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' a i <br /> i <br /> 1 <br /> 1 <br /> ' 4. Endorsements Attached: Several liability endorsement;.War&Terrorism exclusion;.Cancellation Clause r <br /> endorsement;Service of Suit Clause endorsement;Nuclear Incident exclusion;Radioactive Contamination <br /> exclusion;Biological or Chemical Materials exclusion;Uoyd's Privacy Policy statement;Applicable Law endorsement; Data 5. <br /> Breach and Privacy Liability endorsement;Additional Insured endorsement;Primary Pro Bono endorsement . <br /> i <br /> 5. Surplus Lines Broker: <br /> XS/Group Inc. • <br /> Laurie S.Coleman " <br /> 2750 Killarney Drive,#202 <br /> Woodbridge,VA 22192 ; <br /> i <br /> 6. Insuring Company: _ 1 <br /> Underwriters at Lli <br /> oyd's,London—100%participation <br /> 7. List of Syndicates: ti <br /> 39.14% CSL (#1084) 8.69% AES (#1225) s <br /> 21.74% ARK (#4020) - <br /> 8.69% SAM (#727) <br /> 21.74% AML (#2001) <br /> B. •• In the event of a Claim,Please Notify the Following: <br /> Underwriters at Lloyd's London ` <br /> c/o McCullough,Campbell&Lane LLP • <br /> Attn: Bart Rlnn 7 <br /> 205 North Michigan Avenue t <br /> Suite 4100 <br /> Chicago,Illinois 60601-5925 <br /> CIMACIaims@mcandl.comI <br /> By Acceptance of this policy the Insured agrees that the statements in this Evidence of insurance,the Application,and any <br /> attachments hereto are the Insured's agreements and representations and that this policy embodies all agreements existing between ' <br /> the Insured and the Company of any of its representatives relating to this insurance. <br /> Countersigned at: Woodbridge,VA Underwriters at Uoyd's,London t <br /> Issue Date; February 23,2018 By: 4-u tl �-�•,, <br /> k. <br /> Authorized Representative - s <br /> i <br /> Y <br /> ( <br /> I <br /> (SNOHCOU2) <br /> F <br /> ; <br /> 3 <br /> I <br /> 3 <br /> 1 <br /> I <br /> • <br /> 1 <br /> 1 <br /> 1 <br /> i <br /> • <br /> _ 9 <br /> 1 <br /> 3 <br /> Y <br /> 1 <br /> • _ <br /> . i <br /> f <br /> i <br />