement Cost (new) valuation is needed, the insured must submit a sche dule of vehicles or a vehicle valuation reporting f orm (provided in the pre-renewal packet) and vehicles m ust be valued at today’s Replacement Cost (new). If values are not reported at Replacement Cost (new), the veh icle/contractor’s equipment valuation basis will be ACV Alliant Business Services (ABS) continues to play a significant role not only in providing various typ es of loss control services, but also in providing appraisal services, business interruption values consultation, and infrared testing. Please see inserts for further details on ABS services provided. For the program, property valuations continue to be a key focus.

As a reminder, it is underwriters’ intent to have a ll buildings with a scheduled value of $5,000,000 o r more appraised once every seven to ten years. This service is incl uded in the total program cost. Insureds may also c hoose to have lower valued buildings appraised. The cost to have all, or specific buildings appraised that are value d on an insureds schedule between $25,000 and $5,000,000 will be quoted at the time the request is made.

Additionally, Alliant as a company is excited to introduce our Cyber Resilience Services Subscription Bundle available to APIP clients. The Alliant Cyber Consulting Practice helps clients identify, evaluate, remediate, trans fer, and respond to the cyber risks that matter most, driving better cyber risk management, resilience and insurability outcomes. Brochure is included, ask your Alliant representative for more details.

Please review important Disclosure and Loss Notification information included in your renewal materials.

Your review and acknowledgement of these documents are required via your signature once you authorize a request to bind coverage with your Alliant repres entative. Although this proposal is as complete as possible, the program is being negotiated up to the 7/1/2024 effective date. We will endeavor to prov ide any known material changes prior to renewal. All coverage items currently under review with APIP markets to be effective on 7/1/2024, are listed at the end of each coverage proposal being quoted.

2024-2025 Alliant Property Insurance Program (APIP) Executive Summary Page 2 of 2 City of Merced

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)
July 1, 2024 – July 1, 2025

EXECUTIVE SUMMARY

The following table depicts key financial statistics relative to last year:

Year-over-Year Rate and Premium Comparison
City of Merced

2023-2024
(at 11/06/2023)
2024-2025 Variance
Total Insurable Values (TIV): $ 388,419,039 $ 437, 265,220 12.58% Earthquake TIV: Not Applicable Not Applicable N/A
Earthquake Limit: Not Covered Not Covered N/A
*Property Annual Cost: $ 1,028,454.75 $ 1,183,854.6 4 15.11% Cyber Liability Annual Cost: $ 17,170.18 $ 15,975.36 -6.96% Pollution Liability Annual Cost: $ 3,445.18 $ 4,460 .47 29.47% Total Account Rate ($/100): 0.2700872 0.2754142 1 .97% **Total Annual Cost: $ 1,049,070.11 $ 1,204,290.47 14.80%

*Property Annual Cost includes: all premiums, under writing fees, commissions, loss control expenses, program administration charges, and applicable taxes

** Total Annual Cost includes the following: Property Annual Cost,Cyber and Pollution when purchased

Thank you for your continued support of APIP. We look forward to working with you this next year. Please let us know if you have any questions about your renewal.

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 1 of 11 City of Merced 06/03/2024 11:59:43 AM
ALLIANT INSURANCE SERVICES, INC.

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)

PROPERTY PROPOSAL
TYPE OF INSURANCE: Insurance Reinsurance

NAMED INSURED: City of Merced

DECLARATION: 2-Cities 2

POLICY PERIOD: July 1, 2024 to July 1, 2025
COMPANIES: See Attached List of Companies

TOTAL INSURED
VALUES:

$ 437,265,220 as of June 03, 2024

ALL RISK

COVERAGES &
SUB-LIMITS:

$ 500,000,000 Per Occurrence: all Perils, Coverages (subject to policy exclusions) and all Named Insureds (as defined in the policy) combined, per Declaration, regardless of the number of Named Insureds, coverages, extensions of coverage, or perils insured, subject to the following per occurrence and/or aggregate sub- limits as noted below.

$ 5,000,000 Flood Limit - Per Occurrence and in the Annual Aggregate (for those Named Insured(s) that purchase this optional dedicated coverage).

$ 5,000,000 Per Occurrence and in the Annual Aggregate for scheduled locations in Flood Zones A & V (inclusive of all 100 year exposures). This Sub-limit does not increase the specific flood limit of liability for those Named Insured(s) that purchase this optional dedicated coverage.

Not Applicable Per Occurrence for losses to locations in Tier 1 and/or Tier 2 Counties and resulting from a Named Windstorm.

Not Covered Earthquake Shock - Per Occurrence and in the Annual Aggregate (for those Named Insured(s) that purchase this optional dedicated coverage).

ALL RISK

COVERAGES &
SUB-LIMITS:
(continued)
$ 100,000,000 Combined Business Interruption, Rental Income and Tuition Income (and related fees). However, if specific values for such coverage have not been reported as part of the Named
Insured's schedule of values held on file with Alliant Insurance Services, Inc., this sub-limit amount is limited to $500,000 per Named Insured subject to maximum of $2,500,000 Per
Occurrence, Per Declaration for Business Interruption, Rental Income and Tuition Income combined. Coverage for power generating plants is excluded, unless otherwise specified.

$ 50,000,000 Extra Expense.

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 2 of 11 City of Merced 06/03/2024 11:59:43 AM
Per Bound TIV $10,000,000 Miscellaneous Unnamed Locations for Named Insureds with total insurable values greater than or equal to $250,000,000 at time of binding or $5,000,000 Miscellaneous Unnamed Locations for Named Insureds with total insurable values less than $250,000,000 at time of binding excluding Earthquake coverage for Alaska and California locations. If Flood coverage is purchased for scheduled locations, this extension will extend to include Flood coverage for any location not situated in Flood Zones A or V.

180 Days Extended Period of Indemnity

See Policy Provisions $50,000,000, or a Named Insured's Policy Limit of Liability if less than $50,000,000, Automatic Acquisition for 120 days except:
- $25,000,000 Automatic Acquisition for 90 days for new sub- member and/or entity of an existing Pools, JPA or Group; - $25,000,000 Automatic Acquisition for 90 days for Vacant properties;
- $10,000,000 Automatic Acquisition for 120 days for Licensed Vehicles;
- $2,500,000 Automatic Acquisition for 60 days for additional property and/or interests in Tier 1 Wind Counties, Parishes and Independent Cities for the states of Virginia, North Carolina, South Carolina, Georgia, Alabama, Mississippi, Louisiana, Texas and/or situated anywhere within the states of Florida and Hawaii;
- The peril of Earthquake is excluded for the states of Alaska and California;
- If Flood coverage is purchased for all scheduled locations, this extension will extend to include Flood coverage for any location not situated in Flood Zones A or V.

$ 1,000,000 Unscheduled Landscaping, tees, sand traps, greens, athletic fields and artificial turf; however, replacement of trees, plants and shrubs will be limited to the actual size of the destroyed plant, tree or shrub at the time of the loss up to a maximum size of 25 gallons per item but not to exceed $25,000 per item for existing Named Insureds excluding Earthquake coverage for Alaska and California locations. If Flood coverage is purchased for scheduled locations, this extension includes Flood coverage for any location not situated in Flood Zones A or V.

ALL RISK

COVERAGES &
SUB-LIMITS: (continued)
$ 5,000,000 or 110% of the scheduled values, whichever is greater, for Scheduled Landscaping, tees, sand traps, greens, athletic fields and artificial turf; however, replacement of trees, plants and shrubs will be limited to the actual size of the destroyed plant, tree or shrub at the time of the loss up to a maximum size of 25 gallons per item but not to exceed $25,000 per item.

$ 5,000,000 or 120% of the scheduled values, whichever is less, for Scheduled Landfills (as more fully defined in the policy).

$ 50,000,000 Errors & Omissions - This extension does not increase any more specific limit stated elsewhere in this policy or
Declarations.

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 3 of 11 City of Merced 06/03/2024 11:59:43 AM

$ 25,000,000 Course of Construction and Additions (including new) for projects with completed values not exceeding the sub-limit shown. Projects valued greater than $15,000,000 require underwriting approval and a premium charge.

$ 500,000 Money & Securities for named perils only as referenced within the policy, however fraudulent impersonation, fraudulent instruction or similar events are excluded.

$ 2,500,000 Unscheduled Fine Arts.

$ 250,000 Accidental Contamination per occurrence and annual aggregate per Named Insured with $500,000 annual aggregate for all Named Insureds per Declaration. Coverage shall not attach or become insurance upon any property which at the time of loss is more specifically described and covered under any other policy form until the liability of such other insurance has first been exhausted and shall then cover only the excess of value of such property over and above the amount payable under such other insurance, whether collectible or not.

$ 750,000 Unscheduled infrastructure including but not limited to tunnels, bridges, dams, catwalks (except those not for public use), roadways, highways, streets, sidewalks, culverts, channels, levees, dikes, berms, embankments, landfills (as more fully defined in the policy), docks, piers, wharves, street lights, traffic signals, meters, roadway or highway fencing (including
guardrails), and all similar property unless a specific value has been declared. Unscheduled infrastructure coverage is
excluded for the peril of Earthquake and excluded for Federal Emergency Management Agency (FEMA) and/or Office of
Emergency Services (OES) declared disasters, providing said declaration provides funding for repairs.

$ 50,000,000 Increased Cost of Construction due to the enforcement of building codes/ ordinance or law (includes All Risk and Boiler & Machinery) except $2,500,000 for vacant properties.

$ 25,000,000 Transit - Physical Damage only.

$ 2,500,000 Unscheduled Animals; not to exceed $50,000 per Animal, per Occurrence.

ALL RISK

COVERAGES &
SUB-LIMITS:
(continued)
$ 2,500,000 Unscheduled Watercraft up to 27 feet.

Included Per Occurrence for Off Premises Vehicle Physical Damage.

$ 25,000,000 Off Premises Services Interruption including Extra Expense resulting from a covered peril at non-owned/operated locations.

$ 5,000,000 Per Occurrence Per Named Insured subject to an Annual Aggregate of $10,000,000 for Earthquake Shock on Licensed Vehicles, Unlicensed Vehicles, Contractor's Equipment and Fine Arts combined for all Named Insured(s) in this Declaration combined that do not purchase optional dedicated Earthquake Shock coverage, and/or where specific values for such items are not covered for optional dedicated Earthquake Shock coverage as part of the Named Insured's schedule of values

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 4 of 11 City of Merced 06/03/2024 11:59:43 AM
held on file with Alliant Insurance Services, Inc..

$ 5,000,000 Per Occurrence Per Named Insured subject to an Annual Aggregate of $10,000,000 for Flood on Licensed Vehicles, Unlicensed Vehicles, Contractor's Equipment and Fine Arts combined for all Named Insured(s) in this Declaration combined that do not purchase optional dedicated Flood coverage, and/or where specific values for such items are not covered for optional dedicated Flood coverage as part of the Named
Insured's schedule of values held on file with Alliant Insurance Services, Inc..

$ 3,000,000 Contingent Business Interruption, Contingent Extra Expense, Contingent Rental Values and Contingent Tuition Income
separately.

$ 3,000,000 Tax Revenue Interruption – Per Policy Provisions. However, if specific values for such coverage have not been reported as part of the Named Insured’s schedule of values held on file with Alliant Insurance Services, Inc., this sub-limit amount is limited to $1,000,000 Per Occurrence – Per Policy Provisions.

$ 500,000 Jewelry, Furs, Precious Metals and Precious Stones Separately.

$ 1,000,000 Claims Preparation Expenses.

$ 50,000,000 Expediting Expenses.

$ 100,000 Per Occurrence with a $1,000,000 Annual Aggregate per Declaration for Mold/Fungus Resultant Damage as more fully defined in the policy.

$ 100,000,000 Ingress/Egress Per Occurrence, Per Named Insured for the actual loss sustained during the period of time not exceeding 30 days when, as a direct result of physical loss or damage caused by a covered peril(s) specified by this Policy and occurring at property located within a 10 mile radius of covered property, ingress to or egress from the covered property by this Policy is prevented.

$ 100,000,000 Interruption By Civil Authority Per Occurrence, Per Named Insured for the actual loss sustained during the period of time not exceeding 30 days when, as a direct result of physical loss or damage caused by a covered peril(s) specified by this Policy and occurring at property located within a 10 mile radius of covered property, access to the covered property is specifically prohibited by order of a civil authority.

$ 10,000,000 Electronic Data Processing Media.

$ 1,000,000 Personal Property Outside of the USA (including associated Business Interruption).

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 5 of 11 City of Merced 06/03/2024 11:59:43 AM
Not Covered Per Occurrence Per Declaration Upgrade to Green Coverage subject to the lesser of, the cost of upgrade, an additional 25% of the applicable limit of liability shown in the schedule of values or this sub limit.

Not Covered for Communicable Disease.

$ 100,000 Per Occurrence while in Storage and In Transit coverage subject to $10,000 Deductible for Unmanned Aircraft as more fully defined in the Policy. Not Covered while in Flight.

See Policy Provisions Scheduled Vacant Building per Conditions in Section IV., part 1

$ 2,500,000 Unscheduled Vacant Building per Policy Provisions Section IV., part 1

VALUATION:  Repair or Replacement Cost (RCV)
 Actual Loss Sustained for Time Element Coverages
 Contractor’s Equipment /Vehicles either Replacement Cost (RCV) or Actual Cash Value (ACV) as declared by each insured. If not declared, valuation will default to Actual Cash Value (ACV)

EXCLUSIONS
(Including but not
limited to):

 Seepage & Contamination
 Cost of Clean-up for Pollution
 Mold

Deductibles: If two or more deductible amounts provided in the Declaration Page apply for a single occurrence the total to be deducted shall not exceed the largest per occurrence deductible amount applicable. (The Deductible amounts set forth below apply Per Occurrence unless indicated otherwise).

“ALL RISK”
DEDUCTIBLE:

$ 25,000 Per Occurrence, which will apply in the event a more specific deductible is not applicable to a loss.

DEDUCTIBLES FOR

SPECIFIC PERILS
AND COVERAGES:

$ 100,000 All Flood Zones Per Occurrence excluding Flood Zones A & V.

$ 250,000 Per Occurrence for Flood Zones A & V (inclusive of all 100 year exposures).

Not Applicable for losses to locations in Tier 1 and/or 2 Counties and resulting from a Named Windstorm.

DEDUCTIBLES FOR

SPECIFIC PERILS
AND COVERAGES:
(continued)
Not Covered Earthquake Shock: If the stated deductible is a flat dollar amount, the deductible will apply on a Per Occurrence basis, unless otherwise stated. If the stated deductible is on a percentage basis, the deductible will apply Per Occurrence on a Per Unit basis, as defined in the policy form, subject to the minimum deductible per occurrence.

