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DISCLAIMER <br />This proposal does not constitute a Binder of Coverage. It is a general reference only to the coverage(s) <br />the insurance policy or policies would provide and is not intended to describe all of the various details <br />pertaining to the insurance. This proposal does not rely upon broker or applicant specifications. Any other <br />coverage extensions, deletions or changes requested in the submission are hereby rejected. <br />This proposal is strictly conditioned upon no material change in the risk occurring between the date of this <br />proposal and the inception date of the proposed policy (including any claim or notice of circumstances that <br />which may reasonably be expected to give rise to a claim under any policy of which the policy being <br />proposed by this proposal is a renewal or replacement). In the event of such change in risk, American <br />Specialty may in its sole discretion, whether or not this proposal has been already accepted by the Insured, <br />modify and/or withdraw this proposal. <br />Please review this Proposal prior to bf{iding. The terms of this proposal do not represent contract terms. The <br />policy is subject to, however not limited to all terms, conditions, and exclusions as noted. <br />Actual coverage(s) are detailed only in the policy of insurance. It is important that you consult the actual <br />policy for definitions and limitations. Policy forms are available upon request for review prior to the binding of <br />coverage(s). <br />Subject to the terms and conditions outlined herein and prior to the proposal expiration date, this proposal <br />may be bound only by American Specialty Insurance & Risk Services, Inc. and then only in writing, after <br />written acceptance of this proposal by the Insured or by the Insured's authorized representative. Retail <br />broker does not have binding authority. <br />This proposal will remain in effect until 09/13/2019 unless accepted in writing prior to then or unless <br />modified in writing by American Specialty Insurance & Risk Services, Inc. If we do not receive your <br />response to this proposal by the date indicated, this account's file will be considered closed. <br />SPECIAL STATE REQUIRED NOTICES - <br />Notice to Residents of California: <br />Any person who knowingly and with intent to defraud any insurance company or another person files an <br />application for insurance or statement of claim containing any materially false information, or conceals for <br />the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance <br />act, which is a crime and subjects the person to criminal and civil penalties. <br />©American Specialty Insurance & Risk Services, Inc. dba A.S.I.R.S.I. Insurance Agency; American Specialty <br />Insurance & Risk Services Agency; and, A S Insurance & Risk Services Agency (9/11/2019) <br />