The URL can be used to link to this page

Home My WebLink AboutCAG2023-665 - Original - Alliant Insurance Services, Inc. - Workers Compensation & Cyber Liability Insurance Renewal Proposal - 01/01/2024 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form DirAsst: • For Approvals,Signatures and Records Management Dir/Dep: KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover (optional) WASHINGTON Sheet forms. (Print on pink or cherry colored paper) Originator: Department: Ellaine Wi, Ext. 5285 Human Resources Date Sent: Date Required: c 12/26/2023 12/29/2023 Q Mayor or Designee to Sign. Date of Council Approval: Q Interlocal Agreement Uploaded to Website N/A Budclet Account Number: Grant? Yes No�✓ 56701450 11751 164630 Budget?❑✓ Yes E]No Type: N/A Vendor Name: Category: Alliant Contract Vendor Number: Sub-Category: Original 0 Project Name: Workers Comp & Cyber Liability 3- Project Details: 0 January 1 Renewal Insurance Proposal c c Basis for Selection of Contractor: � Agreement �2 150 368 Other GJ *Memo to Mayor must be attached Start Date: fl/1/2024 Termination Date: 1/1/2025 a Local Business? Yes ✓�No*If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace. Business License Verification: ❑Yes In-Process F1 Exempt(KCC 5.01.045) Authorized Signer Verified Notice required prior to disclosure? Contract Number: "d YeszNo A2023-665 Comments: 1A This information will be presented to the Council of the Whole on 1/16/2024. 7 C C a, a Date Received:City Attorney: 12/27/23 Date Routed:Mayor's Officl 12/27/23 ty Clerk's Office 12/28/23 adccW22373_7_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20221201 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-440A7497B275 &)Affiant City of Kent Excess Workers' Compensation and Cyber Liability January 1 Renewal Insurance Proposal pr �� KENT UL Presented by: Brian White, Senior Vice President Anne Shackelford, First Vice President F Jamie Arnoldi, Account Manager Date Presented December 8, 2023 Alliant Insurance Services, Inc. 401 Union Street,31st Floor Seattle,WA 98101 O 206 204 9140 F 206 204 9205 CA License No. OC36861 www.alliant.com DocuSign Envelope ID: 3A9FB613-156B-43DF-ADBF-440A7497B275 Table of Contents YourService Team ........................................................................................................................................................................................................ 2 NamedInsured............................................................................................................................................................................................................... 3 PremiumSummary ........................................................................................................................................................................................................ 4 Excess Workers' Compensation and Employers Liability Coverage............................................................................................................................. 5 ExcessWorkers' Compensation History........................................................................................................................................................................ 7 CyberLiability Coverage................................................................................................................................................................................................ 8 Disclosures................................................................................................................................................................................................................... 13 NYRegulation 194................................................................................................................................................................................................ 14 Privacy.................................................................................................................................................................................................................. 14 FATCA:.................................................................................................................................................................................................................. 14 NRRA: ................................................................................................................................................................................................................... 15 GuaranteeFunds.................................................................................................................................................................................................. 15 ClaimsReporting:................................................................................................................................................................................................. 