$ 1,000 Per Occurrence for Specially Trained Animals.

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 6 of 11 City of Merced 06/03/2024 11:59:43 AM
$ 500,000 Unscheduled infrastructure including but not limited to tunnels, bridges, dams, catwalks (except those not for public use), roadways, highways, streets, sidewalks, culverts, channels, levees, dikes, berms, embankments, landfills (as more fully defined in the policy), docks, piers, wharves, street lights, traffic signals, meters, roadway or highway fencing (including
guardrails), and all similar property unless a specific value has been declared. Unscheduled infrastructure coverage is
excluded for the peril of Earthquake and excluded for Federal Emergency Management Agency (FEMA) and/or Office of
Emergency Services (OES) declared disasters, providing said declaration provides funding for repairs.

$ 10,000 Per Vehicle or Item for Licensed Vehicles, Unlicensed Vehicles and Contractor's Equipment subject to $100,000 Maximum Per Occurrence, Per Named Insured for the peril of Earthquake for Named Insured(s) who do not purchase dedicated Earthquake limits.

$ 50,000 Per Occurrence Per Named Insured for this Declaration for Fine Arts for the peril of Earthquake for Named Insured(s) who do not purchase dedicated Earthquake limits.

$ 10,000 Per Vehicle or Item for Licensed Vehicles, Unlicensed Vehicles and Contractor's Equipment subject to $100,000 Maximum Per Occurrence, Per Named Insured for the peril of Flood for Named Insured(s) who do not purchase dedicated Flood limits.

$ 50,000 Per Occurrence Per Named Insured for this Declaration for Fine Arts for the peril of Flood for Named Insured(s) who do not purchase dedicated Flood limits.

24 Hour Waiting Period for Service Interruption for All Perils and Coverages.

2.5% of Annual Tax Revenue Value per Location for Tax Interruption.

24 Hour Waiting Period for Ingress/Egress

24 Hour Waiting Period for Civil Authority

$ 25,000, Except $50,000 for all police vehicles valued under $250,000; $100,000 for All Vehicles with RCV of $250,000 to $750,000; $250,000 for All Vehicles with RCV in Excess of $750,000. Per Occurrence for Off Premises Vehicle Physical Damage. If Off- Premises coverage is included/purchased, the stated
deductible will apply to vehicle physical damage both on and off-premises on a Per Occurrence basis, unless otherwise stated. If Off-Premises coverage is not included, On-
Premises/In-Yard coverage is subject to the All Risk (Basic) deductible.

Replacement Cost Vehicle Valuation Basis

$ 10,000 Per Occurrence for Contractor's Equipment.

Replacement Cost Contractor's Equipment Valuation Basis

SPECIAL TERMS AND
CONDITIONS:

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 7 of 11 City of Merced 06/03/2024 11:59:43 AM
It is understood and agreed that notwithstanding anything contained herein to the contrary the following shall apply to this Policy:

SPECIAL TERMS 1: The buildings at the following locations listed below will have a 120% margin clause applicable based on the values reported per schedule on file with Alliant Insurance Services. Under no circumstances will the company pay more than 120% of the reported values.

1. 3033 N G STREET, MERCED, CA 95348

Values reported per schedule on file with Alliant
Insurance Services
Special Terms Limit

See Policy Special Terms Deductible

The following stand-alone coverages are provided by the APIP program but are not covered in the Limit of Liability or the Sub-Limits of Liability above or attached to the Master Policy Form Wording. However, the coverage costs are included in the APIP Total Cost noted below. Carriers providing these coverages are included in the Schedule of Carriers.

$ 100,000,000 Per Named Insured Per Occurrence subject to $200,000,000 Annual Aggregate of Declarations 1-14, 18-30 and 32-35
combined as respects Property Damage, Business Interruption, Rental Income and Extra Expense Combined for Terrorism
(Primary Layer).

$ 25,000 Per Occurrence Deductible for Primary Terrorism.

$ 600,000,000 Per Named Insured for Terrorism (Excess Layer) subject to;

$ 1,100,000,000 Per Occurrence, All Named Insureds combined in Declarations 1-14, 18-21, 23-30 and 32-35 for Terrorism (Excess Layer) subject to;

$ 1,400,000,000 Annual Aggregate shared by all Named Insureds combined in Declarations 1-14, 18-21, 23-30 and 32-35, as respects
Property Damage, Business Interruption, Rental Income and Extra Expense combined for Terrorism (Excess Layer).

$ 500,000 Per Occurrence Deductible for Excess Terrorism (Applies only if the Primary Terrorism Limit is exhausted).

Included Information Security & Privacy Insurance with Electronic Media Liability Coverage. See attached Cyber Coverage Summary for applicable Limits. (Cyber Liability) If, insured purchases such coverage.

$ 25,000,000 Per Named Insured, Per occurrence subject to an Annual Aggregate of $50,000,000 combined for Declarations 1-14, 18- 30 and 32-35 as respects Personal and Real property for Cyber Attack Resultant Damage.

Included Pollution Liability Insurance Coverage. See attached Pollution Liability Insurance Coverage Document for applicable limits and deductibles. If, insured purchases such coverage. If, insured purchases such coverage.

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 8 of 11 City of Merced 06/03/2024 11:59:43 AM

TERMS &
CONDITIONS:

Sub-limits, terms and conditions are subject to change.

25% Minimum Earned Premium and cancellations subject to 10% penalty

Except Cyber Liability Premium is calculated on a pro-rata basis, unless there is a claim in which case the premium is deemed fully earned. If, insured purchases such coverage.

Except Pollution Liability Premium is 100% Earned at Inception. If, insured purchases such coverage.

NOTICE OF
CANCELLATION:

90 Days except 10 Days for non-payment of premium

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 9 of 11 City of Merced 06/03/2024 11:59:43 AM
Option 1: $25,000 All-Risk Deductible
Annual Cost*
Total Property
Premium:

$ 1,132,503.00
Excess Boiler: $ 5,127.00
Cyber Liability
Premium:

$ 15,483.00
Pollution Liability
Premium:

$ 4,323.00
ABS Fee: $ 10,048.00
SLT&F’s (Estimate) $ 36,806.47
Broker Fee: $ 0.00
TOTAL COST †:
(Including Taxes and
Fees)

$ 1,204,290.47

Option 2: $50,000 All-Risk Deductible
Annual Cost*
Total Property
Premium:

$ 1,107,660.00
Excess Boiler: $ 5,127.00
Cyber Liability
Premium:

$ 15,483.00
Pollution Liability
Premium:

$ 4,323.00
ABS Fee: $ 9,725.00
SLT&F’s (Estimate) $ 36,016.46
Broker Fee: $ 0.00
TOTAL COST †:
(Including Taxes and
Fees)

$ 1,178,334.46

Option 3: $100,000 All-Risk Deductible
Annual Cost*
Total Property
Premium:

$ 1,082,818.00
Excess Boiler: $ 5,127.00
Cyber Liability
Premium:

$ 15,483.00
Pollution Liability
Premium:

$ 4,323.00
ABS Fee: $ 9,402.00
SLT&F’s (Estimate) $ 35,226.49
Broker Fee: $ 0.00
TOTAL COST †:
(Including Taxes and
Fees)

$ 1,152,379.49
*Premiums are based on valid selectable options and the TIV’s above. Changes in TIV’s will require a premium adjustment. Please refer to invoice for new lock box remittance for address and account information.

† TOTAL COST includes: premiums, underwriting fees, commissions, loss control expenses, program administration charges, and applicable taxes (excluding the Cyber Enhancement premium - should you have elected to purchase this coverage)

PRINT DATE: June 3, 2024

PROPOSAL VALID UNTIL: July 1, 2024

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 10 of 11 City of Merced 06/03/2024 11:59:43 AM
BROKER: ALLIANT INSURANCE SERVICES, INC.

License No. 0C36861
Kevin J. Bibler
Senior Vice President

Evan Washburn
Account Executive

NOTES:
• Some coverage, limits, sub-limits, terms and conditions will change, as negotiations are ongoing.

Changes will be documented and accompany the Binder Confirmation for July 1, 2024 bound terms.

Coverage outlined in this Proposal is subject to the terms and conditions being negotiated with the policy. To be finalized and presented at Program Inception. • The program expects to continue purchasing Cyber Resultant Physical Damage cover which is provided to insureds purchasing Terrorism within the program – limits to be determined. See expiring Policy No. PF2309084 for current coverage details. • This proposal is based on the current loss experience and is subject to change if this insured’s loss ratio deteriorates further and/or if the markets suffer a catastrophic event • Change in Total Insurable Values will result in adjustment in premium • Each line of coverage is rated separately. Increases in TIV’s on highly rated coverages such as Vehicles, CE, EQ or 100 year Flood Zones, etc. may increase the insured’s average account rate. • The flood zones provided on the Schedule of Values (SOVs) are for rating purposes only. The actual flood zone will be determined at the time of loss.
• Please refer to invoice for new lock box remittance for address and account information.

2024-2025 Alliant Property Insurance Program (APIP) Property Proposal Page 11 of 11 City of Merced 06/03/2024 11:59:43 AM

APIP SUMMARY OF PROPOSED PROPERTY CHANGES
BELOW IS A SUMMARY OF PROPOSED CHANGES FOR THE 2024-2025 POLICY PERIOD

Coverage 2023-2024 2024-2025
Sub-limit:

Unscheduled
Landscaping
Unscheduled Landscaping, tees, sand traps,
greens, athletic fields and artificial turf and
further subject to $25,000 / 25 gallon maximum
per item for existing Named Insureds excluding
Earthquake coverage for Alaska and California
locations. If Flood coverage is purchased for
scheduled locations, this extension includes
Flood coverage for any location not situated in
Flood Zones A or V.

Unscheduled Landscaping, tees, sand traps, greens,
athletic fields and artificial turf; however, replacement of trees, plants and shrubs will be limited to the actual size of the destroyed plant, tree or shrub at the time of the loss up to a maximum size of 25 gallons per item but not to exceed $25,000 per item for existing Named Insureds excluding
Earthquake coverage for Alaska and California locations. If Flood coverage is purchased for scheduled locations, this extension includes Flood coverage for any location not
situated in Flood Zones A or V.

Sub-limit:

Scheduled
Landscaping
Scheduled Landscaping, tees, sand traps,
greens, athletic fields and artificial turf; and
further subject to $25,000 / 25 gallon maximum
per item.

Scheduled Landscaping, tees, sand traps, greens, athletic fields and artificial turf; however, replacement of trees, plants and shrubs will be limited to the actual size of the destroyed plant, tree or shrub at the time of the loss up to a maximum size of 25 gallons per item but not to exceed
$25,000 per item.

Sub-limit:

Scheduled
Vacant
Building
Vacant buildings sub-limitd under Auto Acquistion See Policy Provisions Scheduled Vacant Building per Conditions in Section IV., part 1.

Sub-limit:

Unscheduled
Vacant
Building
Vacant buildings sub-limited under Miscellaneous
Unnamed Locations
$2,500,000 Unscheduled Vacant Building per Policy
Provisions Section IV., part 1.

MASTER POLICY FORM WORDING: 2023-2024 2024-2025
Policy Period July 1, 2023 to July 1,2024 July 1, 2024 to July 1,2025 USA Form No. 19 20
Section I, E. 2
Sub-Limits of
Liability
l. Prize Giveaways solely as respects Named
Insured(s) that participate in this optional
coverage;
Deleted in its entirely as it does not apply to majority of program insureds.

Section I, E. 2
Sub-Limits of
Liability
Breaking out sub-limits for Vacant Buildings from
Miscellaneous Unnamed Locations and Auto Acquisition
Section I, E. 2
Sub-Limits of
Liability
Sequence a. – ag. Sequence reduced to a. – ah.

Section II, B. 2.
a. Extensions
of Coverage
Project involves only real property on new or
existing locations (excluding dams, roads, and
bridges).

Project involves only real property on new or existing
locations (excluding dams, roads, tunnels, piers, and
bridges without prior underwriting approval).

Section II, D. 4 See Policy See policy for details. Revision made to first sentence for clarity on intent.

Section II, D. 6 Library contents Library contents value increased per 22.3% inflation value Section IV, H.

Permits and
Privileges, 5.

See Policy See policy for details. Item H has been revised to breakout and define Vacant Buildings as item I. Vacant Buildings Section IV,
AG. Definition,

1. b.

See Policy
See policy for details. The following wording has been
revised to provide clarity on intent.

1. tsunami, overflow of inland or tidal water;

2. unusual and rapid accumulation of run off if
surface waters from any natural source;
mudslide or mudflow, which is a river or flow of liquid mud caused by flooding.

2024-2025 Alliant Property Insurance Program (APIP) Boiler and Machinery Proposal Page 1 of 3 City of Merced 06/03/2024 11:57:08 AM

ALLIANT INSURANCE SERVICES, INC.

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)

BOILER AND MACHINERY PROPOSAL

NAMED INSURED: City of Merced

POLICY PERIOD: July 1, 2024 to July 1, 2025
COMPANIES: See Attached List of Companies

TOTAL INSURED VALUES: $ 437,265,220 as of June 3, 2024

STATUS/RATING: See Attached List of Companies

COVERAGES & LIMITS: $ 100,000,000 Boiler Explosion and Machinery Breakdown, (for those Named Insureds that purchase this optional dedicated
coverage) as respects Combined Property Damage and
Business Interruption/Extra Expense (Including Bond
Revenue Interest Payments where Values Reported and
excluding Business Interruption for power generating
facilities unless otherwise specified). Limit includes loss adjustment agreement and electronic computer or
electronic data processing equipment with the following sub-limits:

Included Jurisdictional and Inspections.

$ 10,000,000 Per Occurrence for Service/Utility/Off Premises Power Interruption.

Included Per Occurrence for Consequential Damage/Perishable Goods/Spoilage.

$ 10,000,000 Per Occurrence for Electronic Data Processing Media and Data Restoration.

$ 2,000,000 Per Occurrence, Per Named Insured and in the Annual Aggregate per Declaration for Earthquake Resultant
Damage for Named Insureds who purchase Dedicated
Earthquake Coverage.

$ 10,000,000 Per Occurrence for Hazardous Substances / Pollutants / Decontamination.

Included Per Occurrence for Machine or Apparatus used for Research, Diagnosis, Medication, Surgical, Therapeutic, Dental or Pathological Purposes.

