ACCEPTED CTR066173 GL, AL, WC, PL 04.01.23 - 04.01.24.pdf

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

06/15/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.

THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

LOCKTON COMPANIES LLC/PHS

34340808 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251

CONTACT

NAME:

PHONE

(A/C, No, Ext):

(866) 467-8730 FAX

(A/C, No):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC#

INSURED

KEEN INDEPENDENT RESEARCH LLC

100 FILLMORE ST FL 5

DENVER CO 80206-4916

INSURER A : Sentinel Insurance Company Ltd. 11000

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR

TYPE OF INSURANCE ADDL

INSR

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/Y YYY)

LIMITS

A

COMMERCIAL GENERAL LIABILITY

X X 34 SBA PJ4296 04/01/2023 04/01/2024

EACH OCCURRENCE $2,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $1,000,000

X General Liability MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $2,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000

POLICY X PRO-

JECT

LOC PRODUCTS - COMP/OP AGG $4,000,000

OTHER:

A

AUTOMOBILE LIABILITY

34 SBA PJ4296 04/01/2023 04/01/2024

COMBINED SINGLE LIMIT

(Ea accident)

$2,000,000 ANY AUTO BODILY INJURY (Per person)

ALL OWNED

AUTOS

SCHEDULED

AUTOS BODILY INJURY (Per accident)

X HIRED

AUTOS X NON-OWNED

AUTOS

PROPERTY DAMAGE

(Per accident)

A

X UMBRELLA LIAB

EXCESS LIAB

X OCCUR

CLAIMS-

MADE 34 SBA PJ4296 04/01/2023 04/01/2024

EACH OCCURRENCE $2,000,000

AGGREGATE $2,000,000

DED X RETENTION $ 10,000

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY

PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

N/ A

PER

STATUTE

OTH-

ER

Y/N E.L. EACH ACCIDENT

E.L. DISEASE -EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

A EMPLOYMENT PRACTICES

LIABILITY

34 SBA PJ4296 04/01/2023 04/01/2024 Each Claim Limit Aggregate Limit

$10,000 $10,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Those usual to the Insured's Operations. **See Cert Holder Text

CERTIFICATE HOLDER CANCELLATION

The State of Arizona or ADOT

1324 N 22ND AVE

PHOENIX AZ 85009-3715

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED

IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD e6906 Accepted

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

INSURER(S) AFFORDING COVERAGE NAIC #

PRODUCER

INSURED

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

COVERAGES

TYPE OF INSURANCE POLICY NUMBER LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

LOCPOLICY

OTHER:

EACH OCCURRENCE

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

AUTOMOBILE LIABILITY

ANY AUTO

OCCUR

CLAIMS-MADE

DED RETENTION $

EACH OCCURRENCE

AGGREGATE

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

Y/N

CONTACT

NAME:

PHONE

(A/C, No, Ext):

E-MAIL

ADDRESS:

FAX

(A/C, No):

CERTIFICATE NUMBER: REVISION NUMBER:

UMBRELLA LIAB

EXCESS LIAB

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

INSURER F :

N/A

SCHEDULED

AUTOS

NON-OWNED

AUTOS ONLY

OWNED

AUTOS ONLY

HIRED

AUTOS ONLY

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR

ADDL

INSD

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

PRO-

JECT

DAMAGE TO RENTED

PREMISES (Ea occurrence)

COMBINED SINGLE LIMIT

(Ea accident)

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE

(Per accident)

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

PER

STATUTE

OTH-

ER

SUBR

WVD

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

06/29/2023

AUTOMATIC DATA PROCESSING INSURANCE AGCY INC

1 ADP BLVD MS 625

ROSELAND, NJ 07068

(877) 677-0428

(877) 677-0428 (877) 677-0430 spcbicadp@travelers.com

KEEN INDEPENDENT RESEARCH LLC

100 FILLMORE ST. 5TH FL.

DENVER, CO 80206

THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT

320791529541081

A X UB-9M740535-23 04/08/2023 04/08/2024 X

1,000,000 1,000,000 1,000,000

AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WC 00 03 13 (00) - WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS HAS BEEN

