MENTE INC. DBA CESAR VARGAS - 2019

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92-EK-V825-4 019285 CMP-4260.1C Page 3 of 3 (3) To meet our reporting obligations to in- (1) Authorization related to any claim sub- surance data consolidators, mitted under this policy, or (4) To meet other obligations required by (2) Act or omission of an insured or a legal law, and representative acting on an insured's (5) As otherwise permitted by lawbehalf. d. Our rights under Paragraphs a., la., and c. above shall not be impaired by any. All other policy provisions apply. cMP42601 ®, Copyright, state Farm Mutual Automobile Insurance Company 2019 Includes copyrighted material of Insurance Services Office. Inc.. wtth its permission. FE69992 Page 1 or 1 In accordance with the Terrorism Risk Insurance Act of 2002 as amended and extended by the Terrorism Risk Insurance Program Reauthorization Act of 2015, this disclosure is part of your policy. FE-6999.2 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Coverage for acts of terrorism is not excluded from your current policy However your policy does contain other exclusions which may be ap- plicable, such as an exclusion for nuclear hazard. You are hereby notified that under the Terrorism Risk Insurance Act, as amended in 2015, the def- inition of act of terrorism has changed. As defined In Section 102(1) of the Act The term 'act of ter- rorism' means any act that is certified by the Sec- retary of the Treasury --an consultation with the Secretary of Homeland Security, and the Attorney General of the United States —to be an act of ter- rorism; to be a violent act or an act that is dan- gerous to human life, property, or infrastructure, to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission, and to have been commit- ted 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 con- duct of the United States Government by coer- cion. Under this policy, any covered losses resulting from certified acts of terrorism may be partially reimbursed by the United States Gov- ernment under a formula established by the Ter- rorism Risk Insurance Act, as amended. Under the formula, the United States Government generally reimburses 85% through 2015; 84% beginning on January 1, 2016; 83 % beginning on FE 6999 2 January 1, 2017; 82% beginning on January 1, 2018; 81% beginning on January 1, 2019; and 80% beginning on January 1, 2020 of covered terrorism losses exceeding the statutorily estab- lished deductible paid by the insurance company providing the coverage. The Terrorism Risk Insur- ance 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 exceeds $100 billion in any one calendar year. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced. There is no separate premium charged to cover insured losses caused by terrorism. Your insur- ance policy establishes the coverage that exists for insured losses. This notice does not expand coverage beyond that described in your policy. THIS IS YOUR NOTIFICATION THAT UNDER THE TERRORISM RISK INSURANCE ACT, AS AMENDED, ANY LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM UNDER YOUR POLICY MAY BE PARTIALLY REIM- BURSED BY THE UNITED STATES GOVERN- MENT AND MAY BE SUBJECT TO A $100 BILLION CAP THAT MAY REDUCE YOUR COV- ERAGE. Q Copyright, State Faun Mutual Automobile Insurance Company, 2015 (CONTINUED) RiA M8118.RYa1Cttt DIVI810rt REVIEWED S APPROVm BY. °1�ii1®ll1�L fnF.w,6r.e �'. V:,CP.r�aFL v ! mck Management Analyst