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Town of Boston Client Signature Requirements Client Authorization to Bind Coverage After careful consideration of Gallagher's proposals, we accept the following coverage(s). Please check the desired coverage(s) and note any coverage amendments below: Coverage/Carrier TRIA Description/Major Differences Package / NYMIR ■ Accept ☐ Reject ■ Accept ☐ Reject Auto / NYMIR ■ Accept ☐ Reject ■ Accept ☐ Reject Excess Liability / NYMIR ■ Accept ☐ Reject ■ Accept ☐ Reject OCP / NYMIR ■ Accept ☐ Reject ■ Accept ☐ Reject Cyber / Spinnaker (Amwins) ■ Accept ☐ Reject ■ Accept ☐ Reject *For this coverage, TRIA cannot be rejected Please note the recommendations and considerations summarized in this section are not intended to identify all potential exposures. Gallagher is not an expert in all aspects of your business and assumes no responsibility to independently investigate the risks your business faces. Gallagher has relied upon the information you provided in making our insurance Proposals. If you are interested in pursuing additional coverages other than those listed above, please list the additional coverages in the Client Authorization to Bind. Coverage Amendments and Notes: Exposures and Values You confirm the payroll, values, schedules, and any other information pertaining to your operations, and submitted to the underwriters, were compiled from information provided by you. If no updates were provided to Gallagher, the values, exposures and operations used were based on the expiring policies. You acknowledge it is your responsibility to notify Gallagher of any material change in your operations or exposures. Additional Terms and Disclosures Gallagher is not an expert in all aspects of your business. Gallagher’s Proposals for insurance are based upon the information concerning your business that was provided to Gallagher by you. Gallagher expects the information you provide is true, correct and complete in all material respects. Gallagher assumes no responsibility to independently investigate the risks that may be facing your business, but rather have relied upon the information you provide to Gallagher in making our insurance Proposals. Gallagher's liability to you arising from any of Gallagher’s acts or omissions will not exceed $20 million in the aggregate. The parties each will only be liable for actual damages incurred by the other party, and will not be liable for any indirect, special, exemplary, consequential, reliance or punitive damages. No claim or cause of action, regardless of form (tort, contract, statutory, or otherwise), arising out of, relating to or in any way connected with the Proposal, any of Gallagher’s