ATTACHED TO THE POLICY IN REGARD TO THE STATE OF ARIZONA OR ADOT

THE STATE OF ARIZONA OR ADOT

1324 N 22ND AVE

PHOENIX, AZ 85009

ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID:

LOC# :

ADDITIONAL REMARKS SCHEDULE Page 2 of 2

AGENCY

LOCKTON COMPANIES LLC/PHS

NAMED INSURED

KEEN INDEPENDENT RESEARCH LLC

100 FILLMORE ST FL 5

DENVER CO 80206-4916

POLICY NUMBER

SEE ACORD 25

CARRIER

SEE ACORD 25

NAIC CODE

EFFECTIVE DATE: SEE ACORD 25

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM

FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE

Coverage is primary and noncontributory per the Business Liability Coverage Form SS0008, attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of Subrogation Form SS1215, attached to this policy.

Certificate holder is an additional insured per Additional Insured: Owners, Lessees, or Contractors; Scheduled Person or Organization Form SS4170 and Additional Insured: Owners, Lessees or Contractors; Completed Operations form SS4171, attached to this policy.

3600 WISEMAN BLVD.

SAN ANTONIO TX 78251

(866) 467-8730

(866) 467-8730

SERVICE.TX@THEHARTFORD.COM

(866) 467-8730

(866) 467-8730

LOCKTON COMPANIES LLC/PHS

The Hartford Hartford Fire Insurance Company and its Affiliates One Hartford Plaza, Hartford, Connecticut 06155

Select Customer Insurance Center

Policyholder, please call us at:

Agent, please call us at:

INSURANCE ENDORSEMENT

ATTACHED

*** PLEASE REVIEW THE CHANGE ***

Enclosed is an endorsement for your business insurance policy. Please review it at your convenience. If you have questions or need to make further changes:

Policyholder, please call us at:

Agent, please call us at: between 7 A.M. and 7 P.M. CST .

The premium billing will be mailed to you separately. You can expect to receive it soon.

Thank you for allowing us to service your business needs.

THE HARTFORD SELECT CUSTOMER INSURANCE CENTER

06/15/23 04/01/23

04/01/24

34 SBA PJ4296 DX

KEEN INDEPENDENT RESEARCH LLC

100 FILMORE STREET 5TH FL

DENVER CO 80206

06/15/23

LOCKTON COMPANIES LLC/PHS

340808

SENTINEL INSURANCE COMPANY, LIMITED

ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING

STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK

ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.

THIS IS NOT A BILL.

NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE

PROPERTY OPTIONAL COVERAGES APPLICABLE TO ALL LOCATIONS ARE ADDED

COMPUTERS AND MEDIA COVERAGE

FORM SS 04 41

DEDUCTIBLE: $ 1,000

FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:

IH12001185 ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR

PRO RATA FACTOR: 0.797

THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.

Form SS 12 11 04 05 T Page Process Date: Policy Effective Date:

Policy Expiration Date:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

POLICY CHANGE

This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below:

Policy Number:

Named Insured and Mailing Address;

Policy Change Effective Date: Effective hour is the same as stated in the Declarations Page of the Policy.

Policy Change Number:

Agent Name:

Code:

POLICY CHANGES:

34 SBA PJ4296

ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR

RAMSEY COUNTY

FINANCE DEPARTMENT, PROCUREMENT

121 7TH PLACE EAST, SUITE 4000

SAINT PAUL, MN 55101

CITY OF ALEXANDRIA

915 THIRD STREET

ALEXANDRIA, LA 71301

WASHINGTON METROPOLITAN AREA TRANSIT AUTHORITY AND

WMATA BOARD OF DIRECTORS

OFFICE OF INSURANCE ROOM 8F

600 5TH ST NW

WASHINGTON DC 20001

STATE OF ARIZONA OR ADOT

1324 N 22ND AVE

PHEONIX, AZ 85009

003 001

06/15/23 04/01/24

POLICY NUMBER:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Form IH 12 00 11 85 T SEQ. NO. Printed in U.S.A. Page

Process Date: Expiration Date:

JB04407

Highlight

JB04407

Highlight

3600 WISEMAN BLVD.

SAN ANTONIO TX 78251

(866) 467-8730

(866) 467-8730

SERVICE.TX@THEHARTFORD.COM

(866) 467-8730

(866) 467-8730

LOCKTON COMPANIES LLC/PHS

The Hartford Hartford Fire Insurance Company and its Affiliates One Hartford Plaza, Hartford, Connecticut 06155

Select Customer Insurance Center

Policyholder, please call us at:

Agent, please call us at:

INSURANCE ENDORSEMENT

ATTACHED

*** PLEASE REVIEW THE CHANGE ***

Enclosed is an endorsement for your business insurance policy. Please review it at your convenience. If you have questions or need to make further changes:

Policyholder, please call us at:

Agent, please call us at: between 7 A.M. and 7 P.M. CST .

The premium billing will be mailed to you separately. You can expect to receive it soon.

Thank you for allowing us to service your business needs.

THE HARTFORD SELECT CUSTOMER INSURANCE CENTER

001 (CONTINUED ON NEXT PAGE)

04/01/24

34 SBA PJ4296 DX

KEEN INDEPENDENT RESEARCH LLC

100 FILMORE STREET 5TH FL

DENVER CO 80206

06/15/23

LOCKTON COMPANIES LLC/PHS

340808

SENTINEL INSURANCE COMPANY, LIMITED

ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING

STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK

ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.

THIS IS NOT A BILL.

NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE

PROPERTY OPTIONAL COVERAGES APPLICABLE TO ALL LOCATIONS ARE ADDED

COMPUTERS AND MEDIA COVERAGE

FORM SS 04 41

DEDUCTIBLE: $ 1,000

FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:

IH12001185 WAIVER OF SUBROGATION

PRO RATA FACTOR: 0.797

THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.

Form SS 12 11 04 05 T Page Process Date: Policy Effective Date:

Policy Expiration Date:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

POLICY CHANGE

This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below:

Policy Number:

Named Insured and Mailing Address;

Policy Change Effective Date: Effective hour is the same as stated in the Declarations Page of the Policy.

Policy Change Number:

Agent Name:

Code:

POLICY CHANGES:

04/01/24

34 SBA PJ4296

IH12001185 PRIMARY AND NONCONTRIBUTORY

Form SS 12 11 04 05 T Page Process Date: Policy Effective Date:

Policy Expiration Date:

POLICY CHANGE (Continued)

Policy Number:

Policy Change Number:

WAIVER OF SUBROGATION

THE STATE OF ARIZONA, AND ITS DEPARTMENTS, AGENCIES, BOARDS,

COMMISSIONS, UNIVERSITIES, OFFICERS, OFFICIALS, AGENTS, AND

EMPLOYEES

1324 N 22ND AVE

PHOENIX AZ 85009

CLARK COUNTY SCHOOL DISTRICT

ATTN: PURCHASING DEPARTMENT

4212 EUCALYPTUS AVE BLDG 7

LAS VEGAS NV 89121

CITY OF BOSTON

OFFICE OF ECONOMIC

OPPORTUNITY AND INCLUSION

THE CITY OF BOSTON, ITS OFFICIALS, EMPLOYEES AND VOLUNTEERS

1 CITY HALL SQUARE

BOSTON, MA 02201

THE ORANGE COUNTY TRANSPORTATION

AUTHORITY, ITS OFFICERS, DIRECTORS,

EMPLOYEES AND AGENTS

PO BOX 60840

LAS VEGAS NV 89160-0840

ADOT PROCUREMENT GROUP

STATE OF ARIZONA, ANDITS DEPARTMENTS, AGENCIES, BOARDS, COMMISSIONS,

UNIVERSITIES, OFFICERS, OFFICIALS, AGENTS, AND EMPLOYEES

1739 W JACKSON ST STE A

PHOENIX AZ 85007-3218

CITY OF SPRINGFIELD

DIVISION OF PURCHASES

218 E CENTRAL ST

SPRINGFIELD MO 65802

THE STATE OF ARIZONA OR ADOT

1324 N 22ND AVE

PHOENIX, AZ 85009

004 001 (CONTINUED ON NEXT PAGE)

06/15/23 04/01/24

POLICY NUMBER:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Form IH 12 00 11 85 T SEQ. NO. Printed in U.S.A. Page

