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***********SURPLUS LINES NOTICE *********** The coverage as stated above is being bound on a surplus lines -non admitted basis. As a condition of binding the above coverage, the broker/agent warrants the following: 1) The broker/agent holds the surplus lines license in the state where coverage will be provided to the Insured, and accepts the full obligation to comply with each state's surplus lines laws and regulations in conjunction with this transaction. 2) The broker/agent accepts full responsibility for compliance, including but not limited to, the filing of the surplus lines affidavit (as per the state's requirements), and the collection and remittance of the surplus lines tax and any applicable stamping fee on 100% of the premium of this policy. The broker/agent's acceptance of these requirements is to be confirmed by completing, signing and dating the attached Surplus Lines Filings Confirmation form. The above is subject to our receipt and satisfactory review of the following information: 1) Signed/Dated/Completed Supplemental Applications 2) Underlying carrier(s) must be rated A- VII or better by Best's, where applicable 3) Receipt of the completed and signed Surplus Lines Tax Filing Confirmation form warranting that the broker/agent will accept full responsibility for compliance of the Surplus Lines laws and the collection and remittance of the applicable surplus lines tax and/or stamping fees on 100% of the premium, must be received within 10 days of binding. If the Surplus Lines Filing Confirmation form is not received within 10 days, we reserve the right to cancel the binder and/or any policy issued in connection with the binder. Standard Terms and Conditions; 1. As part of the terms and conditions of your policy, Starr Surplus Lines Insurance Company may perform an Environmental Risk Assessment (ERA) or other type of Loss Control Survey during the policy period. All surveys will be at Starr Surplus Lines Insurance Company cost. Adequate coordination and scheduling will be arranged between the Wholesaler and the Insured prior to the visit. 2. If an Additional Insured Endorsement is used on our policy please note the following wording: a. Due to the varying terms required by certificate holders, the obstacles when attempting to include contract language via a certificate of insurance and the difficulties involved when enforcing these requirements, Starr Surplus Lines Insurance Company will not require copies of certificates of insurance on behalf of the named insured. Insureds are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates cannot be used to amend, expand, or otherwise alter the terms of the actual policy. Important: In order to complete the underwriting process, we require that you send us the additional information requested at the beginning of the letter. We are not required to bind coverage prior to our receipt, review and underwriting approval of the above information. However, if we do bind coverage prior to such approval, it shall be for a period of not more than 10 days. Such binding of coverage shall be void ab initio ("from the beginning") if we have not received, reviewed and approved in writing such materials within 10 days from the effective date of the binder. Payment of premium shall not operate to extend the binding period or nullify the automatic voiding as described above.