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THE PETERSON GROUP A-2ooe'nosnmzREV�evvEoBY: <br />POUCYNU01BER: rz aaA AA194s <br />THIS ENDORSEMENT IS ATTACHED TO AND MADE PART CJF YOUR POLICY KN <br />RESPONSE TD THE DISCLOSURE REQUIREMENTS OFTHE TERRORISM RISK <br />INSURANCE ACT. <br />PISCLOSURE PURSUANT TO TERRORISM RISPI <br />INSURANCE ACT <br />SCHEDULE <br />Terrorism Premium: <br />¢a6.00 <br />A. Disclosure QfPremium <br />In accordance with the federal Terrorism Risk <br />Insurance Act, as amended (TRN).waare required <br />to provide you with o notice disclosing the portion o( <br />your pmmium, if mny, attributable to uowanmge for <br />"certified ado of terrorism" underT0A. The portion <br />of your premium attributable 0o such uuv*nmge is <br />shown in the Schedule of this endorsement. <br />B. The following definition is added with respect to the <br />provisions /f this endorsement: <br />1. A "certified act of terrorism" means an act that is <br />certified by the Secretary of the Trmauury, in <br />accordance with the provisions o[TR|A. to be <br />an act of terrorism under TR|A. The criteria <br />contained in TRUA for a "certified act of <br />terrvhem"include the foHoxxim0: <br />a. The act reemkw in insured |uowea in o»ooms <br />of$5million in the aggpeAmt*, aUribmtab8v10 <br />all types of insurance subject toTR|A;and <br />b The act results in damage within the United <br />8betem, or outside the United States in the <br />nnso of certain air carriers or vessels or the <br />premises ofmm United States mission; and <br />o. The not is m violent act or an act that is <br />dangerous to human 8fe, property or <br />infrastructure and is committed by on <br />individual or individuals ao part cf an effort <br />to coerce the civilian popmlmfion of the <br />Form SS 83 76 01 15 <br />United States or to influence the policy <br />affect the conduct of the United States <br />Government byouandon <br />C. Disclosure Of Federal Share Of Terrorism <br />Losses <br />The United States Department of the Treasury will <br />reimburse insurers for o portion of insured looeeo, <br />as indicated in the table ba|ow, attributable to <br />"certified acts oftvrrohmm°under TR|A that exceeds <br />the mppIioob|e insurer deductible: <br />Calendar Year <br />Federal Share of <br />Terrorism Losses <br />2015 <br />85% <br />2016 <br />84% <br />2017 <br />83% <br />2018 <br />82% <br />2019 <br />81% <br />2020 or later <br />80% <br />However, if aggregate industry insured losses under <br />TRi4 exceed $100 billion in a calendar year, the <br />Treasury shall not make any payment for any <br />por6on of the amount of such Vonaea that exceeds <br />$100 Wien. The United States government has not <br />charged any premium for (heir participation in <br />covering terrorism losses. <br />@2015' The Hartford <br />(�cludes copyrighted material of the Insurance Services Office, Inc., with its permission.) <br />S�� <br />