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E & O Application Renewal

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E&O Renewal Application

SECTION II - Professional Services

Describe the services the Named Insured and any subsidiaries provides
1. Services (must equal 100%)
2. Valuation for Public Traded Companies:

3. M&A Services

Acting as Intermediary/Selling Ownership Shares

Section III - General

B. Do the Applicant’s contracts contain any of the following?

Section IV – Prior Activities Information

Section V – Surplus Lines Notice

THIS POLICY IS WRITTEN AS A SURPLUS LINE POLICY, APPLICABLE TO THE STATE SURPLUS LINES REGULATIONS. THE INSURER (LLOYDS OF LONDON) IS NOT PERMITTED TO TRANSACT BUSINESS AS AN ADMITTED OR LICENSED CARRIER AS DEFINED BY THE STATE COMMISSIONER OF INSURANCE. THE POLICY IS NOT SUBJECT TO THE FILING OR APPROVAL REQUIREMENTS, AUDIT REQUIREMENTS, OR REVIEW FOR SOLVENCY BY ANY STATE DEPARTMENT OF INSURANCE. IN THE EVENT OF INSOLVENCY OF THE INSURER, THIS POLICY IS NOT COVERED BY ANY STATE INSURANCE GUARANTY FUND. THE UNDERSIGNED ACKNOWLEDGES AND ACCEPTS THAT THE COVERAGE WRITTEN UNDER THIS POLICY IS A SURPLUS LINE POLICY AND IS SUBJECT TO THE TERMS AND CONDITIONS STATED HEREIN.

Section VI – Cyber Liability

In signing this application, the Applicant confirms that it:

  1. has a written corporate-wide privacy policy which addresses information management, records and compliance and conducts awareness training regarding Privacy issues for all employees;
  2. maintains the following on its computer system and regularly updates:
    • firewalls including for use of mobile laptops and PCs remotely.
    • anti-virus and malware prevention solutions.
    • a formalized strategy to ensure timely updates of software and operating systems;
  3. does not collect, process and store more than 100,000 individual records that can be considered to be personally identifiable information. Personally identifiable information means any information collected that could be used to identify an individual;
  4. has established and documented system backup and recovery procedures;
  5. backs-up all sensitive/critical business data at least every 7 days;
  6. has a written Business Continuity and Disaster Recovery Plan in place which establishes the steps for keeping all aspects of the business functioning and IT related infrastructure recovery/continuity in the midst of disruptive events.

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