FIREPE, INC. (2) - Laserfiche WebLink

Policy Number: RLI Insurance Company PPB 300 06 10 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack® ERISA ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SECTION I – PROPERTY, G. Optional Coverages, 2. Employee Dishonesty of the Businessowners Coverage Form is changed as follows: Your Employee welfare or pension benefit plan(s) that are subject to the Employee Retirement Income Security Act of 1974 (hereinafter called Plan) are included as insureds under the Employee Dishonesty coverage but only to the extent provided in this endorsement. In compliance with certain provisions of the Employee Retirement Security Act of 1974 (ERISA): 1. “Employee” also includes any natural person who is; a. A trustee, an officer, employee, administrator or a manager, except an administrator or a manager who is an independent contractor of any Plan insured under this endorsement, and b. Your director or trustee while that person is handling “money”, “securities”, or other property of any Plan insured under this endorsement. 2. If any Plan is insured jointly with any other entity under this insurance, you or the Plan Administrator must select a Limit of Insurance for ERISA Employee Dishonesty that is sufficient to provide an amount of insurance for each Plan that is at least equal to that required if each Plan were separately insured. 3. If the first Named Insured in the Declarations is an entity other than a Plan, any payment we make to that insured for loss sustained by a Plan will be held by that Insured for the use and benefit of the Plan sustaining the loss. 4. If two or more Plans are insured under this endorsement, any payment we make for loss; a. Sustained by two or more Plans; or b. Of commingled “money”, “securities”, or other property of two or more Plans; that arises out of one occurrence is to be shared by each Plan sustaining loss in the proportion that the Limit of Insurance required for each Plan bears to the total of those limits. 5. The Deductible applicable to Employee Dishonesty does not apply to loss sustained by any Plan(s). 6. Any of your Plan(s) that meet the requirements of ERISA is an insured under this endorsement. 7. The most we will pay for loss in any one occurrence is the Limit of Insurance shown in the declarations. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PSB0010943 Exhibit B Docusign Envelope ID: 7D12103B-E5DC-46A2-B6BA-3BD5268ECDA5