NEWLY ACQUIRED
LOCATIONS:

$ 25,000,000 Automatic Acquisition for Boiler & Machinery values at newly acquired locations. Values greater than
$25,000,000 or Power Generating Facilities must be
reported within 120 days and must have prior underwriting approval prior to binding

2024-2025 Alliant Property Insurance Program (APIP) Boiler and Machinery Proposal Page 2 of 3 City of Merced 06/03/2024 11:57:08 AM
VALUATION: Repair or Replacement except Actual Loss sustained for all Time Element coverages

EXCLUSIONS
(Including but not limited
to):

 Testing
 Explosion, except for steam or centrifugal explosion
 Explosion of gas or unconsumed fuel from furnace of the boiler

OBJECTS EXCLUDED:
(Including but not limited
to):

 Insulating or refractory material
 Buried Vessels or Piping

NOTICE OF
CANCELLATION:

90 days except 10 days for non-payment of premium

DEDUCTIBLES: $ 25,000 Except as shown for Specific Objects or Perils.

$ 25,000 Electronic Data Processing Media.

$ 25,000 Consequential Damage.

$ 25,000 Objects over 200 hp, 1,000 KW/KVA/Amps or
Boilers over 5,000 square feet of heating surface.

$ 50,000 Objects over 350 hp, 2,500 KW/KVA/Amps or
Boilers over 10,000 square feet of heating surface.

$ 100,000 Objects over 500 hp, 5,000 KW/KVA/Amps or
Boilers over 25,000 square feet of heating surface.

$ 250,000 Objects over 750 hp, 10,000 KW/KVA/Amps or
Boilers over 75,000 square feet of heating surface.

$ 350,000 Objects over 25,000 hp, 25,000 KW/KVA/Amps or Boilers over 250,000 square feet of heating
surface.

$ 10 per foot / $2,500
Minimum
Deep Water Wells.

24 Hour Waiting Period Utility Interruption.

24 Hours Business Interruption/Extra Expense Except as
noted below.

30 Days Business Interruption - Revenue Bond.

5 x 100% of Daily Value Business Interruption - All objects over 750 hp or 10,000 KW/KVA/Amps or 10,000 square feet
heating surface.

5 x 100% of Daily Value Business interruption - All Objects at Waste Water Treatment Facilities and All Utilities.

Annual Cost
COST: Cost is included on Property Proposal

PRINT DATE: June 3, 2024

PROPOSAL VALID UNTIL: July 1, 2024

2024-2025 Alliant Property Insurance Program (APIP) Boiler and Machinery Proposal Page 3 of 3 City of Merced 06/03/2024 11:57:08 AM
BROKER: ALLIANT INSURANCE SERVICES, INC.

License No. 0C36861
Kevin J. Bibler
Senior Vice President

Evan Washburn
Account Executive
NOTES:
 Some coverage, limits, sub-limits, terms and conditions will change, as negotiations are ongoing.

Changes will be documented and accompany the Binder Confirmation for July 1, 2024 bound terms.
 Coverage outlined in this Proposal is subject to the terms and conditions being negotiated with the policy. To be finalized and presented at Program Inception.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 1 of 14

ALLIANT INSURANCE SERVICES, INC.

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)

POLLUTION LIABILITY COVERAGE PROPOSAL

TYPE OF INSURANCE: Insurance Reinsurance

TYPE OF COVERAGE: Claims Made and Reported Pollution Liability

PROGRAM: Alliant Property Insurance Program (APIP)

NAMED INSURED: Any member(s), entity(ies), agency(ies), organizati on(s), enterprise(s), pool(s), Joint Powers Authority(ies) and/or individual(s) attached to eac h Declaration insured as per Named Insured Schedule on file with Insurer, listed below.

POLICY PERIOD: July 1, 2024 to July 1, 2025

RETROACTIVE DATE: This coverage shall only apply if the Pollution Incident or Disinfection Event giving rise to the Claim, Loss, Business Interruption Expenses or Extra Expenses commenced, in its entirety, on or after July 1, 2011, or the date that the Insured first joined the Alliant Property Insurance Program (APIP) for environmental or pollution insurance coverage, whichever is later, except for the following coverages:

 July 1, 2024 for Products Pollution and Exposure L iability;  July 1, 2024 for Contractor’s Pollution
 July 1, 2024 for Mold Matter

COMPANY: Ironshore Specialty Insurance Company

A.M. BEST
INSURANCE RATING::

A, Excellent, Financial Size Category XV
($2 Billion or greater)
Effective August 10, 2023

STANDARD & POORS
RATING:

A (Strong) as of February 28, 2024

ADMITTED STATUS: Non-Admitted in all states.

COVERED PROPERTY: Per the following Statements of Values (SOVs) submitted and on file with carrier:

1. PEPIP DEC 1 – SOVs

2. PEPIP DEC 2 – SOVs

3. PEPIP DEC 3 – SOVs

4. PEPIP DEC 4 – SOVs

5. PEPIP DEC 5 – SOVs

6. PEPIP DEC 11 – SOVs

7. PEPIP DEC 12 – SOVs

8. PEPIP DEC 14 – SOVs

9. PEPIP DEC 19 – SOVs

10. PEPIP DEC 23 – SOVs

11. PEPIP DEC 24 – SOVs

12. PEPIP DEC 26 – SOVs

13. PEPIP DEC 27 – SOVs

14. PEPIP DEC 28 – SOVs

15. PEPIP DEC 29 – SOVs

16. PEPIP DEC 30 – SOVs

17. PEPIP DEC 32 – SOVs (Excludes SPIP,
except as endorsed)

18. PEPIP DEC 33 – SOVs

19. PEPIP DEC 34 – SOVs

20. PEPIP DEC 35 – SOVs

21. PEPIP DEC 96 – SOVs – Excluding
HARPP members

Covered locations are defined as any location identified in one of the SOVs listed above, on file with the Insurer, as of Policy Inception, including, but not limited to, any subsurface potable water, wastewater or storm water pipelines to or from a Covered Location provided that such pipelines are located within a one thousand (1,000) foot radius of such Covered Location. Also includes any inadvertently omitted location and any location scheduled to this policy by endorsement.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 2 of 14 COVERAGES & LIMITS: $25,000,000
$ 2,000,000
$ 2,000,000
$ 2,000,000
Policy Program Aggregate (all insureds combined)
Per Pollution Incident
Per Named Insured Aggregate
Per JPA/Pool Aggregate

SUB-LIMITS: $ 100,000
$ 100,000
$ 250,000
$ 250,000
$ 2,000,000

$ 1,000,000

$ 1,000,000
$ 2,000,000
$ 2,000,000
$ 250,000

$ 2,000,000
$ 5,000,000
$ 1,000,000

$ 2,000,000

$ 2,000,000
$ 5,000,000
$ 5,000,000
$ 500,000

Disinfection Event Expenses Per Pollution Incident *
Disinfection Event Expenses Program Aggregate*
Image Restoration Expenses Per Pollution Incident*
Image Restoration Expenses Program Aggregate*
Mold Matter Loss, Business Interruption and Extra Expense Program Aggregate*
Mold Matter Restoration Costs, Business Interruption Expenses and Extra Expenses Program Aggregate*
Legionella Per Named Insured Aggregate*
Sewer Backup and Overcharge Program Aggregate*
Lead or Lead Containing Materials Program Aggregate – All Claims* Any Punitive, Exemplary and Multiplied Damages and Civil Fines, Penalties and Assessments*
Products Pollution and Exposure Liability Per Pollution Incident* Products Pollution and Exposure Liability Program Aggregate* Contractor’s Pollution Per Pollution Incident - Herbicide, Insecticide, Pesticide Applications Only*
Contractor’s Pollution Program Aggregate - Herbicide, Insecticide, Pesticide Applications Only*
Contractor’s Pollution Per Pollution Incident - All other Operations* Contractors Pollution Program Aggregate* - All other Operations* Wildfire Program Aggregate Sublimit*
Inadvertently Omitted Location Per Named Insured Ag gregate Sublimit*

*Note: the above sub-limits payable under this coverage do not increase and are not in addition to the applicable limit of liability.

EXTENDED REPORTING
PERIOD:

Automatic Extended Reporting Period

The Named Insured shall be entitled to an Automatic Extended Reporting Period for a period of ninety (90) days following the effective date of termination of this Policy for no additional premium. This automatic ERP does not app ly if the insured has purchased other insurance to replace the insurance provided by this policy.

SPECIFIC COVERAGE
PROVISIONS:

CLAIMS MADE AND REPORTED

Coverage A – Third Party Claims for Bodily Injury, Property Damage or Remediation Expenses:

Coverage for loss that the Insured becomes legally obligated to pay as a result of claims for Bodily Injury, Property Damage or Remediation E xpenses directly resulting from a Pollution Incident, provided that the claim is first made against the Insured and reported to the Insurer, in writing, during the policy period.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 3 of 14

SPECIFIC COVERAGE

PROVISIONS -
CONTINUED:

Coverage B – Onsite First Party Remediation Expense s:

Coverage for Remediation Expenses incurred exclusiv ely for remediation of pollutants that are on, at or under a covered location, provid ed that the pollution incident is first discovered by the Insured during the policy period, the Insured reports the pollution incident to the Insurer, in writing, during the pol icy period, and the pollution incident is promptly reported by the Insured to the appropriate governmental authority if and as required by environmental law.

Coverage C – Emergency Response Expenses:

To pay on behalf of the Insured, Emergency Response Expenses incurred by or on behalf of the Insured in response to an imminent and substantial threat to human health or the environment resulting from a Pollution Incident on, at , under or migrating from a Covered Property or arising from Transportation that commences, in its entirety, during the policy period. The Emergency Response Expenses must: (i) be incurred within seven (7) days of the commencement of such Pollution Incident; and (ii) be reported to the Insurer within fourteen (14) days of such comme ncement. For this Coverage to apply, the Pollution Incident giving rise to the Emergency Response Expenses must be unexpected and unintended from the standpoint of the Insured.

Coverage for Transportation is included in Emergenc y Response Expenses above.

Coverage D – Business Interruption:

Coverage for the Insured’s Business Interruption Expenses and Extra Expenses during the Period of Interruption that directly result fro m a Pollution Incident on, at or under a Covered Property.

This Coverage shall apply only if the Pollution Inc ident giving rise to the Business Interruption Expenses or Extra Expenses is first discovered by the Insured and reported to the Insurer, in writing, during the Policy Period, and such Pollution Incident results in Remediation Expenses covered under this Policy. Dis covery of a Pollution Incident happens when a Responsible Insured first becomes aw are of the Pollution Incident.

Further, if the interruption results from a Polluti on Incident and any other cause(s), the Company shall only pay that portion of Business Int erruption Expenses and Extra Expenses solely attributable to the Pollution Incid ent. In the event of a Period of Interruption, it is a condition precedent to Coverage that the Named Insured notifies the Company of the interruption within thirty (30) days of its commencement and that the Named Insured resume normal operation of the business as soon as possible and use all reasonable efforts to mitigate any Business Int erruption Expenses and Extra Expenses.

Coverage E – Coverage for Disinfection Event Expens es
To pay on behalf of the Insured, Disinfection Expen ses that directly result from a Disinfection Event at a Covered Property, provided that the Disinfection Event commences, in its entirety, during the Policy Perio d; such Disinfection Expenses are incurred within thirty (30) days of the first discovery of such Disinfection Event by a Responsible Insured; and the Insured reports the Di sinfection Event to the Insurer, in writing, during the Policy Period and within fourte en (14) days of a Responsible Insured’s first discovery of such Disinfection Event.

Disinfection Expenses means reasonable fees and cos ts incurred by the Insured to retain third party qualified vendors to disinfect t he actual presence of bacteria or virus at a Covered Property after a Disinfection Event.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 4 of 14

SPECIFIC COVERAGE

PROVISIONS -
CONTINUED:

Coverage F – Coverage for Image Restoration Expense s
To pay on behalf of the Insured, Image Restoration Expenses that directly result from an Image Restoration Event, provided that the Pollu tion Incident giving rise to the Image Restoration Event is on, at, under or migrati ng from a Covered Property or results from Transportation or Waste Disposal Activities; the Pollution Incident giving rise to the Image Restoration Expenses commenced, i n its entirety, during the Policy Period; such Image Restoration Expenses are incurre d by the Insured within fourteen (14) days of the first newspaper or magazine public ation or television news broadcast associated with the Pollution Incident giving rise to the Image Restoration. Event; and the Pollution Incident giving rise to the Image Res toration Expenses is reported to the Company, in writing, during the Policy Period and w ithin fourteen (14) days of a Responsible Insured’s first discovery of such Image Restoration Event.

Image Restoration Expenses are defined as reasonable and necessary public relations expenses to restore public reputation and consumer confidence. Image Restoration Expenses shall include fees and expenses incurred b y public relations or crisis management firms and reasonable and necessary print ing, mailing of materials and travel by directors, officers, employees or agents of the Named Insured at the direction of such firms. Image Restoration Expenses shall no t include the costs to purchase advertising on television, in newspapers or in any other media.

Supplemental coverage for Contractors Pollution is included. This coverage covers third-party claims arising out of “your work”, prov ided the claim is first made and reported during the policy period. The Contractor’ s Pollution must have commenced on or after 7/1/2024.

Supplemental coverage for Products Pollution and Exposure Liability is included. This coverage covers third-party claims arising out of p roduct pollution, provided the claim is first made and reported during the policy period . The Products Pollution must have commenced on or after 7/1/2024.

Insured’s Products are defined as:
 Potable water manufactured, sold, handled or distr ibuted by the Insured or others trading under the Insured’s name, and includes cont ainers (other than automobiles, rolling stock, vessels or aircraft), materials, parts or equipment furnished in connection therewith, and includes warranties or representations made at any time with respect to the fitness, quality, durability, performance or use thereof, or the failure to provide warnings or instructions; or  Biosolid-derived fertilizers manufactured, sold, h andled or distributed by the Insured or others trading under the Insured’s name, and includes containers (other than automobiles, rolling stock, vessels or aircraft), materials, parts or equipment furnished in connection therewith, and includes warranties or representations made at any time with respect to the fitness, quality, durability, performance or use thereof, or the failure to provide warnings or instructions.

Illicit Abandonment is included in the definition of pollution condition.

Other Insurance Condition
Any Loss covered under any other valid and collecti ble insurance, whether primary, excess, contingent, self-insurance, deductible or a ny other basis, including but not limited to any stand-alone policies purchased by a Named Insured, this insurance shall apply in excess of.

Mold matter and Legionella is included in the defin ition of Pollutant. Mold matter is defined as mold, mildew and fungi, whether or not s uch microbial matter is living.

Legionella means legionella pnuemophila.

Wildfire is defined as any hostile fire, wildland fire, forest fire, brush fire, vegetation fire, grass fire, peat fire, bushfire, hill hire, desert fire, veldfire, escaped prescribed fire or escaped wildland fire.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 5 of 14

SPECIFIC COVERAGE

PROVISIONS -
CONTINUED:

Automatic Acquisition – Coverage for mid-term transactions for values that are less than $25,000,000 shall be added as a covered location, upon the closing date of such acquisition, or the effective date of such lease, management, rental or occupation right or obligation, respectively, for no additional premium. An application and notification of title or occupancy must be provided to Ironshore within 180 days.

