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Waco Drive • Waco, Tx 76702 -2683 I emnit Internet info@ insurors.com • 800 - 933 -7444 • Fax 254-755-6399 amp IMPORTANT NOTICE - AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call Insurors Indemnity Company's toll -free Usted puede Ilamar al numero de telefono gratis de telephone number for information or to make a complaint Insurors Indemnity Company's para informacion o para at: someter una queja al 1- 800 - 933 -7444 1- 800 -933 -7444 You may also write to Insurors Indemnity Company at: Usted tanbien puede escribir a Insurors Indemnity P.O. Box 2683 Company: Waco, TX 76702 -2683 P.O. Box 2683 Or Waco, TX 76702 -2683 3701 W. Waco Drive 0 Waco, TX 76710 3701 W. Waco Drive Waco, TX 76710 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or Puede comunicarse con el Departamento de Seguros de complaints at Texas para obtener informacion acerca de companias, 1- 800 - 252 -3439 coberturas, derechos o quejas al You may write the Texas Department of Insurance at: 1- 800 - 252 -3439 P.O. Box 149104 Puede escribir al Departamento de Seguros de Texas: Austin, TX 78714 -9104 P.O. Box 149104 Austin, TX 78714 -9104 or fax at: or fax at: 1 -512- 475 -1771 1 -512- 475 -1771 PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your premium or Si tiene una disputa concemiente a su prima o a un about a claim, you should contact the agent or the reclamo, debe comunicarse con el agente o la compania company first. If the dispute is not resolved, you may primero. Si no se resuelve la disputa, puede entonces contact the Texas Department of Insurance. comunicarse con el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA: This notice is given to comply with Section 2253.021, Este aviso esta dado para acatar con Section 2253.021 Government Code, and Section 53.202, Property Code, Government Code y Section 53.202, Property Code effective September 1, 2001. efectivo, Septiembre 1, 2001. � T In urors 1 urors P.O. Box 2683 • 3701 W. Waco Drive • Waco, Tx 76702 -2683 ompM Internet info@risurors.com • 800 - 933 -7444 • Fax 254 - 755 -6399 RIDER NOTICE OF DISCLOSURE TO ALL BOND PRINCIPALS/POLICYHOLDERS /OBLIGEES TERRORISM RISK INSURANCE ACT OF 2002 This notice is provided in accordance with the Terrorism Risk Insurance Act of 2002, effective November 26, 2002 (the Act). Under this Act, terrorism coverage must be made available in your bond or policy. Pursuant to the Act, the United States will pay 90% of covered terrorism losses exceeding the deductible established by the Act until total insured losses under the program exceed $100 billion. The premium for coverage for terrorist acts certified under the Act for this bond or policy is Zero Dollars ($0.00). With respect to any one or more "certified acts of terrorism" under the Terrorism Risk Insurance Act of 2002, Insurors Indemnity Company will not pay any amounts for which we are not responsible under the terms of the Act (including subsequent action of Congress pursuant to the Act) due to the application of any clause which results in a cap on our liability for payments for terrorism losses. EXCLUSION OF LIABILITY FOR MOLD, MYCOTOXINS, AND FUNGI TO ALL BOND PRINCIPALS/POLICYHOLDERS /OBLIGEES The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be liable for, molds, living or dead fungi, bacteria, ailergins, histamines. spores. hyohae, or mvcotoxins. Jr ther related products Jr Parts. nor the remediation thereof. nor the %onseauences of tiner 'lccurrence. Rev. 10.1.2004