15 ClaimsMade Policy:............................................................................................................................................................................................. 15 Changesand Developments ................................................................................................................................................................................ 16 Certificates/ Evidence of Insurance .................................................................................................................................................................... 17 FloodDisclosure .......................................................................................................................................................................................................... 18 OptionalCoverages ..................................................................................................................................................................................................... 19 Glossaryof Insurance Terms....................................................................................................................................................................................... 20 Requestto Bind Coverage........................................................................................................................................................................................... 21 BindingSubjectivities Recap........................................................................................................................................................................................ 22 Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 1 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Your Service Team Brian White bwhite@alliant.com Phone: 206 204 9126 SeniorCell: 415 203 5983 Kevin Miller, ARM kamiller@alliant.com Phone: 206 204 9141 First Vice • Cell: 602 300 8468 Anne Shackelford Anne.Shackelford@alliant.com Phone: 206 454 8021 First Vice • Cell: 425 231 4714 Renee Judge rjudge@alliant.com Phone: 206 204 9174 Assistant Vice President/Account Executive Vicki Holladay, vholaday@alliant.com Phone: 206 204 9138 Assistant Vice President/Account Executive Joyce Robertsjeroberts@alliant.com Phone: 206 204 9175 Account Manager Lead Jamie Arnoldi Jamie.Arnoldi@alliant.com Phone: 949 627 7000 Account Manager Lead Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 2 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-440A7497B275 Named Insured City of Kent NAMED INSURED DISCLOSURE ■ Name Insured(s)should match State of Incorporation filing.Inform Alliant if there is a difference or change ■ The First Named Insured policy status granted includes certain rights and responsibilities.These responsibilities do not apply to other Named Insureds on the policy. Some examples for First Named Insured status include; (1)being designated to act on behalf of all insureds for making policy changes, (2)receiving of correspondence,(3)distributing claim proceeds,and(4)making premium payments ■ Are ALL entities listed as named insureds?Coverage is not automatically afforded to all entities unless specifically named.Confirm with your producer and service team that all entities to be protected are on the correct policy.Not all entities may be listed on all policies based on coverage line. ■ Additional named insured is(1)A person or organization,other than the first named insured, identified as an insured in the policy declarations or an addendum to the policy declarations. (2)A person or organization added to a policy after the policy is written with the status of named insured.This entity would have the same rights and responsibilities as an entity named as an insured in the policy declarations(other than those rights and responsibilities reserved to the first named insured). ■ Applies to Professional Liability,Pollution Liability,Directors&Officers Liability,Employment Practices Liability, Fiduciary Liability policies(this list not all inclusive).Check your Policy language for applicability.These policies provide protection to the Named Insured for claims made against it alleging a covered wrongful act. Alliant Insurance Services, Inc. I www.alliant.com i CA License No.OC36861 Page 3 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Premium Summary M1Qn-4zV4rU6 Expiring Premium* Renewal Premium* % � Change Excess Workers' Compensation and Employers Liability $ 152,357 $ 172,944 13.5% Cyber Liability—Incumbent: Homeland Ins $ 102,100 $ 82,701 -19% TOTAL $ 254,457 $ $255,645 .4% * Includes Surplus Lines Taxes & Fees, where applicable. Payment Terms • Premium is due within 30 days of policy inception • Agency Bill • Payment Plan: Annual Options Cyber Crum and Forster • Option 1 $100K SIR-$84,489 plus T&F • Option 2 $250K SIR-$73,927 plus T&F Coalition • Option 1 $100K SIR-$85,000 plus T&F Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 4 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Excess Workers' Compensation and Employers