Property valued at more than $25,000,000 purchased, leased or otherwise acquired by the Insured needs to be reported to the Insurer within 180 days, along with a completed and signed Site Pollution Incident Legal Liability Select Application and shall be added as a covered location upon the closing date of such acquisition subject to an additional premium of $0.009885 per $1,000 of Total Insurable Values, pro-rated with a minimum premium of $450. There will be no additional premiu m for any Covered Property with Total Insurable Values which are less than $25,000,000.

Coverage does not apply to any Remediation Expenses or Emergency Response Expenses incurred for the remediation of Mold Matte r at such Acquired Real Property which is the result of any water intrusion or moisture condition prior to the Insured taking title or occupancy of such property. Any water-int rusion or moisture condition shall include, but not be limited to, any roof or building envelope leak, any heating, ventilation and air conditioning (HVAC) system improvement, rep lacement or upgrade or any plumbing or pipe leak.

Coverage is limited for Coverages A, B and D to Sud den and Accidental only for any location with Current or Historic use as an Airport or any associated facility. The pollution incident giving rise to such Remediation Expenses or Business Interruption Expenses and Extra Expenses must be discovered by t he Insured during the policy period and within seven (7) days of commencement, t he Pollution Incident is demonstrable as commencing on a specific date, and must be reported to the Insurer in writing during the policy period and no later th an twenty-one (21) days following the discovery of such Pollution Incident.

Blanket Underground Storage Tank coverage included, with a deductible of $500,000 for storage tanks less than twenty-five years old, and a deductible of $1,000,000 for storage tanks older than twenty-five years. Note: Does not meet financial assurance requirements.

Loss covered pursuant to any state storage tank fun d, state administered insurance program or restoration funding for any underground storage tank(s) whose owners qualify for reimbursement, or any self-insurance fu nd established for the purpose of funding clean-up costs for pollution conditions fro m any underground storage tank(s), shall be considered primary insurance, to which the coverage afforded pursuant to this policy shall apply in excess.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 6 of 14

SPECIFIC COVERAGE

PROVISIONS -
CONTINUED:

Additional Insureds are as follows:
 Any Entity
 If any Named Insured pursuant to this Policy is a Public Entity, the following entities are additional insureds:
o A governmental agency or subdivision, department, municipal body, commission or board, or a not-for profit corporation which is owned or controlled by any Named Insured;
o An individual while acting in the capacity as a di rector of, officer of, trustee of, employee of, temporary or leased worker of, or staff member of, any Named Insured;
o A volunteer, but solely while acting within the sc ope of such duties and at the direction of any Named Insured;
o A paramedic or emergency technician, but solely wh ile acting within the course and scope of employment or while acting as a volunteer pursuant to the direction of any Named Insured;
o An elective or appointive officer or a member of a ny such commission, board or agency of any Named Insured but solely while acting within the scope of duties as such; or
o A joint venture or partnership, including a mutual assistance pact, joint powers agreement or similar association, but only with respect to the conduct of the business of any named Insured on beh alf of that entity or association and only to the extent of such Named Insured’s participation or interest in that entity or association.

If the Named Insured is an Educational Entity, the following persons or entities are additional insureds, individually and collectively, when acting solely within the scope of their duties, office, or employment for, and pursuant to the supervision of, any Named Insured:
 Members of the School Board;
 Officers;
 Employees;
 Temporary or Leased Workers;
 Authorized individual volunteers; or
 Student Body Organizations pursuant to the jurisdi ction of the governing board, but only while pursuant to the supervision required by the governing board.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 7 of 14

EXCLUSIONS (including
but not limited to):

Coverage does not apply to any claim or loss from:
 Aircraft, Auto or Watercraft – does not apply to T ransportation  Asbestos, PCBs and Lead –
o Any asbestos, asbestos containing materials, lead, lead containing materials, including but not limited to leadbased paint, polychlorinated biphenyls (PCBs) or materials containing PCBs in, on, at, within or applied to any building, utility, structure or building material. This exclusion does not apply to Claims for Bodily Injury or Property Damage, or Remediation Expenses for the remediation of any soil, groundwater body, surface water body or sediment; or
o Any asbestos, asbestos containing materials, lead or lead-containing materials, other metals, including but not limited to copper, or metal containing materials in, on or applied to any water supply or collection equipment, system or infrastructure, including but not limited to water service lines; this does not apply to third-party claims for bodily injury or property damage, or for remediation expenses of any groundwater body, surface water body or sediment;
Further, this exclusion shall not apply to Remediation Expenses solely incurred for the remediation of asbestos, asbestos containing materials or lead-based paint which has been inadvertently displaced (not including any displacement associated with demolition, renovation or abatement) by an accident which occurs, in its entirety, during the Policy Period and is demonstrable by the Insured as commencing during the Policy Period, provided that such accident is reported to the Company within thirty (30) days of its commencement. However, there shall be no coverage for any costs incurred to: remove, abate, repair, dispose of or otherwise address any asbestos, asbestos containing materials or lead-based paint that has not been displaced by such accident, or to remove or dispose of any building, construction or demolition debris. Asbestos is fully excluded under Products Pollution and Exposure Liability coverage.

 Contractual Liability – This exclusion does not ap ply to liability that the Insured would have had in the absence of the contract or agreement or to liability assumed in an Insured Contract.
 Criminal Punishments
 Divested Property – does not apply to any Covered Property owned by an Insured as of Policy Inception which is leased to a third party, even if the Insured has relinquished operation or management control of such Covered Property, provided that such covered property was disclosed to the Insurer.  Employer Liability – This exclusion applies whethe r the Insured may be liable as an employer or in any other capacity, and to any ob ligation to share damages with or repay someone else who must pay damages bec ause of such Bodily Injury.
 Insured’s Internal Expenses
 Insured’s Non-Compliance
 Insured vs. Insured
 Insured’s Professional Services – any professional services performed or rendered on behalf of the Insured, including but not limited to, medical services, recommendations, opinions and strategies rendered for architectural, consulting and engineering work, such as drawings, designs, maps, reports, surveys, change orders, plan specifications, assessment work , remedy selections site maintenance and equipment selection, and supervisor y, inspection or engineering service.
 Material Change In Use – This exclusion shall not apply if the Insured submits prior written notice no less than thirty (30) days prior to such material change, and the Company approves such material change in an end orsement to this Policy issued within thirty (30) days of such notice.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 8 of 14

EXCLUSIONS (including
but not limited to):

Coverage does not apply to any claim or loss from:
 Non-Disclosure – does not apply to any Inadvertent ly Omitted Locations  Nuclear or Radiological Material
 Property Damage to Conveyances
 War
 Workers Compensation, Unemployment, Social Securit y, Disability and Similar Laws
 Waste Processing, Treatment or Disposal – does not apply to waste disposal activities at a non-owned disposal site.
 Airports – defined as any airport where enplanemen t occurs and/o cargo is moved for a fee and storage, transportation and the dispensing of fuel and/or de- icing solution operations are conducted. This exclusion shall not apply to passenger airports with less than 2,500 passenger boardings per year.  Oil and/or Gas Operations – only applies to oil an d/or gas producing and refining facilities
 Firearms, Explosives or Military Weapons
 Activity Use Limitation
 Landfill Closure, Post-Closure and Reclamation Cos ts – any closure, post closure or reclamation costs or obligations, including but not limited to any costs associated with landfill caps or gas or leachate systems. Does not apply to claims for Bodily Injury or Property Damage.
 Combined Sewer Overflow – defined as any discharge of stormwater and / or wastewater into any body of water, including surface water or groundwater, arising from a sewer system (including but not limited to sewer lines, pipes, pumping stations, appurtenances and treatment plants) that handles both wastewater and stormwater due to the volume of stormwater and/or wastewater exceeding the capacity of such sewer system.
 Commercial Ports – Any commercial port where ships load and unload cargo.  Landfill
 Odor - Solely with respect to any Pollution Incide nt on, at, under or migrating from any location used (in whole or part) at any time (currently or historically) for the collection, treatment, recycling, management, incineration or disposal of waste materials, any Claim, in whole or part, due to or in any way associated with any odor; any Claim for Bodily Injury or Property Damage due to or associated with any gas or emissions that have migrated beyond the boundaries of a Covered Property; or any Claim for public or private nuisance due to or associated with any odor or any gas or emissions migration.
 Impoundments
 Engineering Controls / Operation and Maintenance ( O&M) Costs  Groundwater and Surface Water Monitoring Costs
 COVID-19
 Capital Improvement – Applies to all locations, al so applies to removal, replacement, repair or upgrade of an underground storage tank.  Voluntary Site Investigation – Applies to all loca tions.  Expected or Intended Injury or Damage (Product Pol lution and Covered Operations only)
 Known Injury or Damage (Product Pollution and Cove red Operations only)  Product Disposal (Product Pollution Only)
 Products as Waste (Product Pollution Only)
 Transportation (Product Pollution only)
 Damage to the Insured’s Product (Product Pollution Only)  Drinking Water Standards Exceedance (Product Pollu tion Only)  Material Change in Potable Water Supply Source (Pr oduct Pollution Only)  Conveyance (Covered Operations only)
 Business Interruption (Covered Operations Only)
 Damage to Property (Covered Operations Only)
 Damage to Your Work (Covered Operations Only)

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 9 of 14 EXCLUSIONS (including
but not limited to, Cont.):
 Any perfluoroalkyl or polyfluoroalkyl substance (P FAS), including but not limited to perfluoroalkyl acids (PFAAs), perfluorooctanoic acid (PFOA), perfluorooctane sulfonate (PFOS), perfluoroheptanoic acid (PFHpA), perfluorononanoic acid (PFNA), perfluorohexanesulfonic acid (PFHxS), GenX, “C8”, “ADONA,” perfluoroalkane sulfonyl fluoride (PASF), perfluorobutanesulfonic acid (PFBS), polytetrafluoroethylene (PTFE), perfluoropolyethers (PFPEs), fluoropolymers, perfluorononanoic acid or ammonium perfluorooctano ate , or any associated salts, acids, alcohols, precursor chemicals or related higher homologue chemicals. Further, Pollutants shall not include aqueous film forming foam (AFFF) containing PFAS (at any concentration) or any additives or component materials contained therein or degradation by-products thereof.

DEDUCTIBLE: $ 250,000
$ 500,000

Each Pollution Incident After July 1, 2021
Each Pollution Incident Prior to July 1, 2021

Any payments for covered loss paid by other insuran ce shall also be applied against the deductible amount.

SPECIFIC
DEDUCTIBLES:
$ 250,000
$ 250,000
$ 250,000
$ 250,000
$ 350,000

$ 500,000
$ 500,000

*

Disinfection Event Expenses
Image Restoration Expenses
Products Pollution and Exposure Liability
Covered Operations
Mold Matter (*or $50,000 per room impacted, whichever is greater – a room is considered equal to 250 sq ft of floor spac e, education, healthcare and hospitality locations only)
Legionella
Sewer Backup and Overcharge deductible
$ 500,000
$ 1,000,000
$ 1,000,000

Underground Storage Tanks (less than 25 years old)
Underground Storage Tanks (more than 25 years old)
Wildfire Deductible
5 Days
Business Interruption Waiting Period

CLAIMS REPORTING NOTICE

PLEASE NOTE THAT POLLUTION LIABILITY POLICIES CONTA IN EXTREMELY STRICT CLAIM REPORTING PROCEDURES. Below please find your policy specific claim reporting requirements - Please make sure you understand these obligations. Contact your Alliant Service Team with any questions.

THIS IS A CLAIMS MADE POLICY
This claims-made policy contains a requirement stat ing that this policy applies only to any claim firs t made against the Insured and reported to the insurer dur ing the policy period or applicable extended report ing period. Claims must be submitted to the insurer du ring the policy period, or applicable extended repo rting period, as required pursuant to the Claims/Loss Notification Clause within the policy in order for coverage to apply. Late reporting or failure to report pursuant to the policy’s requirements could result in a disclaimer of coverage by the insurer.

2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 10 of 14

LOSS REPORTING
REQUIREMENTS:

Written notice of any claim or pollution condition, within seven (7) days of discovery for pollution conditions requiring immediate emergency response. Concurrently, please send to:

1) Ironshore Environmental Claims CSO
28 Liberty Street, 5th Floor
New York, NY 10005 Office
By phone via: 24 Hour Claims Phone Number (888) 292 -0249 FAX to: 646-826-6601
Email: [email protected]

2) Akbar Sharif
Alliant Insurance Services, Inc.
18100 Von Karman Avenue
10 th Floor
Irvine, CA 92612
949 260-5088
949 756-2713 – fax
[email protected]

NOTICE OF
CANCELLATION:

90 days except 10 days for non-payment of premium

REINSTATEMENT
PROVISIONS:

Not Provided

POLLUTION LIABILITY
COST:

Cost is included in Total Property Premium
100% Earned Premium at Inception

QUOTE VALID UNTIL: July 1, 2024

BROKER: ALLIANT INSURANCE SERVICES, INC.

License No. 0C36861

NOTES:
• Some coverage, limits, sub-limits, terms and condi tions will change, as negotiations are ongoing. Changes will be documented and accompany the Binder Confirmation for July 1, 2024 bound terms.
• We reserve the right to request any additional inf ormation and make any modifications to the premiums , terms or conditions should there be any adverse cla ims activity between now and 6/01/2024. • This proposal is based on the current loss experie nce and is subject to change if this insured’s loss ratio deteriorates further and/or if the markets suffer a catastrophic event. • Change in Total Insurable Values will result in ad justment in premium.

SUMMARY OF PROPOSED CHANGES
THE FOLLOWING ITEMS ARE PENDING CHANGES FOR THE 2024-2025 POLICY TERM 2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 11 of 14 Coverage 2023-2024 2024-2025 Pending Changes
Pollution Liability
Policy Term July 1, 2023 to July 1,2024 July 1, 2024 to July 1, 2025 Retroactive Date
This coverage shall only apply if the Pollution
Incident or Disinfection Event giving rise to the
Claim, Loss, Business Interruption Expenses or
Extra Expenses commenced, in its entirety, on or
after July 1, 2011, or the date that the Insured fi rst joined the Alliant Property Insurance Program
(APIP) for environmental or pollution insurance
coverage, whichever is later, except for the following
coverages:

 July 1, 2023 for Products Pollution and
Exposure Liability;
 July 1, 2023 for Contractor’s Pollution
 July 1, 2023 for Mold Matter
This coverage shall only apply if the Pollution Inc ident or Disinfection Event giving rise to the Claim, Los s,
Business Interruption Expenses or Extra Expenses
commenced, in its entirety, on or after July 1, 201 1, or the date that the Insured first joined the Alliant Property Insurance Program (APIP) for environmental or
pollution insurance coverage, whichever is later, except for the following coverages:

 July 1, 2024 for Products Pollution
and Exposure Liability;
 July 1, 2024 for Contractor’s Pollution
 July 1, 2024 for Mold Matter
A.M. Best Insurance
Rating
A, Excellent, Financial Category XV
($2 Billion or greater)
Effective July 27, 2022
A, Excellent, Financial Category XV
($2 Billion or greater)
Effective August 8, 2023
Covered Property
Covered locations include any real property owned,
leased, rented, operated or occupied by the Insured
at policy inception. New form automatically covers
sewer and stormwater lines, no need to schedule.

