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-11fe. <br /> H I SCOX C-Suite` <br /> Endorsement 1 <br /> NAMED INSURED: Santa Ana Golf, LLC <br /> E1400.2 ERISA Bond Coverage Endorsement <br /> In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions, and <br /> exclusions unchanged, it is agreed the Crime Coverage Part is amended as follows: <br /> I. Solely with regard to Insuring agreement A.5. ERISA, the Insurer listed in the Declarations is amended to read: <br /> FEDERATED MUTUAL INSURANCE COMPANY(A Mutual Company) <br /> 121 East Park Square <br /> Owatonna, Minnesota 55060 <br /> (888)333-4949 <br /> (507)455-5200 <br /> II. Federated Mutual Insurance Company Inc. will have no liability under Section I. Insuring agreements except for loss or <br /> damage covered by Insuring agreement A.5. ERISA. <br /> III. Hiscox Insurance Company Inc.will have no liability for loss or damage covered by Section I. Insuring agreement A.5. ERISA. <br /> IV. Sections II. Coverage enhancements, III. Who is an insured, IV. Limits of liability and settlement, V. Your obligations, VI. <br /> Exclusions—What is not covered, VII. Definitions, and VIII. Other provisions affecting coverage will apply to Federated Mutual <br /> Insurance Company. <br /> V. The following is added to the end of Section VIII. Other provisions affecting coverage, A. Cancellation: <br /> Any premium that we receive from you will first be applied to the premium charged for Insuring agreement A.5. ERISA, and <br /> second,will be applied to the premium charged for any other Insuring agreement. If we cancel or non-renew this policy, we <br /> will provide separate notices of cancellation on behalf of Hiscox Insurance Company Inc. and Federated Mutual Insurance <br /> Company identifying the coverage being terminated. <br /> VI. In the Crime Coverage Part section in the Declarations, the line starting with the words"Crime Premium" is deleted in its <br /> entirety and replaced with the following: <br /> Premium for Crime Coverage Part excluding Insuring $3,085.00 <br /> agreement A.5: <br /> Premium for Insuring agreement A.5. only: $174.00 <br /> Total Crime Premium: $3,259.00 <br /> VII. Solely with respect to Insuring agreement A.5. ERISA, the following is added to the end of the clause beginning, "IN WITNESS <br /> WHEREOF" in the Declarations: <br /> IN WITNESS WHEREOF, Federated Mutual Insurance Company Inc. has caused this policy to be signed by its President and <br /> Secretary, but this policy shall not be effective unless also signed by the Insurer's duly authorized representative. <br /> Secretary <br /> CSUCRI E1400 CW(07/17) Page 1 of 2 <br /> ilfCl CI`,.. <br />