Liability Coverage Present Coverage Proposed Coverage Insurance Company Safety National Casualty Corporation Safety National Casualty Corporation A.M. Best Rating A++ (Superior), Financial Size Category: XV A++ (Superior), Financial Size Category: ($2 Billion or greater) XV(Greater than or Equal to $2.00 Billion) as of 11/17/2022 as of November 17, 2022 Standard & Poor's Rating A+ (Strong) as of September 15, 2023 A+ (Strong) as of September 15, 2023 Washington Status Admitted Admitted Policy/Coverage Term January 1, 2023 to January 1, 2024 January 1, 2024 to January 1, 2025 Policy# SP 4067921 TBD Limits Workers' Compensation Statutory Per Accident Statutory Per Accident Employers Liability $ 1,000,000 Annual Aggregate $ 1,000,000 Annual Aggregate $ 1,000,000 Per Occurrence $ 1,000,000 Per Occurrence Estimated Worker Hours 1,320,250 1,454,537 (+10%) Rate (per hour) 0.1154 0.1189 (+3%) Self-Insured Retention $ 1,000,000 Law Enforcement $ 1,000,000 Law Enforcement $ 600,000 All Other $ 600,000 All Other Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 5 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Excess Workers' Compensation and Employers Liability Coverage - Continued Present Coverage Proposed Coverage Coverage Extensions 0 Law Enforcement/Fire Fighters LEOFF 0 Law Enforcement/Fire Fighters LEOFF Exclusion Exclusion • USL&H— No Known Exposures 0 USL&H — No Known Exposures • Incidental Maritime Coverage • Incidental Maritime Coverage • Voluntary Coverage • Voluntary Coverage • Foreign Voluntary Compensation • Foreign Voluntary Compensation • Broad Form All States • Broad Form All States • Employers Liability Per Occurrence & • Employers Liability Per Occurrence & Aggregate Max Limits of Liability Aggregate Max Limits of Liability • Employers Liability Per Occurrence & • Employers Liability Per Occurrence & Aggregate Max Limits of Indemnity Aggregate Max Limits of Indemnity • Self-Insured Retention Per Occurrence-WA 0 Self-Insured Retention Per Occurrence-WA Law Enforcement Law Enforcement Annual Premium $ 152,357 $ 172,944 (+13.51%) Binding Conditions No Longer Applicable See Binding Subjectivities Recap Page See Disclaimer Page for Important Notices and Acknowledgment Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 6 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Excess Workers' Compensation History YEAR RATE WORKERHOURS PREMIUM EXCESS LOSSES LOSS RATIO SIR PAID (Losses/ Premium 2003/2004 .0319 1,702,945 $51,417 $0 0% $400KPolice/Fire $400K All Other 2004/2005 .0375 1,666,877 $64,898 $0 0% $400K Police/Fire$400K All Other 2005/2006 .0375 1,720,410 $61,013 $0 0% $400K Police/Fire $400K All Other 2006/2007 .0391 1,717,540 $63,914 $0 0% $400K Police/Fire $400K All Other 2007/2008 .0391 1,735,240 $67,848 $0 0% $500K Police/Fire $400K All Other 2008/2009 .0391 1,821,007 $71,201 $0 0% $500K Police/Fire $400K All Other 2009/2010 .0457 1,788,922 $81,812 $0 0% $500KPolice/Fire $400K All Other $750K USL&H 2010/2011 .0457 1,820,500 $73,730 $0 0% $500KPolice/Fire $400K All Other $750K USL&H 2011/2012 .0457 1,529,500 $68,828 $0 0% $500KPolice/Fire $400K All Other $750K USL&H 2012/2013 .0298 1,454,000 $43,329 $0 0% $500K Police $400K All Other 2013/2014 .0341 1,467,000 $50,025 $0 0% $500K All 2014/2015 .0375 1,468,000 $55,050 $1,350,000 +1,544.05% $500K All 2015/2016 .0427 1,424,000 $60,876 $0 0% $500K All 2016/2017 .0456 1,424,000 $64,934 $0 0% $500K All 2017/2018 .0456 1,506,000 $68,674 $0 0% $500K All 2018/2019 .0456 1,533,000 $68,674 $850,000 +1,965.81% $500K All 2019/2020 .0520 1,542,000 $80,184 $0 0% $600KAll 2020/2021 .0520 1,567,000 $81,484 $0 0% $600KAll 2021/2022 .0820 1,465,454 $120,167 $0 0% $600KAll Other, $750K Police 2022/2023 .1099 1,365,300 $150,046 $0 0% $600KAll Other, $1M Police 2023/2024 .1154 1,320,250 $152,357 $0 0% $600KAll Other, $1M Police 2024/2025 .1189 1,454,537 $172,944 $600KAll Other, $1M Police Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 7 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Cyber Liability Coverage Present Coverage Proposed Coverage Option-Proposed Option-Proposed Crum &Forster Coalition Insurance Company Homeland Insurance Company of Homeland Insurance Company of Crum &Forster Specialty Insurance Various New York New York Company A.M. Best Rating A+ (Superior), Financial Size A+ (Superior), Financial Size A(Excellent), Financial Size Category: A+ (Superior), Financial Size Category:XV($2 Billion or Greater) as Category:XV(Greater than or Equal XV(Greater than or Equal to$2 Billion) Category:XV(Greater than or Equal of May 2, 2022 to$2.00 Billion)as of May 18, 2023 as of August 3, 2023 to$2 Billion) as of March 16,2023 Washington Status Non-Admitted Non-Admitted Non-Admitted Non-Admitted Policy/Coverage Term January 1, 2023 to January 1,2024 January 1, 2024 to January 1,2025 January 1, 2024 to January 1, 2025 January 1, 2024 to January 1, 2025 Policy# 720000602-0001 TBD TBD TBD Coverage Form RCP1 RCP1 072023 ed. Cyber and Multimedia Liability C-4LRD-209472-CYBER-2024 Insurance Policy, SC-POL-002 (01/22) Retroactive Date Full Prior Acts Full Prior Acts Full Prior Acts Full Prior Acts Continuity Date January 1, 2022 January 1, 2022 January 1, 2024 January 1, 2024 Limits Aggregate Limit of Liability $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Covered Costs Breach Response $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000* *$3,000,000 Additional Breach Response Limit available Data Recovery $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Hardware Replacement $ 1,000,000 $ 1,000,000 $ 3,000,000 $ 3,000,000 Reward $ 50,000 $ 50,000 N/A N/A Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 8 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Cyber Liability Coverage - Continued Present Coverage Proposed Coverage Option-Proposed Option-Proposed Crum &Forster Coalition Limits—Continued Covered Loss Insured Interruption from Security Failure $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 from System Failure $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 from Intentional Shutdown $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Vendor Interruption from Vendor Security Failure $ 1,000,000 $ 1,000,000 $ 1,500,000 $ 3,000,000 from Vendor System Failure $ 1,000,000 $ 1,000,000 $ 1,500,000 $ 3,000,000 Extortion $ 1,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Reputation $ 1,000,000 $ 1,000,000 $ 3,000,000 $ 3,000,000 Telephone Fraud $ 250,000 $ 250,000 $ 250,000 $ 250,000 Cryptojacking $ 250,000 $ 250,000 $ 250,000 $ 250,000 Social Engineering $ 100,000 $ 250,000 $ 250,000 $ 250,000 Invoice Manipulation $ 250,000 $ 250,000 $ 250,000 $ 250,000 Transfer Fraud $ 250,000 $ 250,000 $ 250,000 $ 250,000 Pre-Claim Assistance N/A N/A N/A $ 5,000 Covered Liability Data & Network $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Regulatory $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Merchant Services $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Media $ 3,000,000 $ 3,000,000 $ 3,000,000 $ 3,000,000 Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 9 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-440A7497B275 Cyber Liability Coverage - Continued Present Coverage Proposed Coverage Option-Proposed Option-Proposed Crum &Forster Coalition Retentions $ 100,000 $ 100,000 $ 100,000* $ 100,000 $0 Retention for *$250,000 SIR Option Services from Coalition Incident Response Waiting Period 10 Hours 10 Hours 12 Hours 8 Hours Total Cost $100,000 Premium $ 81,000 Premium $ 84,489 Premium $ 85,000 Premium $ 2,100 S/L T&F $ 1,701 S/L T&F $ 1,774.27 S/L T&F $ 1,785 S/L T&F $102,100 $ 82,701 (-19%) $ 86,263.27 (-16%) $ 86,785.00 (-15%) $250,000 SIR Option: $73,927 Premium $1,552.46 S/L T&F $74,849.46 (-26%) Terrorism Included Included Included Included Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 10 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Cyber Liability Coverage - Continued Present Coverage Proposed Coverage Option-Proposed Option-Proposed Crum &Forster Coalition Endorsement& Exclusions 0 Extortion Event- (including but not limited to) $1,000,000 0 Cyber and Multimedia 0 Quota share • Territory: Worldwide • Territory: Worldwide Liability Insurance Policy Endorsement • Employee-Owned • Employee-Owned • Signature Page (Crum . Service of Suit Hardware BYOD Hardware BYOD and Forster Specialty 0 Computer ( ) ( ) Insurance Company) p included included . U.S. Treasury Replacement Notice of Terrorism . Cap on Losses Arising Department's (OFAC) Endorsement Insurance Out of Certified Acts of Advisory Notice to 0 Reputation Repair Coverage- Terrorism Policyholders Endorsement • Service of Process mandatory • Sanction Limitation and Clause (C&FS) • Reputational Harm disclosure Exclusion 0 Disclosure Pursuant to Endorsement • Sanction Limitation Terrorism Risk Insurance . Service Fraud and Exclusion- Act Endorsement mandatory • Cap on Losses from . Cap on Losses from endorsement Certified Acts of Terrorism Certified Acts of • Choice of Law Terrorism Endorsement—WA . Disclosure Pursuant • Biometric Information to Terrorism Risk Exclusion Endorsement Insurance Act Breach Costs Aggregate . Regulatory Coverage Limit Endorsement Enhancement • Specific Matter Exclusion Endorsement-CCPA Endorsement and GDPR • AmWins Amendatory . Court Attendance Endorsement Cost Reimbursement Endorsement • Criminal Reward Coverage • Duty to Cooperate • Your Obligations as an Insured Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 11 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Cyber Liability Coverage - Continued Present Coverage Proposed Coverage Option-Proposed Option-Proposed Crum &Forster Coalition • Amended Definition oflnsured • Betterment Endorsement • Consent to Settlement Change • Enhanced Systems Failure Contingent BI • Enhanced Waiting Period for Denial-of- Service Attacks • Invoice Manipulation • Misc Amendments • MFA Retention Reduction • Non-IT Vendor Contingent BI • Phishing (Impersonation) and proof of loss Preparation Primary for Breach • State Changes • WOS per contract • Wrongful Collection