Covered locations are defined as any location identified in one of the SOVs listed above, on file with the Insurer, as of Policy Inception, including, but not limited to, any subsurface potable water, wastewater or storm water
pipelines to or from a Covered Location provided th at
such pipelines are located within a one thousand
(1,000) foot radius of such Covered Location. Also
includes any inadvertently omitted location and any
location scheduled to this policy by endorsement.

Sub-Limits
$1,000,000 Mold Matter Restoration Costs
Program Aggregate* $1,000,000
Mold Matter Restoration Costs,
Business Interruption Expenses
and Extra Expenses Program
Aggregate*
$1,000,000 Sewer Backup or Overcharge
Per Pollution Incident* $2,000,000
Sewer Backup and Overcharge
Program Aggregate*
$2,000,000 Lead or Lead Containing
Materials Program Aggregate* $2,000,000 Lead or Lead Containing Materials Program Aggregate – All Claims*
New Sub-limit $1,000,000
Inadvertently Omitted Location Per
Named Insured Aggregate
Sublimit*
Specific Coverage
Provisions
(Continued)
Supplemental coverage for Products Pollution and
Exposure Liability is included. This coverage covers
third-party claims arising out of product pollution ,
provided the claim is first made and reported during
the policy period. The Products Pollution must have
commenced on or after 7/1/2023.

Supplemental coverage for Products Pollution and
Exposure Liability is included. This coverage cove rs
third-party claims arising out of product pollution ,
provided the claim is first made and reported during the policy period. The Products Pollution must have
commenced on or after 7/1/2024.

SUMMARY OF PROPOSED CHANGES
THE FOLLOWING ITEMS ARE PENDING CHANGES FOR THE 2024-2025 POLICY TERM 2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 12 of 14 Coverage 2023-2024 2024-2025 Pending Changes
Not Previously Listed
Insured’s Products are defined as:
 Potable water manufactured, sold, handled or
distributed by the Insured or others trading under
the Insured’s name, and includes containers (other
than automobiles, rolling stock, vessels or aircraft),
materials, parts or equipment furnished in
connection therewith, and includes warranties or
representations made at any time with respect to
the fitness, quality, durability, performance or us e
thereof, or the failure to provide warnings or
instructions; or
 Biosolid-derived fertilizers manufactured, sold,
handled or distributed by the Insured or others
trading under the Insured’s name, and includes
containers (other than automobiles, rolling stock,
vessels or aircraft), materials, parts or equipment
furnished in connection therewith, and includes
warranties or representations made at any time
with respect to the fitness, quality, durability,
performance or use thereof, or the failure to
provide warnings or instructions.

Automatic Acquisition - Coverage for mid-term
transactions for values that are less than
$25,000,000 shall be added as a covered location,
upon the closing date of such acquisition, or the
effective date of such lease, management, rental or
occupation right or obligation, respectively, for n o
additional premium. An application and notification
of title or occupancy must be provided to Ironshore
within 180 days.

Property valued at more than $25,000,000
purchased, leased or otherwise acquired by the
Insured needs to be reported to the Insurer within
180 days, along with a completed and signed Site
Pollution Incident Legal Liability Select Applicati on
and shall be added as a covered location upon the
closing date of such acquisition subject to an
additional premium of $0.008596 per $1,000 of
Total Insurable Values, pro-rated with a minimum
premium of $450. There will be no additional
premium for any Covered Property with Total
Insurable Values which are less than $25,000,000.

Automatic Acquisition - Coverage for mid-term
transactions for values that are less than $25,000, 000 shall be added as a covered location, upon the clos ing date of such acquisition, or the effective date of such lease, management, rental or occupation right or
obligation, respectively, for no additional premium . An application and notification of title or occupancy must be provided to Ironshore within 180 days.

Property valued at more than $25,000,000 purchased,
leased or otherwise acquired by the Insured needs t o
be reported to the Insurer within 180 days, along with a completed and signed Site Pollution Incident Legal
Liability Select Application and shall be added as a
covered location upon the closing date of such
acquisition subject to an additional premium of
$0.009885 per $1,000 of Total Insurable Values, pro -
rated with a minimum premium of $450. There will be
no additional premium for any Covered Property with
Total Insurable Values which are less than
$25,000,000.

Coverage does not apply to any Remediation Expenses
or Emergency Response Expenses incurred for the
remediation of Mold Matter at such Acquired Real
Property which is the result of any water intrusion or moisture condition prior to the Insured taking titl e or occupancy of such property. Any water-intrusion or
moisture condition shall include, but not be limite d to, any roof or building envelope leak, any heating,
ventilation and air conditioning (HVAC) system
improvement, replacement or upgrade or any plumbing
or pipe leak.

Specific Coverage
Provisions
(Continued)
Not Previously Listed
Coverage is limited for Coverages A, B and D to
Sudden and Accidental only for any location with
Current or Historic use as an Airport or any associ ated facility. The pollution incident giving rise to suc h
Remediation Expenses or Business Interruption
Expenses and Extra Expenses must be discovered by
the Insured during the policy period and within sev en
(7) days of commencement, the Pollution Incident is

SUMMARY OF PROPOSED CHANGES
THE FOLLOWING ITEMS ARE PENDING CHANGES FOR THE 2024-2025 POLICY TERM 2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 13 of 14 Coverage 2023-2024 2024-2025 Pending Changes
demonstrable as commencing on a specific date, and
must be reported to the Insurer in writing during t he
policy period and no later than twenty-one (21) day s
following the discovery of such Pollution Incident.

Not Previously Listed
Additional Insureds are as follows:
 Any Entity
 If any Named Insured pursuant to this Policy is a
Public Entity, the following entities are additional
insureds:
o A governmental agency or subdivision,
department, municipal body, commission
or board, or a not-for profit corporation
which is owned or controlled by any
Named Insured;
o An individual while acting in the capacity
as a director of, officer of, trustee of,
employee of, temporary or leased worker
of, or staff member of, any Named
Insured;
o A volunteer, but solely while acting within
the scope of such duties and at the
direction of any Named Insured;
o A paramedic or emergency technician,
but solely while acting within the course
and scope of employment or while acting
as a volunteer pursuant to the direction of
any Named Insured;
o An elective or appointive officer or a
member of any such commission, board
or agency of any Named Insured but
solely while acting within the scope of
duties as such; or
o A joint venture or partnership, including a
mutual assistance pact, joint powers
agreement or similar association, but only
with respect to the conduct of the
business of any named Insured on behalf
of that entity or association and only to the
extent of such Named Insured’s
participation or interest in that entity or
association.

SUMMARY OF PROPOSED CHANGES
THE FOLLOWING ITEMS ARE PENDING CHANGES FOR THE 2024-2025 POLICY TERM 2024-2025 Alliant Property Insurance Program (APIP) Pollution Liability Proposal Page 14 of 14 Coverage 2023-2024 2024-2025 Pending Changes
Specific Coverage
Provisions
(Continued)
Not Previously Listed
Additional Insureds (Continued):

If the Named Insured is an Educational Entity, the
following persons or entities are additional insure ds, individually and collectively, when acting solely w ithin the scope of their duties, office, or employment for, and pursuant to the supervision of, any Named Insured:
 Members of the School Board;
 Officers;
 Employees;
 Temporary or Leased Workers;
 Authorized individual volunteers; or
 Student Body Organizations pursuant to the
jurisdiction of the governing board, but only while
pursuant to the supervision required by the
governing board.

Supplemental coverage for Contractors Pollution is
included. This coverage covers third-party claims
arising out of “your work”, provided the claim is f irst made and reported during the policy period. The
Contractor’s Pollution must have commenced on or
after 7/1/2023.

Supplemental coverage for Contractors Pollution is
included. This coverage covers third-party claims
arising out of “your work”, provided the claim is f irst made and reported during the policy period. The
Contractor’s Pollution must have commenced on or
after 7/1/2024.

Exclusions
Oil and/or Gas Producing and Refining Facilities Oil and/or Gas Operations – only applies to oil and/or gas producing and refining facilities
Non-Disclosure Non-Disclosure – does not apply to any Inadvertently Omitted Locations
Firing Ranges Firearms, Explosives or Military Weapons
Damage to Your Product (Product Pollution Only) Damage to the Insured’s Product (Product Pollution Only)
Landfill Closure, Post-Closure and Reclamation
Costs
Landfill Closure, Post-Closure and Reclamation Cost s
– any closure, post closure or reclamation costs or
obligations, including but not limited to any costs
associated with landfill caps or gas or leachate
systems. Does not apply to claims for Bodily Injur y or Property Damage.

Prior Claims (prior to July 1, 2021) Deleted
Specific Deductibles
$250,000
Mold Matter (*or $50,000 per
room impacted, whichever is
greater – a room is considered
equal to 250 sq ft of floor space,
education, healthcare and
hospitality locations only)
$350,000
Mold Matter (*or $50,000 per room
impacted, whichever is greater – a
room is considered equal to 250 sq
ft of floor space, education,
healthcare and hospitality locations
only)
Not Previously Listed 5 Days Business Interruption Waiting Period

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 1 of 9 City of Merced
ALLIANT INSURANCE SERVICES, INC.

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)

CYBER INSURANCE PROPOSAL

CORE COVERAGE

TYPE OF COVERAGE:

PROGRAM:

NAMED INSURED:

Information Security & Privacy Insurance with Electronic Media Liability Coverage

Alliant Property Insurance Program (APIP) inclusive of Public Entity Property Insurance Program (PEPIP), a nd
Hospital All Risk Property Program (HARPP)

APIP Cyber and Pollution Programs, Inc. which may include any member(s), entity(ies), agency(ies), organization(s), enterprise(s) and/or individual(s), attaching to each Declaration insured under the ALLIANT PROPERTY INSURANCE PROGRAM (APIP), inclusive of PUBLIC ENTITY PROPERTY INSURANCE PROGR AM (PEPIP) and HOSPITAL ALL RISK PROPERTY PROGRAM (HARPP) as their respective rights and interests may appear which now exist or which herea fter may be created or acquired and which are owned, financially controlled or acti vely managed by the herein named interest, all jointly, severally or in any combination of their interests, for account of whom it may concern (all hereinafter referred to as Member(s) / Entity(ies).

DECLARATION: Various Declarations as on file with Insurer

POLICY PERIOD: July 1, 2024 to July 1, 2025

TERRITORY: WORLD-WIDE
RETROACTIVE DATE: APIP/PEPIP
For new members – the retro active date will be the date of addition July 1, 2023 For existing members included on the J uly 1, 2023/24 policy July 1, 2022 For existing members included on the J uly 1, 2022/23 policy July 1, 2021 For existing members included on the J uly 1, 2021/22 policy July 1, 2020 For existing members included on the J uly 1, 2020/21 policy July 1, 2019 For existing members included on the J uly 1, 2019/20 policy July 1, 2018 For existing members included on the J uly 1, 2018/19 policy July 1, 2017 For existing members included on the J uly 1, 2017/18 policy July 1, 2016 For existing members included on the J uly 1, 2016/17 policy July 1, 2015 For existing members included on the J uly 1, 2015/16 policy July 1, 2014 For existing members included on the J uly 1, 2014/15 policy July 1, 2013 For existing members included on the J uly 1, 2013/14 policy July 1, 2012 For existing members included on the J uly 1, 2012/13 policy July 1, 2011 For existing members included on the J uly 1, 2011/12 policy July 1, 2010 For existing members included on the J uly 1, 2010/11 polic y July 1, 2010 For existing insured’s included on the July 1, 2010/11 policy CSU
July 1, 2008 California State University and CSU Auxiliary Organizations

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 2 of 9 City of Merced

COVERAGES &
LIMITS:

Ai. $ 55,000,000 Annual Policy and Program Aggregate Limit of Liability (subject to policy exclusions) for all Insureds/Mem bers combined (Aggregate for all coverages combined,
including Claims Expenses), subject to the followin g limits and sub-limits as noted.

Aii. $ 2,000,000 Insured/Member Annual Aggregate Limit of Liability (subject to policy exclusions) for each Insured/Mem ber, within the Annual Policy and Program Aggregate Limit of Liability and JPA/Pool Annnual Aggregate Limit of Liability (Aggregate for all coverages combined, including Cl aim Expenses) subject to the following limits and sub-l imits as noted.