Process Date: Expiration Date:

JB04407

Highlight

WAIVER OF SUBROGATION

004 002 (CONTINUED ON NEXT PAGE)

06/15/23 04/01/24

POLICY NUMBER:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Form IH 12 00 11 85 T SEQ. NO. Printed in U.S.A. Page

Process Date: Expiration Date:

PRIMARY AND NONCONTRIBUTORY

CITY OF SPRINGFIELD

DIVISION OF PURCHASES

218 E CENTRAL ST

SPRINGFIELD MO 65802

ADOT PROCUREMENT GROUP

MAIL DROP 100P

1739 W JACKSON ST STE A

PHOENIX AZ 85007-3218

THE ORANGE COUNTY TRANSPORTATION

AUTHORITY, ITS OFFICERS, DIRECTORS,

EMPLOYEES AND AGENTS

PO BOX 60840

LAS VEGAS NV 89160-0840

CLARK COUNTY SCHOOL DISTRICT

ATTN: PURCHASING DEPARTMENT

4212 EUCALYPTUS AVE BLDG 7

LAS VEGAS NV 89121

STATE OF ARIZONA OR ADOT

1324 N 22ND AVE

PHOENIX, AZ 85009

006 001 (CONTINUED ON NEXT PAGE)

06/15/23 04/01/24

POLICY NUMBER:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Form IH 12 00 11 85 T SEQ. NO. Printed in U.S.A. Page

Process Date: Expiration Date:

JB04407

Highlight

June 20, 2023

Kelly Greene ADOT Procurement 1655 W Jackson St.

Phoenix, AZ 85007

Re: Insurance exemption request

Dear Kelly Greene

The purpose of this letter is to formally request an insurance exemption for “All Owned Autos” coverage.

Keen Independent Research does not own any company vehicles for company use. Therefore, “All Owned Autos” is not included on our Automobile liability policy. Please note that if our company acquires any company vehicles for company use during this agreement period, we will include the “All Owned Autos” coverage on our policy.

If you have any questions, or if any further information is required, please let us know.

Sincerely, David J. Keen Annette Humm Keen Principal Principal

E00303 022008 ed. Page 1 of 1

Effective date of this Endorsement: 06/15/2023 This Endorsement is attached to and forms a part of Policy Number: V11DHU23PNPM

Beazley Insurance Company Inc. referred to in this endorsement as either the “Insurer” or the “Underwriters”

ADD/DELETE ENDORSEMENT WITHOUT ADDITIONAL/RETURN PREMIUM

This endorsement modifies insurance provided under the following:

MPL SECURE®

MISCELLANEOUS PROFESSIONAL, INFORMATION SECURITY & PRIVACY, PERSONAL INJURY

AND WEBSITE MEDIA CONTENT LIABILITY INSURANCE POLICY

It is hereby understood and agreed that the following endorsement is added to the Policy:

E02574 062016 Amend Notice of Cancellation

All other terms and conditions of this Policy remain unchanged.

Authorized Representative

E02574 062016 ed. Page 1 of 1

Effective date of this Endorsement: 06/15/2023 This Endorsement is attached to and forms a part of Policy Number: V11DHU23PNPM

Beazley Insurance Company Inc. referred to in this endorsement as either the “Insurer” or the “Underwriters”

AMEND NOTICE OF CANCELLATION

This endorsement modifies insurance provided under the following:

MPL SECURE®

MISCELLANEOUS PROFESSIONAL, INFORMATION SECURITY & PRIVACY, PERSONAL INJURY

AND WEBSITE MEDIA CONTENT LIABILITY INSURANCE POLICY

In consideration of the premium charged for the Policy, it is hereby understood and agreed that notwithstanding any provision regarding cancellation by the Underwriters for non-payment in Clause XV.

CANCELLATION to the contrary, in the event the Underwriters cancel this Policy for non-payment of premium, the Underwriters shall notify The State of Arizona or ADOT 1324 N 22nd Ave, Phoenix, AZ 85009 and the cancellation of this Policy shall become effective 30 days thereafter.

All other terms and conditions of this Policy remain unchanged.

Authorized Representative