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HISCOXC-Suite` <br /> Coverage Summary <br /> Coverage Part Limit Deductible Premium <br /> Crime $3,259 <br /> Insuring Agreement A: Fidelity <br /> (1) Employee Theft $ 1,000,000 $ 10,000 <br /> (2)Third Parties' Property $ 1,000,000 $ 10,000 <br /> (3)Vendor Theft Not Covered N/A <br /> (4) Executives' Property Not Covered N/A <br /> (5) ERISA(Limit Applies Per Plan) $ 1,000,000 N/A <br /> Insuring Agreement B: Forgery <br /> (1)Checks $ 1,000,000 $ 10,000 <br /> (2) Payment Cards $ 1,000,000 $ 10,000 <br /> (3) Executives'Accounts Not Covered N/A <br /> (4)Counterfeit $ 1,000,000 $ 10,000 <br /> Insuring Agreement C: Inside and <br /> Outside Loss <br /> (1) Inside Premises $ 1,000,000 $ 10,000 <br /> (2)Outside Transit $ 1,000,000 $ 10,000 <br /> (3) Extortion Not Covered N/A <br /> Insuring Agreement D: Tech Fraud <br /> (1)Computer $ 1,000,000 $ 10,000 <br /> (2) Funds Transfer $ 1,000,000 $ 10,000 <br /> (3)Cyber Deception $ 100,000 $ 10,000 <br /> (4)Customers'Accounts Not Covered N/A <br /> (5) Erroneous Transfer Not Covered N/A <br /> (6)Telephone Toll Not Covered N/A <br /> (7)Virus Restoration Not Covered N/A <br /> (8) Licensing Violation Not Covered N/A <br /> Claim Expenses $ 100,000 N/A <br /> Identity Fraud Expenses Not Covered N/A <br /> All Crime Limits and Deductibles apply on a Per Occurrence Basis and are not shared with any other Coverage Part Limits <br /> Claim Expenses is on a Per Occurrence Basis and is a part of, and not in addition to, the limit applicable to the loss <br /> Total Premium $3,259 <br /> Coverage Specific Details <br /> Hiscox Inc. T(646)452-2353 Page 2 of 3 <br /> 5 Concourse Parkway Suite 2150 F(678)731-9501 <br /> Atlanta GA,30328 E hiscox.usa@hiscox.com 1 3 -_ <br /> Administered by Hiscox Inc.d/b/a Hiscox Insurance www.hiscoxbroker.com <br /> Agency in CA License No.OF09668 <br />