BREACH RESPONSE
Breach Response
Costs:

FIRST PARTY LOSS
Business Interruption
and Dependent
Business Interruption
Aggregate Sub-Limit:

Business
Interruption
Loss Resulting from
Security Breach

Business
Interruption Loss
Resulting from
System Failure:

$ 500,000 Aggregate Limit of Liability for each Insured/Member (Limit is increased to $1,000,000 if Beazley Nomina ted Services Providers are used)

$ 750,000 Aggregate Limit of Liability for each Insured/Member

$ 750,000 Aggregate Limit of Liability for each Insured/Member (Within the $750,000 Business Interruption and Dependent Business Interruption Aggregate Sublimit)

$ 500,000 Aggregate Limit of Liability for each Insured/Member (Within the $750,000 Business Interruption and Dependent Business Interruption Aggregate Sublimit)

INSURER: Lloyd’s of London - Beazley Syndicate:

Syndicates 2623 - 623 - 100%
Liberty Surplus Insurance Corporation (Ironshore)
Associated Industries Insurance Company, Inc. (AmTr ust Financial)

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 3 of 9 City of Merced
Dependent Business
Loss Resulting from
Security Breach:

Dependent Business
Loss Resulting from
System Failure:

Cyber Extortion Loss:

Data Recovery Costs:
$ 750,000 Aggregate Limit of Liability for each Insured/Member (Within the $750,000 Business Interruption and Dependent Business Interruption Aggregate Sublimit)

$ 100,000 Aggregate Limit of Liability for each Insured/Member (Within the $750,000 Business Interruption and Dependent Business Interruption Aggregate Sublimit)

$ 750,000 Aggregate Limit of Liability for each Insured/Member

$ 750,000 Aggregate Limit of Liability for each Insured/Member Data & Network
Liability:

Regulatory Defense &
Penalties:

$ 2,000,000 Aggregate Limit of Liability for each Insured/Member for all Damages and Claims Expenses

$ 2,000,000 Aggregate Limit of Liability for each Insured/Member

Payment Card
Liabilities & Costs:

Media Liability:
$ 2,000,000 Aggregate Limit of Liability for each Insured/Member

$ 2,000,000 Aggregate Limit of Liability for each Insured/Member for all Damages and Claims Expenses
eCRIME
Fraudulent Instruction:

Funds Transfer Fraud:

Telephone Fraud:

$ 75,000 Aggregate Limit of Liability for each Insured/Member

$ 75,000 Aggregate Limit of Liability for each Insured/Member

$ 75,000 Aggregate Limit of Liability for each Insured/Member

CRIMINAL REWARD
Criminal Reward:

$ 25,000 Aggregate Limit of Liability for each Insured/Member

COVERAGE

ENDORSEMENT(S)
Reputation Loss:

Claims Preparation
Costs for Reputation
Loss Claims Only:

$ 200,000 Aggregate Limit of Liability for each Insured/Member

$ 50,000 Aggregate Limit of Liability for each Insured/Member

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 4 of 9 City of Merced
Computer Hardware
Replacement Costs:

Invoice Manipulation:

Cryptojacking:

$ 200,000 Aggregate Limit of Liability for each Insured/Member

$ 100,000 Aggregate Limit of Liability for each Insured/Member

$ 50,000 Aggregate Limit of Liability for each Insured/Member

RETENTION:

$ TBD CSU Auxiliary Organizations only
$ 50,000 Per Claim for each Member/Insured with Tot al Insured Value (TIV) up to $250,000,000 at the time of polic y
inception
8 Hour waiting period for Dependent/Business Inter ruption Loss
$ 100,000 Per Claim for each Member/Insured with To tal Insured Value (TIV) greater than $250,000,000 and up to
$750,000,000 at the time of policy inception
8 Hour waiting period for Dependent/Business Inter ruption Loss
$ 250,000 Per Claim for each Member/Insured with To tal Insured Value (TIV) greater than $750,000,000 at the time of policy inception
8 Hour waiting peri od for Dependent/Business Interruption Loss

NOTICES:

Policy coverage of this policy provides coverage o n a claims made and reported basis; except as otherwise provided, cover age under noted coverage schedule applies only to claims first made against the Insured/Member and reported to underwriters during the policy period.

Claims expenses shall reduce the applicable limit o f liability and are subject to the applicable retention.

This is a shared limit policy among the Named Insur eds.

The per
Insured/Member policy limits are on a per claim or incident for ea ch Insured/Member basis, sub- limits listed are aggregated per Insured/Member and are within the total Insured/Member aggregate l imit. In the event of a claim/incident with multiple Insureds/Members exhau sting the program aggregate limit provided by the Ins urer to Insureds/Members, payment to all Insureds/Members for the claim/incident will be det ermined by the Insurer. Where coverages are aggregated, sub- limit and limits apply to all Insureds/Members for the entire Policy Period unles s specifically stated otherwise. The policy aggregate limit is not a per Insured/Mem ber maximum limit.

EXTENDED
REPORTING PERIOD:

For Named Insured - To be determined at the time of election (additional premium will apply)

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 5 of 9 City of Merced

SPECIFIC COVERAGE
PROVISIONS:

A.

Breach Response indemnifies the Insured/Member for Breach Response Costs incurred by the Insured/Member because of an actual or reasonably suspected Data Breach or Security Breach that the Insured fir st discovers during the Policy Period.

B.

First Party Loss

Business Interruption Loss indemnifies the Insured/Member for a Business Interruption Loss sustained as a result of a Security Breach or System Failure that the Insured first discovers during the Policy Period.

Dependent Business Interruption Loss indemnifies the Insured/Member for a Dependent Business Interruption Loss sustained as a result of a Security Breach or a System Failure that the Insured first discover during the Policy Period.

Cyber Extortion Loss indemnifies the Insured/Member for a Cyber Extortio n Loss incurred as a result of an Extortion Threat first m ade against the Insured/Member during the Policy Period.

Data Recovery Costs indemnifies the Insured/Member for Data Recovery Co sts incurred as a direct result of a Security Breach or System Failure that the Insured first discovers during the Policy Period.

C.

Liability
Data & Network Liability pays Damages and Claims Expenses, which the Insured is legally obligated to pay because of any Claim fi rst made against any Insured during the Policy Period for a Data Breach, a Security Breach, the Insured’s failure to disclose a Data Breach or Security Breach, or fa ilure of the Insured to comply with the part of a Privacy Policy that specifically is related to disclosure, access or procedures related to Personally Identifiable Information.

Regulatory Defense & Penalties pays Penalties and Claims Expenses, which the Insured is legally obligated to pay because of a Re gulatory Proceeding first made against any Insured during the Policy Period for a Data Breach or a Security Breach.

Payment Card Liabilities & Costs indemnifies the Insured/Member for PCI Fines, Expenses and Costs which it is legally obligated to pay because of a Claim first made against any Insured during the Policy Period.

Media Liability pays Damages and Claims Expenses, which the Insured is legally obligated to pay because of any Claim first made ag ainst any Insured during the Policy Period for electronic Media Liability.

D.

E.
eCrime indemnifies the Insured/Member for any direct fina ncial loss sustained resulting from:
 Fraudulent Instruction
 Funds Transfer Fraud
 Telephone Fraud
That the Insured first discovers during the Policy Period.

Criminal Reward indemnifies the Insured/Member for Criminal Reward Funds.

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 6 of 9 City of Merced

Coverage
Endorsement(s)

Reputational Loss indemnifies the Insured Organization for Reputation Loss that the Insured Organization sustains solely as a resul t of an Adverse Media Event that occurs during the Policy Period, concerning: a Data Breach, Security Breach, or Extortion Threat that the Insured first discovers during the Policy Period

Computer Hardware Replacement Costs is part of the Extra Expense coverage. Extra Expense means reasonable and necess ary expenses incurred by the Insured Organization during the Period of Restoration to minimize, reduce or avoid Income Loss, over and above those expenses the Insured Organization would have incurred had no Security Breach, System Failure, Dependent Security Breach or Dependent System Failure occurre d; and includes reasonable and necessary expenses incurred by the Insured Orga nization to replace computers or any associated devices or equipment op erated by, and either owned by or leased to, the Insured Organization that are unable to function as intended due to corruption or destruction of software or firmware directly resulting from a Security Breach

Invoice Manipulation indemnifies the Insured Organization for Direct Ne t Loss resulting directly from the Insured Organization’s inability to collect Payment for any goods, products or services after such goods, products or services have been transferred to a third party, as a result of Invoice Manipulation that the Insured first discovers during the Policy Period. Invoice Manipu lation means the release or distribution of any fraudulent invoice or fraudulen t payment instruction to a third party as a direct result of a Security Breach or a Data Breach.

Cryptojacking indemnifies the Insured Organization for any direc t financial loss sustained resulting from Cryptojacking that the Ins ured first discovers during the Policy Period. Cryptojacking means the Unauthorized Access or Use of Computer Systems to mine for Digital Currency that directly results in additional costs incurred by the Insured Organization for electricity, natural gas, oil, or internet.

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 7 of 9 City of Merced
EXCLUSIONS:
(Including but not
limited to)

Coverage does not apply to any claim or loss from:
 Bodily Injury or Property Damage
 Trade Practices and Antitrust
 Gathering or Distribution of Information
 Prior Known Acts & Prior Noticed Claims
 Racketeering, Benefit Plans, Employment Liability & Discrimination  Sale or Ownership of Securities & Violation of Sec urities Laws  Criminal, Intentional of Fraudulent Acts
 Patent, Software Copyright, Misappropriation of In formation  Governmental Actions
 Other Insureds & Related Enterprises
 Trading Losses, Loss of Money & Discounts
 Media-Related Exposures – Contractual liability or obligation  Nuclear Incident
 Radioactive Contamination
 Sanctions Limitation
 War and Civil War
 Asbestos, Pollution and Contamination
 First Party Loss – with respects: 1. seizure, nati onalization, confiscation, or destruction of property or data by order of any gov ernmental or public authority; 2. costs or expenses incurred by the Insured to identify or remediate software program errors or vulnerabilities or updat e, replace, restore, assemble, reproduce, recollect or enhance data or C omputer Systems to a level beyond that which existed prior to a Security Breach, System Failure, Dependent Security Breach, Dependent System Failure or Extortion Threat;

3. failure or malfunction of satellites or of power , utility, mechanical or telecommunications (including internet) infrastruct ure or services that are not under the Insured Organization’s direct operational control; or 4. fire, flood, earthquake, volcanic eruption, explosion, lightning , wind, hail, tidal wave, landslide, act of God or other physical event.
 Website Tracking Exclusion specific to hospitals a s defined by: A health facility with overall administrative and professional respon sibility and an organized medical staff that provides 24-hour inpatient care, including the following services: medical, nursing, surgical, anesthesia, l aboratory, pharmacy, and dietary services.

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 8 of 9 City of Merced

NOTICE OF CLAIM:

 IMMEDIATE NOTICE must be made to Beazley NY of all potential claim s and circumstances (assistance, and cooperation clause applies)  Claim notification under this policy is to:

Beazley Group
Attn: TMB Claims Group
45 Rockefeller Plaza, 16 th Floor
New York, NY 10111
[email protected]

NOTICE OF
CANCELLATION:

10 days for non-payment of premium
OTHER SERVICES Unlimited Access to Beazley Breach Solutions websit e

BROKER: ALLIANT INSURANCE SERVICES, INC.

License No. 0C36861

NOTES:
• Some coverage, limits, sub-limits, terms and condit ions will change, as negotiations are ongoing. Changes will be documented and accompany the Binder Confirmatio n for July 1, 2024 bound terms. Coverage outlined in this Proposal is subject to th e terms and conditions being negotiated with the policy. To be finalized and presented at Progra m Inception. • Please refer to Policy for specific terms, conditions and exclusions

• Change in Total Insurable Values will result in adjustment in premium

2024-2025 Alliant Property Insurance Program (APIP) Cyber Liability Proposal Summary Page 9 of 9 City of Merced

SUMMARY OF CYBER INSURANCE CHANGES
THE FOLLOWING ITEMS ARE BOUND CHANGES FOR THE 2024-2025 POLICY TERM

Coverage 2023-2024 2024-2025 Proposed Changes
Beazley Breach Response
Endorsement
Coverage offered to new and
existing Members – Underwriting
required
Coverage offered to new and
existing Members – Underwriting
required
Retention Buy Down
Coverage is being offered to new
and existing members;
underwriting required
Coverage is being offered to new
and existing members; underwriting
required
New members to APIP Cyber Core-
Mid Term Transactions
New this year; no underwriting, all
members requesting core
coverage are eligible.

Ransomware application,
statement of no losses, and AFB
warranty required.

No underwriting, all members
requesting core coverage are
eligible. Ransomware application,
statement of no losses, and AFB
warranty required.

Beazley Core Coverage-Website
Tracking Exclusion Not included
Website Pixel Tracking Exclusion
specific to Hospitals defined as a
Health Facility with overall
administrative and professional
responsibility and organized medical
staff that provides 24-hour inpatient
care, including the following services:

Medical, nursing, surgical,
anesthesia, laboratory, pharmacy,
and dietary services.

Beazley Core Coverage-New Boost
offering Not Included
By endorsement and included only
with the BBR purchase. Open to all
members. Provides full limit
coverage for some First Party Limits;
Business Interruption, Cyber
Extortion, and Data Recovery.

Beazley Core Coverage- increased
sublimit
Computer Hardware $100,000
Reputational Loss $100,000
Cryptojacking $25,000
Increased Computer Hardware
Replacement to $200,000.

Increased Reputational Loss
Coverage to $200,000
Increased Cryptojacking to $50,000
APIP Program Aggregate Change Program Aggregate $45,000,000 Increased this year to $55,000,000

Alliant Insurance Services Inc.

INVOICE
NAMED INSURED:

City of Merced

INVOICE DATE: June 3, 2024
CUSTOMER NUMBER: MERCED0-02
EFFECTIVE DATE: July 1, 2024

INSURANCE CO: Various INVOICE NUMBER: 10155299 POLICY NUMBER: PPROP2425

Total Property Premium:

ABS Fee:

Estimated SLT&F’s
Broker Fee:

$ 1,152,309.00
$ 10,048.00
$ 36,806.47
$ 0.00
ALL RISK PROPERTY SUBTOTAL $ 1,199,163.47

INSURANCE CO: Various INVOICE NUMBER: 20155299 POLICY NUMBER: PBOILER2425 EXCESS BOILER & MACHINERY SUBTOTAL $ 5,127.00

TOTAL DUE AT THIS TIME $ 1,204,290.47

Total Due includes Premiums, Estimated Taxes and Fees where applicable. The Cyber Enhancement (BBR) premium, should you have elected to purchase this coverage, is not included as part of this invoice.

Please return a copy of the invoice with your payment. Premiums are due and payable upon receipt of this invoice but no later than July 20, 2024. If payment is not received by the due date, policies may be subject to cancellation.

Alliant embraces a policy of transparency with respect to its compensation from insurance transactions.

Details on our compensation policy, including the types of income that Alliant may earn on a placement, are available on our website at www.alliant.com. For a copy of our policy or for any inquiries regarding compensation issues pertaining to your account you may also contact us at: Alliant Insurance Services, Attention: General Counsel, 701 B Street, 6th Floor, San Diego, CA 92101.

Coverages, limits, sub-limits, terms and conditions could change. All changes will be advised prior to binding and accompany the Binder Confirmation for July 1, 2024 bound terms.

Important Notice of Remittance
Payment Address Change

We have implemented lockbox deposit services with our Bank. Please use this new address to avoid delays in processing your payments.

Effective Immediately, please mail all future checks along with your remittance detail invoice to the following:

Standard Mail Remittance Address:

AIS trust Account Newport
P.O. Box 744963
Los Angeles, CA 90074-4963

Overnight/Courier Remittance Address:

Bank of America Lockbox Services
Lockbox 744963
2706 Media Center Drive
Los Angeles, CA 90065-1733

ACH/WIRE PAYMENTS
Bank of America
Alliant Insurance Services Trust Account
Account Number: 1453355421
ACH Routing Number: 122000661
Wire Routing: Number: 026009593
SWIFT: BOFAUS3N (US Domestic)
SWIFT: BOFAUS6S (Foreign Currency)

ACH/Wire Reference: Include your ten-digit Client Account Number and Invoice Number (both can be found at the top right of this invoice) E-mail remittances to [email protected]

Pay your Invoice via ACH using AlliantPay https://billpay.alliant.com

LOSS NOTIFICATION REQUIREMENT

ALLIANT PROPERTY INSURANCE PROGRAM (APIP)

Claim notifications need to be sent to Robert Frey, Diana Walizada and Sandra Doig. In the event this is a Cyber loss please include item III contact, for a Pollution loss please include item IV contact in addition to Alliant Insurance Services contacts .

