|
33$3DJHRI
<br />7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ
<br />%86,1(66 $872 &29(5$*()250
<br />$ %URDG)RUP1DPHG,QVXUHG
<br />7KH IROORZLQJ LV DGGHG WR WKH6(&7,21 ,,
<br />&29(5('$8726/,$%,/,7<&29(5$*(3DUD
<br />JUDSK$:KR,V$Q,QVXUHG3URYLVLRQ
<br />$Q\EXVLQHVVHQWLW\QHZO\DFTXLUHGRUIRUPHGE\\RX
<br />GXULQJ WKH SROLF\ SHULRG SURYLGHG \RX RZQ ILIW\
<br />SHUFHQW RUPRUHRIWKHEXVLQHVVHQWLW\DQGWKH
<br />EXVLQHVVHQWLW\LVQRWVHSDUDWHO\LQVXUHGIRU%XVLQHVV
<br />$XWR &RYHUDJH &RYHUDJH LV H[WHQGHG XS WR D
<br />PD[LPXPRIRQHKXQGUHGHLJKW\ GD\VIROORZLQJ
<br />WKHDFTXLVLWLRQRUIRUPDWLRQRIWKHEXVLQHVVHQWLW\
<br />7KLV SURYLVLRQ GRHV QRW DSSO\ WR DQ\ SHUVRQ RU
<br />RUJDQL]DWLRQ IRU ZKLFK FRYHUDJH LV H[FOXGHG E\
<br />HQGRUVHPHQW
<br />% (PSOR\HHV$V,QVXUHGV
<br />7KH IROORZLQJ LV DGGHG WR WKH6(&7,21 ,,
<br />&29(5('$8726/,$%,/,7<&29(5$*(3DUD
<br />JUDSK$:KR,V$Q,QVXUHG3URYLVLRQ
<br />$Q\HPSOR\HH RI\RXUVLVDQLQVXUHG ZKLOHXVLQJD
<br />FRYHUHGDXWR \RXGRQ<br />WRZQKLUHRUERUURZLQ\RXU
<br />EXVLQHVVRU\RXUSHUVRQDODIIDLUV
<br />& %ODQNHW$GGLWLRQDO,QVXUHG
<br />7KH IROORZLQJ LV DGGHG WR WKH6(&7,21 ,,
<br />&29(5('$8726/,$%,/,7<&29(5$*(3DUD
<br />JUDSK$:KR,V$Q,QVXUHG3URYLVLRQ
<br />$Q\SHUVRQRURUJDQL]DWLRQWKDW\RXDUHUHTXLUHGWR
<br />LQFOXGHDVDQDGGLWLRQDOLQVXUHGRQWKLVFRYHUDJHIRUP
<br />LQDFRQWUDFWRUDJUHHPHQWWKDWLVH[HFXWHGE\\RX
<br />EHIRUHWKHERGLO\LQMXU\RUSURSHUW\GDPDJH RFFXUV
<br />LV DQLQVXUHG IRU OLDELOLW\ FRYHUDJH EXW RQO\ IRU
<br />GDPDJHVWRZKLFKWKLVLQVXUDQFHDSSOLHVDQGRQO\WR
<br />WKHH[WHQWWKDWSHUVRQRURUJDQL]DWLRQTXDOLILHVDVDQ
<br />LQVXUHG XQGHU WKH :KR ,V $Q ,QVXUHG SURYLVLRQ
<br />FRQWDLQHG LQ6(&7,21 ,, &29(5(' $8726
<br />/,$%,/,7<&29(5$*(
<br />7KHLQVXUDQFHSURYLGHGWRWKHDGGLWLRQDOLQVXUHGZLOO
<br />EH RQ D SULPDU\ DQG QRQFRQWULEXWRU\ EDVLV WR WKH
<br />YHUDJHLI
<br />\RXDUHUHTXLUHGWRGRVRLQDFRQWUDFWRUDJUHHPHQW
<br />WKDWLVH[HFXWHGE\\RXEHIRUHWKHERGLO\LQMXU\RU
<br />SURSHUW\GDPDJH RFFXUV
<br />' %ODQNHW:DLYHU2I6XEURJDWLRQ
<br />7KHIROORZLQJLVDGGHGWRWKH6(&7,21,9%86,
<br />1(66$872&21',7,216$/RVV&RQGLWLRQV
<br />7UDQVIHU2I5LJKWV2I5HFRYHU\$JDLQVW2WKHUV
<br />7R8V
<br />:HZDLYHDQ\ULJKWRIUHFRYHU\ZHPD\KDYHDJDLQVW
<br />DQ\SHUVRQRURUJDQL]DWLRQWRWKHH[WHQWUHTXLUHGRI
<br />\RXE\DFRQWUDFWH[HFXWHGSULRUWRDQ\DFFLGHQW RU
<br />ORVV SURYLGHGWKDWWKHDFFLGHQW RUORVV DULVHVRXW
<br />RIWKHRSHUDWLRQVFRQWHPSODWHGE\VXFKFRQWUDFW7KH
