ARCH SPECIALTY INSURANCE COMPANY INVESTMENT ADVISER AND MUTUAL
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ARCH SPECIALTY INSURANCE COMPANY
(A Nebraska Corporation)
Home Office Address: Administrative Address:
10306 Regency Parkway Drive One Liberty Plaza, 53rd Floor
Omaha, NE 68113 New York, NY 10006
Tel: (800) 817-3252
INVESTMENT ADVISER AND MUTUAL FUND PROFESSIONAL AND DIRECTORS
AND OFFICERS LIABILITY INSURANCE POLICY (SPECIFIED COVERAGES)
NOTICE: THIS IS A CLAIMS MADE AND REPORTED POLICY. EXCEPT AS MAY BE OTHERWISE
PROVIDED HEREIN, THE COVERAGE OF THIS POLICY IS LIMITED TO LIABILITY FOR
WRONGFUL ACTS FOR WHICH CLAIMS ARE FIRST MADE WHILE THE POLICY IS IN FORCE AND
WHICH ARE REPORTED TO THE INSURER NO LATER THAN THIRTY (30) DAYS AFTER THE
TERMINATION OF THE POLICY. PLEASE READ AND REVIEW THE POLICY CAREFULLY.
THE LIMIT OF LIABILITY AVAILABLE TO PAY LOSS, INCLUDING JUDGMENT OR SETTLEMENT
AMOUNTS, IS REDUCED BY AMOUNTS INCURRED FOR DEFENSE COSTS. AMOUNTS INCURRED
FOR DEFENSE COSTS ARE SUBJECT TO THE APPLICABLE RETENTION AMOUNT.
THE POLICY DOES NOT PROVIDE FOR ANY DUTY OR OBLIGATION ON THE PART OF THE
INSURER TO DEFEND THE INSURED PERSONS AND THE INSURED COMPANY(IES). THE
INSURER IS NOT REQUIRED TO ADVANCE DEFENSE COSTS PRIOR TO THE FINAL DISPOSITION
OF A CLAIM, EXCEPT AS NOTED IN SECTION IX OF THE POLICY.
DECLARATIONS
Terms appearing in bold are defined in the Policy.
Policy No.:
Item 1. Named Entity:
Principal Address:
Item 2. Policy Period:
From: at 12:01 a.m. (local time at the address stated in Item 1)
To: at 12:01 a.m. (local time at the address stated in Item 1)
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Item 3. Coverages Included: (Yes or No)
Coverage A: Investment Adviser Professional Liability Coverage
Coverage B: Mutual Fund Professional Liability Coverage
Coverage C: Service Provider Professional Liability Coverage
Coverage D: Directors and Officers Liability Coverage
1. Investment Adviser
2. Mutual Fund
3. Service Provider
Item 4. Limit of Liability:
A. Maximum aggregate Limit of Liability for all Claims under all $
coverages combined and including Defense Costs:
B. Maximum aggregate Limit of Liability for Each Claim alleging the $
same Wrongful Act or Interrelated Wrongful Acts under each
Coverage and including Defense Costs:
Item 5. Retention: for Loss arising from Claims alleging the same Wrongful Act or Interrelated
Wrongful Acts under each Coverage:
(a) Each Claim against the Insured Entity(ies) $
(b) Each Claim against each Insured Executive $
(as provided in Section VI of the Policy)
Item 6. Pending and Prior Proceeding Date:
Item 7. Continuity Date:
Item 8. Policy Premium: $
Premium Attributable to Terrorism Risk Insurance: $
(Included in Policy Premium )
(In addition to Policy Premium )
Item 9. Discovery Period: (a) Additional Premium % of Premium
(b) Additional Period
Item 10. Endorsements (effective at inception): See attached Schedule of Forms and Endorsements
Item 11. Notices to Insurer:
Notice Of Claim(s) To Be Sent To: All Other Notices To Be Sent To:
Arch Specialty Insurance Company Arch Specialty Insurance Company
Executive Assurance Claims Executive Assurance Underwriting
10909 Mill Valley Road, Suite 210 One Liberty Plaza, 53rd Floor
P.O. Box 542033 New York, NY 10006
Omaha, NE 68154 Fax: (212) 651-6499
Phone: 877 688-ARCH (2724)
Fax: 866 266-3630
E-mail: Claims@ArchInsurance.com
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The Insurer has caused this Policy to be signed and attested to by its authorized officers, but it shall not
be valid unless also signed by another duly authorized representative of the Insurer.
Authorized Representative Date
Martin J. Nilsen Mark D. Lyons
Secretary President
Arch Specialty Insurance Company is licensed in the state of Nebraska only.
Arch Specialty Insurance Company is not licensed in the state of New York and is not subject to its
supervision.
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