I. During regular business hours (between 8:30 AM a nd 5:00 PM PST), First Notice of Claim should be reported to Alliant Insurance Services via telephone, fax, mail or e-mail to our San Francisco Office:

Robert A. Frey, RPA Diana L. Walizada, AIC, CPIW, RPA, AINS Senior Vice President,
Regional Claims Director
Vice President, Claims Unit Manager
Voice: (415) 403-1445 Voice:(415)403 -1453
Email: [email protected] Email: [email protected]

Address: Alliant Insurance Services, Inc.
560 Mission Street, 6 th Floor
San Francisco CA 94105
Toll Free Voice: (877) 725-7695 Fax: (415) 403-1 466

II. Please be sure to include APIP’s Claim Administ rator as a CC on all Claims correspondence:

Sandra Doig
McLaren’s Global Claims Services
Address: 18100 Von Karman Avenue, 10 th Floor
Irvine, CA 92612
Voice: (949) 757-1413 Fax: (949) 757-1692
Email:
[email protected]

III. Cyber Liability Carrier Beazley NY needs to al so be provided with Notice of Claim immediately (if purchased):

Beazley Group
Address: 1270 Avenue of the America’s, Suite 1200
New York, NY 10020
Fax: (546) 378-4039
Email:
[email protected]

Elaine G. Tizon, V.P. CISR, E-mail: [email protected] Donna Peterson, E-mail: [email protected]
Address: 560 Mission Street, 6 th Floor
San Francisco, CA 94105
Voice: (415) 403-1458 Fax: (415) 403-1466

IV. Pollution Liability Carrier Ironshore Specialty Insurance Company (if purchased):

Ironshore Environmental Claims CSO
Address: 28 Liberty Street, 5th Floor
New York, NY 10005
In emergency call: (888) 292-0249
Fax: (646) 826-6601
Email:

[email protected]

Akbar Sharif
Claims Advocate
Address: 18100 Von Karman Avenue, 10 th Floor
Irvine, CA 92612
Voice: (949) 260-5088 Fax: (415) 403-1466
Email:
[email protected]

Please include the Insured /JPA name along with the following information when reporting claims:
 Time, date and specific location of property damag ed  A description of the incident that caused the dama ge (such as fire, theft or water damage)  Estimated amount of loss in dollars
 Contact person for claim including name, title, vo ice & fax numbers  Complete and return the Property Loss Notice for p rocessing.  Mortgagee or Loss Payee name, address, and account number

APIP Claims Reporting Acknowledgement(s) Receipt Form
The Claims Reporting Forms are being included with your packet to ensure claims reporting procedures a re known and available for future reference. Please review the i nformation. We ask that you share these critical documents with all members of your team (and Pool Members and their staffs where applicable.)

We request that you review the items indicated as a ttached, then complete the bottom portion, sign and submit to your
Alliant Insurance Services representative either by a scanned e-mail or mail to have it be included in your insurance records.

 APIP Property Claims Reporting

 Cyber Claims Reporting ( this is a claims made policy ) if coverage is purchased

 Pollution Liability Claims Reporting ( this is a claims made policy ) if coverage is purchased

Acknowledgement for Claims reporting procedures under Alliant Property Insurance Programs In effect: July 1, 2024 until further notice

I have read and been informed about these separate reporting requirements under the coverage parts that apply to our entity as indicated above and provided through APIP by Alliant.

Insured Entity Name: City of Merced

X
Signature of Authorized Insured Representative

Title Date

Print / Type Insured Representative Full Name:

Applicable in Arizona

For your protection, Arizona law requires the follo wing statement to appear on this form. Any person w ho knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties.

Applicable in Arkansas, Delaware, District of Colum bia, Kentucky, Louisiana, Maine, Michigan, New Jersey, New Mexico, New York, North D akota, Pennsylvania, South Dakota, Tennessee, Texas, Virginia and West Virgini a

Any person who knowingly and with intent to defraud any insurance company or another person, files a s tatement of claim containing any materially false information, or conceals for the purpose of misleading, informat ion concerning any fact, material thereto, commits a fraudulent in surance act, which is a crime, subject to criminal prosecution and [NY: substantial] civil penalties. In DC, LA, ME, TN and VA, insurance benefits may also be denied.

Applicable in California

For your protection, California law requires the fo llowing to appear on this form: Any person who kno wingly presents a false or fraudulent claim for payment of a loss is guilty of a crime and may be subject to fines and c onfinement in state prison.

Applicable in Colorado

It is unlawful to knowingly provide false, incomple te, or misleading facts or information to an insura nce company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fi nes, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly pro vides false, incomplete, or misleading facts or informati on to a policy holder or claimant for the purpose o f defrauding or attempting to defraud the policy holder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insur ance within the Department of Regulatory Agencies.

Applicable in Florida and Idaho

Any person who Knowingly and with the intent to injure, Defraud, or Deceive any Insurance Compa ny Files a Statement of Claim Containing any False, Incomplete or Misleading information is Guilty of a Felony.* * In Florida - Third Degree Felony

Applicable in Hawaii

For your protection, Hawaii law requires you to be informed that presenting a fraudulent claim for pay ment of a loss or benefit is a crime punishable by fines or imprisonm ent, or both.

Applicable in Indiana

A person who knowingly and with intent to def raud an insurer files a statement of claim con taining any false, incomplete, or misleading information commits a fel ony.

Applicable in Minnesota

A person who files a claim with intent to defraud o r helps commit a fraud against an insurer is guilty of a crime.

Applicable in Nevada

Pursuant to NRS 686A.291, any person who knowingly and willfully files a statement of claim that conta ins any false, incomplete or misleading information concerning a m aterial fact is guilty of a felony.

Applicable in New Hampshire

Any person who, with purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false, incomplete or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20.

Applicable in Ohio

Any person who, with intent to defraud or knowing t hat he/she is facilitating a fraud against an insur er, submits an application or files a claim containing a false or deceptive st atement is guilty of insurance fraud.

Applicable in Oklahoma

WARNING: Any person who knowingly and with intent t o injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guil ty of a felony.

ACORD 1 (2006/02)

IN THE EVENT OF A

PROPERTY LOSS:
1) Follow your organization procedures for reporting and responding to an incident 2) Alert local emergency authorities, as appropriate
3) Report the incident to Alliant Insurance Services immediately at:
877-725-7695
All property losses must be reported as soon as
practicable upon knowledge within the risk management or finance division of the insured that a loss has occurred.

Be prepared to give basic information about the loc ation and nature of the incident, as well as steps which have been taken in response to the incident. 4) Report the incident to McLarens Global Claims Services AND your Alliant representative

PROPERTY FIRST NOTICE OF LOSS FORM

SEND TO: Alliant Insurance Services, Inc.

BY MAIL: 560 Mission Street, 6
th Floor, San Francisco, CA 94105
BY FAX: (415) 403-1466
BY EMAIL:
[email protected] AND [email protected]
Carbon Copy APIP Claims Administrator: [email protected] and your Alliant representative

Today’s Date: _________________
Type of Claim: (check all that apply)

Insured’s Name & Contact Information

Insured’s Name: Point of Contact:

Address:

Phone #: Email Address:

Broker/Agent’s Name & Contact Information
Company Name: Alliant Insurance Services - Claims Point of Contact: Robert A. Frey & Diana L. Walizada Address: 560 Mission Street, 6 th Floor, San Francisco, CA 94105_____________________ ___________ Phone #: 877-725-7695 Fax #: 415-403-1466
Policy Information
Policy Number:_APIP2023 (Dec 02)________________ Po licy Period: July 1, 2024- July 1, 2025 Limits of Liability: _______________per___________a gg Self-Insured Retention/Deductible: _____________ Loss Information
Date of Incident/Claim: _____________ Location:__ ________________________________________________ Description of Loss: ______________________________ _____________________________________________ ___________________________________________________ __________________________________________ Please list all attached or enclosed documentation: (check if none provided) _________________________ _ ___________________________________________________ __________________________________________

Name of Person Completing This Form: Signature:

Per the Master Policy Wording, Section IV General Conditions;

K. NOTICE OF LOSS

In the event of loss or damage insured against under this Policy, the Insured shall give notice thereof to ALLIANT INSURANCE SERVICES, INC., 560 Mission Street, 6 th Floor, San Francisco, CA 94105.

TEL NO. (877) 725-7695, FAX NO. (415) 403-1466 of such loss. Such notice is to be made as soon as practicable after the inception of loss.

Real Property Vehicles

Personal Property Other

IN THE EVENT OF A

CYBER LOSS:

1) Follow your organizations procedures for reporting and responding to an incident

2) Alert authorities, as appropriate

3) Report the incident to Beazley Group immediately at:

[email protected]

(866)567-8570

All Cyber losses must be reported as soon as practicable upon knowledge by the insured that a loss has occurred.

Be prepared to give basic information about the loc ation and nature of the incident, as well as steps which have been taken in response to the incident.

4) Report the incident to Alliant Claims Department and your Alliant representative

SPECIAL NOTE REGARDING PRIVACY NOTIFICATION COSTS:

The policy provides a $500,000 Aggregate Limit for Privacy Notification Costs. If you utilize a Beazley vendor, the limit is increased to $1,000,000.

Please contact Beazley for a list of approved vendors.

CYBER FIRST NOTICE OF LOSS FORM

Today’s Date:

Insured’s Name & Contact Information

Insured’s Name: Point of Contact:

Address:

Phone #: Email Address:

Broker/Agent’s Name & Contact Information

Company Name: Alliant Insurance Services – Claims Point of Contact: Elaine Tizon

Address: 560 Mission Street, 6
th Floor, San Francisco, CA 94105

Phone #: 877-725-7695 Fax #:415-403-1466

Policy Information

Policy Number: Policy Period: July 1, 2024- July 1, 2025

Limits of Liability: per agg Self-Insured Retention/Deductible

Loss Information

Date of Incident/Claim: Location:

Description of Loss:

Please list all attached or enclosed documentation:
(check if none provided)

Name of Person Completing This Form: Signature:

SEND TO: Beazley Group
BY MAIL: 1270 Avenue of the America’s, Suite 1200, New York, NY 10020 BY FAX: (546) 378-4039
BY EMAIL:
[email protected]

CC Alliant Claims Department:
[email protected] , [email protected] and your Alliant representative

A. NOTICE OF CLAIM, LOSS OR CIRCUMSTANCE THAT MIGHT LEAD TO A CLAIM

1. If any Claim is made against the Insured , the Insured shall, as soon as practicable upon knowledge by the Insured , forward to the Underwriters through persons named in Item 9.A. of the Declarations written notice of such Claim in the form of a telecopy, or express or certified mail together with every demand, notice, summons or other process received by the Insured or the Insured’s representative; provided that with regard to coverage provided under Insuring Agreements I.A. and I.C., all Claims made against any Insured must be reported no later than the end of the Policy Period , in accordance with the requirements of the Optional Extension Period (if applicable), or within thirty (30) days after the expiration date of the Policy Period in the case of Claims first made against the Insured during the last thirty (30) days of the Policy Period .

2. With respect to Insuring Agreement I.B. for a l egal obligation to comply with a Breach Notice Law because of an incident (or reasonably suspected incident) described in Insuring Clause I.A.1 or I.A.2, such incident or reasonably suspected incident must be reported as soon as practicable during the Policy Period after discovery by the Insured. For such incidents or suspected incidents discovered by the Insured within 60 days prior to expiration of the Policy, such incident shall be reported as soon as practicable, but in no event later than 60 days after the end the Policy Period , provided; if this Policy is renewed by Underwriters and covered Privacy Notification Costs are incurred because of such incident or suspected incident reported during the 60 day post Policy Period reporting period, then any subsequent Claim arising out of such incident or suspected incident is deemed to have been made during the Policy Period .

3. With respect to Insuring Agreements I.A. and I. C., if during the Policy Period , the Insured first becomes aware of any circumstance that could reasonably be the basis for a Claim it may give written notice to Underwriters in the form of a telecopy, or express or certified mail through persons named in Item 9.A. of the Declarations as soon as practicable during the Policy Period of:

a. the specific details of the act, error, omissio n, or Security Breach that could reasonably be the basis for a Claim ;
b. the injury or damage which may result or has re sulted from the circumstance; and c. the facts by which the Insured first became aware of the act, error, omission or Security Breach

Any subsequent Claim made against the Insured arising out of such circumstance which is the subject of the written notice will be deemed to have been made at the time written notice complying with the abov e requirements was first given to the Underwriters.

4. A Claim or legal obligation under section X.A.1 or X.A.2 above shall be considered to be reported to the Underwriters when written notice is first received by Underwriters in the form of a telecopy, or express or certified mail or email through persons named in Item 9.A. of the Declarations of the Claim or legal obligation, or of an act, error, or omission, which could reasonably be expected to give rise to a Claim if provided in compliance with sub-paragraph X.A.3. ab ove.

POLLUTION LIABILITY

IN THE EVENT OF AN

ENVIRONMENTAL EMERGENCY:

1) Follow your organization procedures for reporting and responding to an incident

2) Alert local emergency authorities, as appropriate

3) Report the incident immediately at:

888-292-0249

4] Report the incident to Alliant

Akbar Sharif
Claims Advocate
949-260-5088
415-403-1466 – fax

[email protected]

Be prepared to give basic information about the loc ation and nature of the incident, as well as steps which have been taken in response to the incident.

DO follow your organization’s detailed response plan
DO contact your management as well as appropriate authorities DO ensure anyone who could come in contact with a spill or release is kept away

DO NOT ignore a potential spill or leak
DO NOT attempt to respond beyond your level of training or certification

Today’s Date:

Notice of: (check all that apply)
Pollution Incident Potential Claim Other
Third-Party Claim Litigation Initiated
Insured’s Name & Contact Information
Company Name: Point of Contact:

Address:

Phone #: Email Address:

Broker/Agent’s Name & Contact Information
Company Name: Alliant Insurance Services - Claims Point of Contact: Akbar Sharif Address: 18100 Von Karman Ave., 10 th Floor, Irvine, CA 92612 Phone #: 949-260-5088
Policy Information
Policy Number: Policy Period: July 1, 2024- July 1, 2025 Limits of Liability: per agg. Self-Insured Retention/Deductible Loss Information
Date of Incident/Claim: Location:

Claimant Name/Address:

Description of Loss:

Please list all attached or enclosed documentation: (check if none provided)

Name of Person Completing This Form: Signature:

SEND TO: IRONSHORE ENVIRONMENTAL CLAIMS CSO
BY MAIL: 28 Liberty Street, 5th Floor, New York, NY 10005 BY PHONE: (888) 292-0249
BY FAX: (646) 826-6601
BY EMAIL:

[email protected]

CC Alliant Insurance: [email protected] and your Alliant Representative

IMPORTANT NOTICE:

1. The insurance policy that you are applying to purchase is being issued by an insurer that is not licensed by the State of California.