<br />ZDLYHU DSSOLHV RQO\ WR WKH SHUVRQ RU RUJDQL]DWLRQ
<br />GHVLJQDWHGLQVXFKFRQWUDFW
<br />( (PSOR\HH+LUHG$XWRV
<br /> 7KH IROORZLQJ LV DGGHG WR WKH6(&7,21 ,,
<br />&29(5(' $8726 /,$%,/,7< &29(5$*(
<br />3DUDJUDSK$:KR,V$Q,QVXUHG3URYLVLRQ
<br />$QHPSOR\HH RI \RXUV LV DQLQVXUHG ZKLOH
<br />RSHUDWLQJ DQDXWR KLUHG RU UHQWHG XQGHU D
<br />FRQWUDFWRUDJUHHPHQWLQWKDWHPSOR\HH<br />V QDPH
<br />ZLWK \RXU SHUPLVVLRQ ZKLOH SHUIRUPLQJ GXWLHV
<br />UHODWHGWRWKHFRQGXFWRI\RXUEXVLQHVV
<br />&KDQJHV,Q*HQHUDO&RQGLWLRQV
<br />3DUDJUDSKERI WKH2WKHU ,QVXUDQFH&RQ
<br />GLWLRQLQWKH%86,1(66$872&21',7,216LV
<br />GHOHWHGDQGUHSODFHGZLWKWKHIROORZLQJ
<br />E )RU+LUHG$XWR3K\VLFDO'DPDJH&RYHUDJH
<br />WKH IROORZLQJ DUH GHHPHG WR EH FRYHUHG
<br />DXWRV \RXRZQ
<br /> $Q\FRYHUHGDXWR \RXOHDVHKLUHUHQW
<br />RUERUURZ DQG
<br /> $Q\ FRYHUHGDXWR KLUHG RU UHQWHG E\
<br />\RXUHPSOR\HH XQGHUDFRQWUDFWLQWKDW
<br />LQGLYLGXDOHPSOR\HH<br />V QDPHZLWK\RXU
<br />SHUPLVVLRQ ZKLOH SHUIRUPLQJ GXWLHV
<br />UHODWHGWRWKHFRQGXFWRI\RXUEXVLQHVV
<br />+RZHYHUDQ\DXWR WKDWLVOHDVHGKLUHG
<br />UHQWHGRUERUURZHGZLWKDGULYHULVQRWD
<br />FRYHUHGDXWR
<br />) )HOORZ(PSOR\HH&RYHUDJH
<br />6(&7,21 ,, &29(5(' $8726 /,$%,/,7<
<br />&29(5$*(([FOXVLRQ%GRHVQRWDSSO\LI\RX
<br />KDYH ZRUNHUV FRPSHQVDWLRQ LQVXUDQFH LQIRUFH
<br />FRYHULQJDOORI\RXUHPSOR\HHV
<br />* $XWR/RDQ/HDVH*DS&RYHUDJH
<br />6(&7,21,,,3+<6,&$/'$0$*(&29(5$*(
<br />&/LPLW2I,QVXUDQFHLVDPHQGHGE\WKHDGGLWLRQRI
<br />WKHIROORZLQJ
<br />,QWKHHYHQWRIDWRWDOORVV WRDFRYHUHGDXWR VKRZQ
<br />LQ WKH 6FKHGXOH RI 'HFODUDWLRQV ZH ZLOO SD\ DQ\
<br />XQSDLGDPRXQWGXHRQWKHOHDVHRUORDQIRUDFRYHUHG
<br />DXWR OHVV
<br />7KH DPRXQW SDLG XQGHU WKH3+<6,&$/
<br />'$0$*(&29(5$*(VHFWLRQRIWKHSROLF\ DQG
<br />$Q\
<br />D2YHUGXHOHDVHORDQSD\PHQWVDWWKHWLPHRI
<br />WKHORVV
<br />& %ODQNHW$GGLWLRQDO,QVXUHG
<br />' %ODQNHW:DLYHU2I6XEURJDWLRQ
<br />7KHLQVXUDQFHSURYLGHGWRWKHDGGLWLRQDOLQVXUHGZLOO7KHLQVXUDQFHSURYLGHGWRWKHDGGLWLRQDOLQVXUHGZLOO
<br />EH RQ D SULPDU\ DQG QRQFRQWULEXWRU\ EDVLV WR WKHEH RQ D SULPDU\ DQG QRQFRQWULEXWRU\ EDVLV WR WKH
<br />YHUDJHLIYHUDJHLI
<br />\RXDUHUHTXLUHGWRGRVRLQDFRQWUDFWRUDJUHHPHQW\RXDUHUHTXLUHGWRGRVRLQDFRQWUDFWRUDJUHHPHQW
<br />WKDWLVH[HFXWHGE\\RXEHIRUHWKHERGLO\LQMXU\RUWKDWLVH[HFXWHGE\\RXEHIRUHWKH
<br />SURSHUW\GDPDJH RFFXUV
<br />Docusign Envelope ID: 1E4E4FCF-7AB2-8687-82B4-D0B680FDBFDB
|