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BK : 1672 PG : 1279 <br /> ' TERRORISM COVERAGE RIDER <br /> NOTICE-DISCLOSURE OF TERRORISM COVERAGE AND PREMIUM <br /> ' The Terrorism Risk Insurance Act of 2002 establishes a program within the Department <br /> of the Treasury, under which the federal government shares, with the insurance industry, <br /> the risk of loss from future terrorist attacks. The Act applies when the Secretary of the <br /> Treasury certifies that an event meets the definition of an Act of Terrorism. The Act <br /> provides that, to be certified, an Act of Terrorism must cause losses of at least five <br /> million dollars and must have been committed by an individual or individuals acting on <br /> behalf of any foreign person or foreign interest to coerce the government or population of <br /> ' the United States. <br /> To be attached to and form part of Bond No. 4075165 , effective 12 / 15/ 03 <br /> In accordance with the Terrorism Risk Insurance Act of 2002, we are providing this <br /> ' disclosure notice for bonds on which Great American Insurance Company, its affiliates <br /> (including, but not limited to Great American Alliance Insurance Company, Great <br /> American Insurance Company of New York and Great American Assurance Insurance <br /> Company) is the surety. <br /> ' The United States Government, Department of the Treasury, will pay a share of terrorism <br /> losses insured under the terms of the Act. The federal share equals 90% of that portion of <br /> the amount of such insured losses that exceeds the applicable insurer retention. <br /> This Coverage Part/Pohcy covers certain losses caused by terrorism. In accordance with <br /> the Federal Terrorism Risk Insurance Act of 2002, we are required to provide you with a <br /> notice disclosing the portion of your premium, if any, attributable to the coverage arising <br /> from losses for Terrorist Acts Certified under that Act. <br /> ' The portion of your annual premium that is attributable to coverage for Terrorist Acts <br /> Certified under the Act is : $: 00. <br /> STATE OF FLORIDA <br /> INDIAN RIVER COUNTY <br /> ' THIS IS TO CERTIFY THAT THIS IS A <br /> TRUE AND CORRECT COPY OF THE <br /> ORIGINAL ON FILE IN THIS OFFICE, <br /> ' } ' N EPUTx <br /> �` ' W6 all DATE <br />