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Insurer: SENTINEL INSURANCE COMPANY, LIMITED ONE HARTFORD PLAZA, HARTFORD, CT 06155 This Declarations Page, with Common Policy Conditions, Data Breach Coverage Form and Endorsements, if any, issued to form a part thereof, shall together constitute this Data Breach Coverage Part, which in turn forms a part of the Policy Number shown below. The Common Policy Conditions and Nuclear Energy Liability Exclusion of the policy to which this Coverage Part is attached also apply to this Coverage Part. But if there is any conflict between the policy and this Coverage Part, then this Coverage Part will govern. "Coverage part" means this Declarations page and all Data Breach forms listed herein and attached hereto. POLICY NUMBER: 59 SBA RV9040 DATA BREACH COVERAGE DECLARATIONS PLEASE READ YOUR POLICY. IF YOU HAVE PURCHASED DATA BREACH - DEFENSE AND LIABILITY, NOTE THAT CLAIM EXPENSES ARE PAYABLE WITHIN THE LIMITS OF LIABILITY. Named Insured and Mailing Address: BAY SPROUTS LLC SEE FORM SS 12 35 6800 OWENSMOUTH AVE STE 350 CANOGA PARK CA 91303 Policy Period Effective Date: 11 / 13 / 2 0 Expiration Date: 11 / 13 / 21 12:01 A.M., Standard time at the address of the named insured as stated herein. Premium: Minimum Premium: Data Breach - Response Expenses Limit Of Insurance: Retroactive Date: If no date is entered, the Retroactive Date is the same as the effective date of this Coverage Part. Business Income And Extra Expense Sub -limit: Extortion Threats Sub -limit: Data Breach - Defense and Liability (THIS IS CLAIMS FIRST MADE AND REPORTED IN WRITING INSURANCE) Limit Of Insurance: Retroactive Date: If no date is entered, the Retroactive Date is the same as the effective date of this Coverage Part. Fines and Penalties Sub -limit: $207 NONE Data Breach - Response Expenses 10,000 Deductible: 1,000 11/13/18 Business Income And Extra Expense NOT INCLD Waiting Period Deductible: NA Hours NOT INCLD Data Breach - Response Expenses deductible shown above also applies to Extortion Threats coverage. 50,000 Data Breach - Defense and Liability Deductible: 11000 11/13/18 NOT INCLD PCI Loss Sub -limit: NOT INCLD Form Numbers Of Forms and Endorsements that apply: Common Policy Conditions: Form SS 00 05, Exclusion - Nuclear Energy Liability: SS 05 47 SS00470316 SS00480316 Countersigned by _;51' (where required by law) Form SS 00 46 09 19 Process Date: 0 8 / 18 / 2 0 Authorized Representative Policy cF RA ManWmad DMsian REVIEWED & APPROVED SY.- V"° --� Risk janagement Analyst