and Biometric Privacy Exclusion Quote Valid Until No Longer Applicable January 1, 2024 January 1, 2024 January 1, 2024 Binding Conditions No Longer Applicable See Binding Subjectivities See Binding Subjectivities See Binding Subjectivities See Disclaimer Page for Important Notices and Acknowledgment Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 12 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Disclosures This proposal of insurance is provided as a matter of convenience and information only. All information included in this proposal, including but not limited to personal and real property values, locations, operations, products, data, automobile schedules, financial data and loss experience, is based on facts and representations supplied to Alliant Insurance Services, Inc. by you. This proposal does not reflect any independent study or investigation by Alliant Insurance Services, Inc. or its agents and employees. Please be advised that this proposal is also expressly conditioned on there being no material change in the risk between the date of this proposal and the inception date of the proposed policy (including the occurrence of any claim or notice of circumstances that may give rise to a claim under any policy which the policy being proposed is a renewal or replacement). In the event of such change of risk, the insurer may, at its sole discretion, modify, or withdraw this proposal, whether or not this offer has already been accepted. This proposal is not confirmation of insurance and does not add to, extend, amend, change, or alter any coverage in any actual policy of insurance you may have. All existing policy terms, conditions, exclusions, and limitations apply. For specific information regarding your insurance coverage, please refer to the policy itself. Alliant Insurance Services, Inc. will not be liable for any claims arising from or related to information included in or omitted from this proposal of insurance. Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our compensation policy, including the types of income that Alliant may earn on a placement, are available on our website at www.alliant.com. For a copy of our policy or for any inquiries regarding compensation issues pertaining to your account you may also contact us at: Alliant Insurance Services, Inc., Attention: General Counsel, 701 B Street, 6th Floor, San Diego, CA 92101. Analyzing insurers' over-all performance and financial strength is a task that requires specialized skills and in-depth technical understanding of all aspects of insurance company finances and operations. Insurance brokerages such as Alliant Insurance typically rely upon rating agencies for this type of market analysis. Both A.M. Best and Standard and Poor's have been industry leaders in this area for many decades, utilizing a combination of quantitative and qualitative analysis of the information available in formulating their ratings. A.M. Best has an extensive database of nearly 6,000 Life/Health, Property Casualty and International companies. You can visit them at www.ambest.com. For additional information regarding insurer financial strength ratings visit Standard and Poor's website at www.standardandpoors.com. Our goal is to procure insurance for you with underwriters possessing the financial strength to perform. Alliant does not, however, guarantee the solvency of any underwriters with which insurance or reinsurance is placed and maintains no responsibility for any loss or damage arising from the financial failure or insolvency of any insurer. We encourage you to review the publicly available information collected to enable you to make an informed decision to accept or reject a particular underwriter. To learn more about companies doing business in your state, visit the Department of Insurance website for that state. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 13 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 NY Regulation 194 Alliant Insurance Services, Inc. is an insurance producer licensed by the State of New York. Insurance producers are authorized by their license to confer with insurance purchasers about the benefits, terms and conditions of insurance contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to sell insurance; and to obtain insurance for purchasers. The role of the producer in any particular transaction typically involves one or more of these activities. Compensation will be paid to the producer, based on the insurance contract the producer sells. Depending on the insurer(s)and insurance contract(s) the purchaser selects, compensation will be paid by the insurer(s) selling the insurance contract or by another third party. Such compensation may vary depending on a number of factors, including the insurance contract(s) and the insurer(s) the purchaser selects. In some cases, other factors such as the volume of business a producer provides to an insurer or the profitability of insurance contracts a producer provides to an insurer also may affect compensation. The