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1• <br /> Bond No. : SSB370224 <br /> TERRORISM RIDER <br /> NOTICE - FEDERAL TERRORISM INSURANCE COVERAGE <br /> AND DISCLOSURE OF PREMIUM <br /> Any loss applicable to a peril covered under this bond that is caused by a <br /> certified act of terrorism pursuant to the terms of the Terrorism Risk <br /> Insurance Act of 2002 ("the Act,'), will be partially reimbursed by the <br /> United States under a formula established by federal law. Under this <br /> formula, the United States pays 90% of covered terrorism losses exceeding <br /> a statutorily established deductible to the insurance company providing this <br /> bond. The portion of your annual premium attributable to certified acts of <br /> terrorism under this bond is $ 1 .00 <br /> COVERAGE LIMITATIONS <br /> Payment for a loss will not exceed the limit of liability under this bond. <br /> This bond will not pay for any portion of certified terrorism loss beyond <br /> any applicable annual liability cap set forth in the Act. The terms of this <br /> rider do not provide coverage for any loss that would otherwise be <br /> excluded by the terms of this bond. <br /> 0 <br /> CA <br /> to <br /> N <br /> -v <br /> G7 <br /> W <br /> O <br /> M0087I03 <br /> A TRUE COPY <br /> -CERTIFICATION ON LAST PAGE <br /> J . K. BARTON , CLERK <br />