These companies are called “nonadmitted” or “surplus line” insurers.

2. The insurer is not subject to the financial solvency regulation and enforcement that apply to California licensed insurers.

3. The insurer does not participate in any of the insurance guarantee funds created by California law. Therefore, these funds will not pay your claims or protect your assets if the insurer becomes insolvent and is unable to make payments as promised.

4. The insurer should be licensed either as a foreign insurer in another state in the United States or as a non-United States (alien) insurer.

You should ask questions of your insurance agent, broker, or “surplus line” broker or contact the California Department of Insurance at the toll-free number 1-800-927-4357 or internet website
www.insurance.ca.gov. Ask whether or not the insurer is licensed as a foreign or non-United States (alien) insurer and for additional information about the insurer. You may also visit the NAIC’s internet website at www.naic.org. The NAIC—the National Associatio n of Insurance Commissioners—is the regulatory support organization created and governed by the chief insurance regulators in the United States.

5. Foreign insurers should be licensed by a state in the United States and you may contact that state’s department of insurance to obtain more information about that insurer. You can find a link to each state from this NAIC internet website:
https://naic.org/state_web_map.htm .

6. For non-United States (alien) insurers, the insurer should be licensed by a country outside of the United States and should be on the NAIC’s International Insurers Department (IID) listing of approved nonadmitted non-United States insurers. Ask your agent, broker, or “surplus line” broker to obtain more information about that insurer.

7. California maintains a “List of Approved Surplus Line Insurers (LASLI).” Ask your agent or broker if the insurer is on that list, or view that list at the internet website of the California Department of Insurance: www.insurance.ca.gov/01-consumers/120-company/07- lasli/lasli.cfm.

8. If you, as the applicant, required that the insurance policy you have purchased be effective immediately, either because existing coverage was going to lapse within two business days or because you we re required to have coverage within two business days, and you did not receive this disclosure form and a request for your signature until after coverage became effective, you have the right to cancel this policy within five days of receiving this disclosure. If you cancel coverage, the premium will be prorated and any broker’s fee charged for this insurance will be returned to you.

Date: ___________________
Insured:___________________
(Authorized Signature)

D-1 (Effective January 1, 2020)

Last Updated: May 2023 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 1 Disclosures / Disclaimers
This proposal of insurance is provided as a matter of convenience and information only. All informati on included in this proposal, including but not limited to personal and real property values, locations, operations, produ cts, data, automobile schedules, financial data and loss experience, is based on facts and representations supplied to Alliant Insurance Services, Inc. by you. This proposal does not reflect any independent study or investigation by Alliant Insurance Services, Inc. or its agents and employees.

Please be advised that this proposal is also expres sly conditioned on there being no material change i n the risk between the date of this proposal and the inception date of the proposed policy (including the occurrence of a ny claim or notice of circumstances that may give rise to a claim under any policy which the policy being proposed is a renewal or replacement).

In the event of such change of risk, the insurer ma y, at its sole discretion, modify, or withdraw this proposal, whether or
not this offer has already been accepted.

This proposal is not confirmation of insurance and does not add to, extend, amend, change, or alter an y coverage in any actual policy of insurance you may have. All exist ing policy terms, conditions, exclusions, and limit ations apply. For specific information regarding your insurance cover age, please refer to the policy itself. Alliant In surance Services, Inc. will not be liable for any claims arising from or related to information included in or omitted from this proposal of insurance.

Alliant embraces a policy of transparency with resp ect to its compensation from insurance transactions . Details on our compensation policy, including the types of income that Alliant may earn on a placement, are available on our website at www.alliant.com . For a copy of our policy or for any inquiries regar ding compensation issues pertaining to your account you may also contact us at: Alliant Insurance Servi ces, Inc., Attention: General Counsel, 701 B Street , 6th Floor, San Diego, CA 92101.

Analyzing insurers' over-all performance and financ ial strength is a task that requires specialized sk ills and in-depth technical understanding of all aspects of insurance company finances and operations. Insurance brokera ges such as Alliant Insurance typically rely upon rating agenci es for this type of market analysis. Both A.M. Best and Standard and Poor's have been industry leaders in this area for many decades, utilizing a combination of quantitati ve and qualitative analysis of the information available in formulating their ratings.

A.M. Best has an extensive database of nearly 6,000 Life/Health, Property Casualty and International companies. You can visit them via this www.AmBest.com . For additional information regarding insurer financial strength ratings visit Standard and Poor's website at www.standardandpoors.com .

Our goal is to procure insurance for you with under writers possessing the financial strength to perfor m. Alliant does not, however, guarantee the solvency of any underwriters with which insurance or reinsurance is placed and maintains no responsibility for any loss or damage arising from the financial failure or insolvency of any insurer. We encourage you to review the publicly available information collected to enable you to make an informed decision to acce pt or reject a particular underwriter. To learn more about compan ies doing business in your state, visit the Departm ent of Insurance website for that state.

New York Regulation 194 and General Broker Compensation Disclosure Alliant Insurance Services, Inc. is an insurance pr oducer licensed by the State of New York and other States. Insurance producers are authorized by their license to confer with insurance purchasers about the benefits, term s and conditions of insurance contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to sell insurance; and to obtain insurance for purchasers. The role of the producer in any particular transaction typically involves one or more of these activities.

Compensation will be paid to the producer, based on the insurance contract the producer sells. Depend ing on the insurer(s) and insurance contract(s) the purchaser selects, compensation will be paid by the insurer(s) selling the insurance contract or by another third party. Such compensation may vary depending on a number of factors, including the insurance contract(s) and the insurer(s) the pu rchaser selects. In some cases, other factors such as the volume of business a producer provides to an insurer or the profitability of insurance contracts a producer provides to an insurer also may affect compensation.

Last Updated: May 2023 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 2

Disclosures / Disclaimers Cont.

The insurance purchaser may obtain information abou t compensation expected to be received by the produ cer based in whole or in part on the sale of insurance to the purchaser, and (if applicable) compensation expected to be received based in whole or in part on any alternative quotes prese nted to the purchaser by the producer, by requestin g such information from the producer.

Declaration Limit Disclosure
Unless stated otherwise, coverage limits of liability and sub-limits of liability are shared across the Named Insured(s) designated in a single Declaration. Exceptions include:

 Terrorism coverage, if purchased by a specific Nam ed Insured, is provided on a combined basis with a sub-limit of liability that is shared across Named Insureds covered under multiple relevant Declarations.

 Flood and Earthquake sub-limits of liability, if p urchased by a specific Named Insured and except as indicated below, are dedicated by Named Insured and cannot be reduced by losses sustained by other Named Insured s.

If a single Occurrence causes direct physical loss or damage to property of multiple Named Insureds covered by the same Declaration (or all relevant Declarations as respects Terrorism coverage), it is possible that the applicable shared limit of liability or sub-limit of liability may be insufficient to fully indemnify the physical loss or damage as sustained by multiple Named Insureds.

In the event of a loss or accumulation of losses whereby the amount of loss exceeds the applicable sha red limit of liability or sub-limit of liability, the recovery available will be allocated on a proportional basis among individual Named Insureds under the same Declaration (or all relevant Declarations as respects Terrorism coverage). This allocation applies until exhaustion of limits on a per Occurrence basis and on an Annual Aggregate basis (if applicable). If a Named Insured’s claim reporting is delayed, such Na med Insured’s recovery may be reduced or eliminated.

Furthermore, any Annual Aggregate limit of liability or sub-limit that is shared across all Named Insureds covered under a particular Declaration (or all relevant Declarations as respects Terrorism coverage) may be reduced or exhausted by the prior payment of claims arising out of separate Occ urrences in the same Policy Period. As a result, it is possible that there may be no remaining limit available to pay a specific Named Insured’s claim under the Policy.

To the extent actually covered, the Annual Aggregate limits are as follows:
 Accidental Contamination
 Mold/Fungus Resultant Damage
 Terrorism
 Flood and Earthquake damage to Licensed Vehicles, Unlicensed Vehicles, Contractor’s Equipment and Fin e Arts for Named Insured(s) that do not purchase optional dedicated Earthquake or Flood coverage Privacy
At Alliant, one of our top priorities is making sure that the information we have about you is protected and secure. We value our relationship with you and work hard to preserve your privacy and ensure that your preferences are honored. At the same time, the very nature of our relationship may result in Alliant’s collecting or sharing certain types of information about you in order to provide the products and serv ices you expect from us. Please take the time to read our full Privacy Policy posted at www.alliant.com and contact your Alliant service team should you h ave any questions.

FATCA
The Foreign Account Tax Compliance Act (FATCA) requ ires the notification of certain financial accounts to the United States Internal Revenue Service. Alliant does not provide tax advice so please contact your tax consultant for your obligation regarding FATCA.

Last Updated: May 2023 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 3 Disclosures / Disclaimers Cont.

NRRA
(Applicable if the insurance company is non-admitted)
The Non-Admitted and Reinsurance Reform Act (NRRA) went into effect on July 21, 2011. Accordingly, surplus lines tax rates and regulations are subject to change which could result in an increase or decrease of the total surplus lines taxes and/or fees owed on this placement. If a change is required, we will promptly notify you. Any additional taxes and/or fees must be promptly remitted to Alliant Insurance Services, Inc.

Changes and Developments
It is important that we be advised of any changes in your operations, which may have a bearing on the validity and/or adequacy of your insurance. The types of changes that concern us include, but are not limited to, those listed below:

 Mergers and/or acquisition and any change in busin ess ownership, including percentages.  Any newly assumed contractual liability, granting of indemnities or hold harmless agreements.  Any changes in existing premises including vacancy , whether temporary or permanent, alterations, demolition, etc. Also, any new premises either purchased, constructed or occupied  Circumstances which may require an increased liabi lity insurance limit.  Any changes in fire or theft protection such as th e installation of or disconnection of sprinkler sys tems, burglar alarms, etc. This includes any alterations to the system.  Immediate notification of any changes to a schedul ed of equipment, property, vehicles, electronic dat a processing, etc.
 Property of yours that is in transit, unless previ ously discussed and/or currently insured.

Loss Notification Requirements:

Your policy will come with specific claim reporting requirements. Please make sure your organization understands these obligations and time limitations which are outlined in the attached Loss Notification documents. Cont act your Alliant Service Team with any questions.

Last Updated: May 2023 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 4 Binding Requirements Recap
Required with Binding Request:
 Signed and dated Request to Bind Coverage form (be low)  Signed and dated Surplus Lines forms as required b y your state and attached to this proposal*  Signed and dated APIP Claims Reporting Acknowledge ment(s) Receipt Form  Signed and dated Terrorism Risk Insurance ACT

*- only required for coverage in the following states: AR, CA, CT, FL, KS, MA, MT, NE, NY, ND, OH, RI, WV, WY Request to Bind Coverage

City of Merced

We have reviewed the proposal and agree to the term s and conditions of the coverages presented.

This Authorization to Bind Coverage also acknowledg es receipt and review of all disclaimers, disclosures, and loss notification requirements including exposures used to develop insurance terms, contained within this proposal.

X

Signature of Authorized Insured Representative Date

Title

Print / Type Insured Representative Full Name

This proposal does not constitute a binder of insurance. Binding is subject to final carrier approval . The actual terms and conditions of the policy will prevail.

Last Updated: May 2022 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 1

ALLIANT INSURANCE SERVICES

POLICYHOLDER DISCLOSURE

NOTICE OF TERRORISM

INSURANCE COVERAGE

June 3, 2024

Named Insured: City of Merced

We are required to send you this notice pursuant to federal legislation concerning terrorism insurance. The below is for TRIA coverage as issued by the United States of America and is not tied to or representat ive of the Terrorism coverage offered in our property insurance program.

You are hereby notified that under the Terrorism Ri sk Insurance Act, as amended, you have a right to purchase insurance coverage for losses resulting from acts of terrorism. As defined in Section 102(1) of the Act : The term “act of terrorism” means any act or acts that are certified by the Secretary of the Treasury—in consultation with the Secretary of Home land Security, and the Attorney General of the United States—to be an act of terrorism; to be a vi olent act or an act that is dangerous to human life , property, or infrastructure; to have resulted in da mage within the United States, or outside the Unite d States in the case of certain air carriers or vesse ls or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion.

YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES

RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LO SSES MAY BE PARTIALLY

REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCL EAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REI MBURSES 80% BEGINNING ON JANUARY 1, 2020, OF COVERED TERRORISM LOSSES EXC EEDING THE STATUTORILY

ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPAN Y PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES

NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THA T MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT.

YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURA NCE ACT, AS AMENDED,

CONTAINS A
$100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS’

LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCE EDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED.

THE PREMIUM CHARGED FOR THIS COVERAGE CAN BE REQUES TED BELOW AND WILL NOT

INCLUDE ANY CHARGES FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT.

Last Updated: May 2022 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 2

SELECTION OR REJECTION OF THE TERRORISM RISK INSURA NCE ACT, as AMENDED (A.K.A.: TRIA, TRIEA, TRIPRA, TRIP OR TRIPA. We ref er to these collectively as “TRIA”.)

THIS COVERAGE IS OUTSIDE OF THE PROGRAM’S TERRORISM COVERAGES AND LIMITS. IT IS PROVIDED AND OVERSEEN BY THE U.S. GOVERNMENT.

THIS COVERAGE IS CONSIDERED RESTRICTIVE COMPARED TO THE APIP TERRORISM LIMITS AND COVERAGES AVAILABLE. THIS ACT DOES NOT FOLLOW O UR PROGRAM’S TERRORISM POLICIES.

HOWEVER, IF YOU’D LIKE A QUOTE FOR TRIA COVERAGE, P LEASE CHECK THE “I AM INTERESTED” BOX. OTHERWISE, PLEASE CHECK THE “DECL INE” BOX. YOUR SIGNATURE FOR CONFIRMATION OF RECEIPT IS REQUIRED. ANY QUESTIONS PLEASE CALL YOUR ALLIANT SERVICE TEAM MEMBER.

I am interested in receiving a quote for Terrorism Risk Insurance Act coverage as required by law to be offered under the last amended Act. Please provide me with a quote.

I hereby decline to purchase Terrorism Risk Insuran ce Act coverage as required by law to be offered under the last amended Act.

___________________________________________________ __
Policyholder/applicant signature

___________________________________________________ ___ ___________ Print Name Date

City of Merced