insurance purchaser may obtain information about compensation expected to be received by the producer based in whole or in part on the sale of insurance to the purchaser, and (if applicable)compensation expected to be received based in whole or in part on any alternative quotes presented to the purchaser by the producer, by requesting such information from the producer. Privacy At Alliant, one of our top priorities is making sure that the information we have about you is protected and secure. We value our relationship with you and work hard to preserve your privacy and ensure that your preferences are honored. At the same time, the very nature of our relationship may result in Alliant's collecting or sharing certain types of information about you in order to provide the products and services you expect from us. Please take the time to read our full Privacy Policy posted at www.alliant.com, and contact your Alliant service team should you have any questions. Other Disclosures / Disclaimers FATCA: The Foreign Account Tax Compliance Act (FATCA) requires the notification of certain financial accounts to the United States Internal Revenue Service. Alliant does not provide tax advice so please contact your tax consultant for your obligation regarding FATCA. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 14 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Other Disclosures / Disclaimers - Continued NRRA: The Non-Admitted and Reinsurance Reform Act (NRRA) went into effect on July 21, 2011. Accordingly, surplus lines tax rates and regulations are subject to change which could result in an increase or decrease of the total surplus lines taxes and/or fees owed on this placement. If a change is required, we will promptly notify you. Any additional taxes and/or fees must be promptly remitted to Alliant Insurance Services, Inc. Guarantee Funds Established by law in every state, guaranty funds are maintained by a state's insurance commissioner to protect policyholders in the event that an insurer becomes insolvent or is unable to meet its financial obligations. If your insurance carrier is identified as 'Non-Admitted', your policy is not protected by your state's Guaranty Fund. Claims Reporting: Your policy will come with specific claim reporting requirements. Please make sure you understand these obligations. Contact your Alliant Service Team with any questions. Claims Made Policy: This claims-made policy contains a requirement stating that this policy applies only to any claim first made against the Insured and reported to the insurer during the policy period or applicable extended reporting period. Claims must be submitted to the insurer during the policy period, or applicable extended reporting period, as required pursuant to the Claims/Loss Notification Clause within the policy in order for coverage to apply. Late reporting or failure to report pursuant to the policy's requirements could result in a disclaimer of coverage by the insurer. Any Employment Practices Liability(EPL)or Directors&Officers(D&O)with EPL coverage must give notice to the insurer of any charges/complaints brought by any state / federal agency (i.e. EEOC and similar proceedings) involving an employee. To preserve your rights under the policy, it is important that timely notice be given to the insurer, whether or not a right to sue letter has been issued. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 15 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Other Disclosures / Disclaimers - Continued Changes and Developments It is important that we be advised of any changes in your operations, which may have a bearing on the validity and/or adequacy of your insurance. The types of changes that concern us include, but are not limited to, those listed below: ■ Changes in any operations such as expansion to another state, new products, or new applications of existing products. ■ Travel to any state not previously disclosed. ■ Permanent operations outside the United States, Canada or Puerto Rico. ■ Mergers and/or acquisition of new companies and any change in business ownership, including percentages. ■ Any newly assumed contractual liability, granting of indemnities or hold harmless agreements. ■ Any changes in existing premises including vacancy, whether temporary or permanent, alterations, demolition, etc. Also, any new premises either purchased, constructed or occupied ■ Circumstances which may require an increased liability insurance limit. ■ Any changes in fire or theft protection such as the installation of or disconnection of sprinkler systems, burglar alarms, etc. This includes any alterations to the system. ■ Immediate notification of any changes to a scheduled of equipment, property, vehicles, electronic data processing, etc. ■ Property of yours that is in transit, unless previously discussed and/or currently insured. