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efta-efta00793186DOJ Data Set 9Other

SCHEDULE FOR POLICY PERIOD ENDING ON

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DOJ Data Set 9
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efta-efta00793186
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
SCHEDULE FOR POLICY PERIOD ENDING ON January 1 2019 NOTICE THIS POLICY IS ISSUED BY YOUR RISK RETENTION GROUP. YOUR RISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND REGULATIONS OF YOUR STATE. STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK RETENTION GROUP. THIS SCHEDULE, INCLUDING ALL ENDORSEMENTS LISTED HEREIN, IS INCORPORATED IN AND MADE A PART OF THE POLICY TO WHICH IT APPLIES. IT ENTIRELY REPLACES ANY SCHEDULE PREVIOUSLY ISSUED IN CONNECTION WITH ANY EARLIER POLICY YEAR. THE POLICY TO WHICH THIS SCHEDULE APPLIES IS A COSTS INCLUSIVE POLICY. THE POLICY IS ALSO SUBJECT TO A RETROSPECTIVE PREMIUM OBLIGATION IN ACCORDANCE WITH THE ATTACHED RETROSPECTIVE. PREMIUM ENDORSEMENT. 1. POLICY NUMBER: ALA 1391 2. NAME(S) OF THE FIRM: FOWLER WHITE BURNETT III 3. PREDECESSORS: See Attachment 1 4. PRINCIPAL ADDRESS OF THE FIRM: Brickell Arch 1395 Brickell Avenue Miami, FL 33131-1101 5. PERIOD OF INSURANCE; From: April 1, 1988 at 12:01 local time at the principal address of the FIRM. To: the effective date of cancel ation of this Policy pursuant to Clause IV-4(a) or termination pursuant to Clause IV-3(c) or Clause IV-7(a). 6. ANNUAL PREMIUM: For the POLICY YEAR ending at 12:01 local time at the principal address of the FIRM on January 1, 2019, payable as set forth below. 7. Premiums are payable by two methods through The Bank of New York Mellon: (1) Wire Transfer (ABA #: , Account #. NM, or (il) ACH Payment (ABA #: Account # 8. PER CLAIM SUM INSURED (inclusive of costs, charges, and expenses) AGGREGATE SUM INSURED (inclusive of costs, charges, and expenses) CONDITIONAL ADDITIONAL CIRCUMSTANCE LIMIT (inclusive of costs, charges, and expenses) EXTENDED REPORTING PERIOD SUM INSURED (inclusive of costs, charges, and expenses) RETURN OF FEES LIMIT (inclusive of costs. charges, and expenses) $ 15,000,000 $ 30,000,000 $ 3,000.000 $ 15.000.000 $ 2,000,000 (each claim and in the aggregate) LPL SCH 010' 10 EFTA00793186 9. RETENTION: A Sirgle Claim Retention: (Clause IV-2(a)(I)) B. Aggregate Annual Retention: (Clause 0/-2(a)(iI)) C. Maintenance Retention: (Clause IV-2(a)(0)) 10. DATE OF APPLICATION: February 29. 1988 11. ANNIVERSARY DATE: January 1, 2019 12. A. EXCLUSION 9 EFFECTIVE DATE: September 30. 1987 B. AMENDED EXCLUSION 9 EFFECTIVE DATE: May 31, 1991 S S 13. APPLICABLE ENDORSEMENTS: Retrospective Premium Endorsement Endorsement Regarding Coverage for Electronic Data Risk Events - A Only Copies of all initial application materials (or with respect to renewals of coverage, renewal application materials) and materials relating to any special endorsements issued are incorporated herein and, by reference, are made a part of this Schedule and the Policy, LPL POL 051617. ATTORNEYS' LIABILITY ASSURANCE SOCIETY, INC., A RISK RETENTION GROUP By 4 ...“44/2 Its President µ wi 1 1 LPL SCH 010118 EFTA00793187 ATTORNEYS' LIABILITY ASSURANCE SOCIETY, INC., A RISK RETENTION GROUP ATTACHMENT NO, 1 TO POLICY ALA 1391 Predecessors: Fowler, White, Burnett, Hurley, Banick & Knight]. .Fowler. White, Burnett, Hurley, Banick & StrIckroot Fowler, White, Burnett, Hurley, Banick & Strickroot, A Professional Association Fowler, White, Collins, Gillen, Humkey & Trenam Fowler, White, Gillen, Humkey & Trenam Fowler, White, Gillen, Yancey & Humkey Fowler. White, Humkey. Burnett, Hurley & Banick,E. LPL SCH 01011D EFTA00793188

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