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 16 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Other Disclosures / Disclaimers - Continued Certificates / Evidence of Insurance A Certificate or Evidence is issued as a matter of information only and confers no rights upon the certificate holder. The certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by a policy, nor does it constitute a contract between the issuing insurer(s), authorized representative, producer or recipient. You may have signed contracts, leases or other agreements requiring you to provide this evidence. In those agreements, you may assume obligations and/or liability for others (Indemnification, Hold Harmless) and some of the obligations that are not covered by insurance. We recommend that you and your legal counsel review these documents. In addition to providing a Certificate or Evident of Insurance, you may be required to name your landlord, client or customer on your policy as a loss payee on property insurance or as an additional insured on liability insurance. This is only possible with permission of the insurance company, added by endorsement and, in some cases, an additional premium. By naming the certificate holder as additional insured, there are consequences to your risks and insurance policy including: ■ Your policy limits are now shared with other entities; their claims involvement may reduce or exhaust your aggregate limit. ■ Your policy may provide higher limits than required by contract; your full limits can be exposed to the additional insured. ■ There may be conflicts in defense when your insurer has to defend both you and the additional insured. ■ An additional insured endorsement will most likely not provide notification of cancellation. Some insurance companies use a "blanket' additional insured endorsement that provides coverage automatically when it is required in a written contract. Most insurance companies do not want to be notified of all additional insureds when there is a blanket endorsement on the policy. If a notice of cancellation is required for the additional insured party, you must notify us immediately and we will request an endorsement from your insurance company. There may be an additional premium for adding a notice of cancellation endorsement for an additional insured. See Request to Bind Coverage page for acknowledgement of all disclaimers and disclosures. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 17 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Flood Disclosure Flooding is a serious threat to both personal and commercial clients. Flooding can happen anywhere, not just zone referred to as high-risk areas (Special Flood Hazard Area). Your Alliant team is ready to explain how it works and the associated costs. Basic Facts Congress created the NFIP in 1968 in response to the rising cost of taxpayer-funded disaster relief for flood victims and the increasing amount of damage caused by floods. The NFIP makes federally backed flood insurance available in communities that agree to adopt and enforce floodplain management ordinances to reduce future flood damage. The NFIP is self-supporting for the average historical loss year. This means that unless there is a widespread disaster, operating expenses and flood insurance claims are financed through premiums collected. Commercial buildings or residential dwellings owned by commercial entities are considered commercial property. All others are residential dwellings The FEMA Summary for Commercial Property and FEMA Standard Summary of Coverage provides information on the following: • Types of Flood Insurance Coverage • What is a Flood-"a General and temporary condition of partial or complete inundation of two or more acres of normally dry land area"... • Deductibles—various options to meet your financial needs • What is Covered and What is Not • The valuation of the Property—Actual Cash Value or Replacement Cost Additional Information • Flood Zones o https://www.fema.gov/flood-zones • Excess Flood Insurance (contact your Producer for additional information) o Increased limits over the maximum flood limit provided by NFIP FEMA Glossary of Flood Terms https://www.fema.gov/n ational-flood-insurance-prog ram/definition s Please indicate your selection: ❑ 1 would like to receive a flood quote ❑ I do N M9H'T?5V6rchased flood insurance Signature: Loa" b r.4fL Date: 12/28/2023 93E99D67ED24442... Name Printed/Typed: Dana L Ralph Company Name: Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 18 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-440A7497B275 Optional Coverages The following represents a list of insurance coverages that may not be included in this proposal but are optional and may be available with further underwriting information. This list is not inclusive of all coverages and if you have questions contact your Alliant representative. If you would like addition quotes please check Yes/No across from the coverage below, sign and return. Target Coverages Yes No CRIME Employee Dishonesty ❑ ❑ Computer Fraud ❑ ❑ Social Engineering ❑ ❑ Increased Limits ❑ ❑ FLOODINSURANCE ❑ ❑ MANAGEMENT LIABILITY Directors & Officers Liability ❑ ❑ Employment Practices Liability ❑ ❑ Fiduciary Liability ❑ ❑ NCned ElReject All eml�i lKe",Reject All or Accept All" option will override any selections you have made above ❑ Accept All for Consideration 93E99D67ED24442... 12 2 8 2 2 3 Signature of Authorized Insurance Representative Date Mayor M'Ra L Ralph Printed /Typed Name Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 19 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-440A7497B275 Optional Coverages - Continued Other Coverage Options Note some of these coverages may be included with limitations or insured elsewhere. This is a partial listing as you may have additional risks not contemplated here which are unique to your organization. • Business Income/Extra Expense • Non-Owned & Hired Automobile Liability • Earthquake 0 Pollution Liability • Employed Lawyers • Owned/Non-Owned Aircraft • Employee Benefits Liability • Owned Watercraft • Equipment Breakdown • Professional Liability • Food Borne Illness • Property in Transit • Foreign Insurance • Property of Others (Clients, Employees, Other) • Garagekeepers Liability • Special Events Liability • Hired Auto Physical Damage • Spoilage • Kidnap & Ransom • Student Accident • Law Enforcement Liability • Volunteer Accidental Death & Dismemberment (AD&D) • Media and Publishers Liability • Workers Compensation & Employers Liability • Network Security/ Privacy Liability and Internet Media Liability • Workplace Violence Glossary of Insurance Terms Below are links to assist you in understanding the insurance terms you may find within your insurance coverages: http://insurancecommunityuniversity.com/un iversity-resources/insurance-glossary-free https://consumers.ambest.com/content.aspx?rec=261613 http://www.irmi.com/online/insurance-glossary/default.aspx Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 20 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Request to Bind Coverage City of Kent We have reviewed the proposal and agree to the terms and conditions of the coverages presented. We are requesting coverage to be bound as outlined by coverage line below: Coverage Line Bind Coverage for Excess Workers' Compensation and Employers Liability ❑ Cyber Liability—Homeland Ins Company-Resilience-$100K SIR ❑ Cyber Liability—C&F $100K SIR ❑ Cyber Liability—C&F $250K SIR ❑ Cyber Liability—Coalition $100K SIR ❑ Did you know that Alliant works with premium financing companies?Are you interested in financing your annual premium? Yes, please provide us with a financing quote. ❑ ❑ This Authorization to Bind Coverage also acknowledges receipt and review of all disclaimers and disclosures, including exposures used to develop insurance terms, contained within this proposal. EP DocuSigned by: q," b rdfL 12/28/2023 93E99D67ED24442... Signature of Authorized Insured Representative Date Mayor Title Dana L Ralph Printed /Typed Name This proposal does not constitute a binder of insurance. Binding is subject to the final carrier approval.The actual terms and conditions of the policy will prevail. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 21 DocuSign Envelope ID:3A9FB613-156B-43DF-ADBF-44OA7497B275 Binding Subjectivities Recap ALL coverages require a written request to bind coverage. Additional subjectivities are listed below by Coverage Line. Coverage Line and Description of Subjectivity(ies) Excess Workers' Compensation and Employers Liability • The Excess Workers Compensation program quoted is contingent upon also binding any other lines quoted with Safety National. SN may consider providing revised or additional quote options for individual lines of coverage subject to further underwriting review and approval. Cyber Liability • Resilience: Already satisfied -Confirm Risk Manager and Security (CISO or equivalent) contact • Resilience: Already satisfied -Insurer's external scan identified potential vulnerabilities that might be associated with insured's network. These findings are based on DNS record(s)for some City of Kent domains. Insurers were not able to verify if these are false positives or not. The attached Security Risk Indicators Report provides details, please review and advise • Crum and Forster: Completion of an onboarding call with the C&F Cyber Solutions Team within 15 days of binding. • Coalition: An authorized representative of the Named Insured signs the Coalition application within thirty (30) days of the issuance of a binder or insurance coverage will not take effect. In order to complete the underwriting process, we require that you send us any additional information requested above. We are not required to bind coverage prior to our receipt and underwriting acceptance of the above information. However, if we do bind coverage prior to such acceptance, the terms and conditions as indicated above may be amended until such receipt and acceptance. Any agreement to bind coverage in connection with this proposal must be in writing from an authorized employee of the Insurer. Alliant Insurance Services, Inc. I www.alliant.com I CA License No.OC36861 Page 22