For more information about Executive Liability, please contact us at
executiveliability@chartisinsurance.com or visit www.chartisinsurance.com.
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91222 (12/09)
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POLICY NUMBER: 01-424-27-15 | REPLACEMENT OF POLICY NUMBER: N/A |
ITEM 1.
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Name of Insured (herein called Insured):
Principal Address:
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DoubleLine Credit Opportunities Fund
333 S GRAND AVE
LOS ANGELES, CA 90071-1504
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ITEM 2.
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Bond Period: from 12:01 a.m. December 19, 2011 to December 19, 2012
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the effective date of the termination or cancellation of this bond, standard time at the Principal Address as to each of said dates.
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ITEM 3.
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Limit of Liability - Subject to Sections 9, 10 and 12 hereof,
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Single Loss
Limit of Liability
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Single Loss
Deductible
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Insuring Agreement A - Fidelity
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$1,000,000
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$0
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Insuring Agreement B - Audit Expense
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$50,000
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$5,000
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Insuring Agreement C - On Premises
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$1,000,000
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$10,000
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Insuring Agreement D - In Transit
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$1,000,000
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$10,000
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Insuring Agreement E - Forgery or Alteration
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$1,000,000
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$10,000
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Insuring Agreement F - Securities
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$1,000,000
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$10,000
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Insuring Agreement G - Counterfeit Currency
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$1,000,000
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$10,000
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Insuring Agreement H - Stop Payment
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$100,000
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$10,000
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Insuring Agreement I - Uncollectible Items of Deposit
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$100,000
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$10,000
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Insuring Agreement J - Computer Systems
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$1,000,000
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$10,000
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Insuring Agreement K - Unauthorized Signature
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$100,000
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$10,000
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ITEM 4.
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Offices or Premises Covered-Offices acquired or established subsequent to the effective date of this bond are covered according to the terms of General Agreement A. All the Insured's offices or premises in existence at the time this bond becomes effective are covered under this bond except the offices or premises located as follows: No Exceptions
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ITEM 5.
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The liability of the Underwriter is subject to the terms of the following riders attached thereto: Endorsement #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11
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ITEM 6.
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The Insured by the acceptance of this bond gives to the Underwriter terminating or canceling prior bond(s) or policy(ies) No.(s) N/A such termination or cancellation to be effective as of the time this bond becomes effective.
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PRESIDENT
National Union Fire Insurance
Company of Pittsburgh, Pa.
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SECRETARY
National Union Fire Insurance
Company of Pittsburgh, Pa.
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COUNTERSIGNED AT
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DATE
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COUNTERSIGNATURE
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(A)
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FIDELITY
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(a)
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to cause the Insured to sustain such loss; and
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(b)
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to obtain financial benefit for the Employee, or for any other person or organization intended by the Employee to receive such benefit, other than salaries, commissions, fees, bonuses, promotions, awards, profit sharing, pensions or other employee benefits earned in the normal course of employment.
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(B)
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AUDIT EXPENSE
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(C)
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ON PREMISES
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(1)
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Loss of or damage to, furnishings, fixtures, stationery, supplies or equipment, within any of the Insured's offices covered under this bond caused by Larceny or theft in, or by burglary, robbery or holdup of such office, or attempt thereat, or by vandalism or malicious mischief; or
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(2)
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loss through damage to any such office by Larceny or theft in, or by burglary, robbery or holdup of such office or attempt thereat, or to the interior of any such office by vandalism or malicious mischief provided, in any event, that the Insured is the owner of such offices, furnishings, fixtures,stationery, supplies or equipment or is legally liable for such loss or damage, always excepting, however, all loss or damage through fire.
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(D)
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IN TRANSIT
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(E)
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FORGERY OR ALTERATION
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(F)
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SECURITIES
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(1)
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through the Insured's having, in good faith and in the course of business, whether for its own account or for the account of others, in any representative, fiduciary, agency or any other capacity, either gratuitously or otherwise, purchased or otherwise acquired, accepted or received, or sold or delivered, or given any value, extended any credit or assumed any liability, on the faith of, or otherwise acted upon, any securities, documents or other written instruments which prove to have been
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(a)
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counterfeited, or
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(b)
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forged as to the signature of any maker, drawer, issuer, endorser, assignor, lessee, transfer agent or registrar, acceptor, surety or guarantor or as to the signature of any person signing in any other capacity, or
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(c)
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raised or otherwise altered, or lost, or stolen, or
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(2)
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through the Insured's having, in good faith and in the course of business,
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41206 (9/84) | 1 | ©All rights reserved. |
(2)
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through the Insured's having, in good faith and in the course of business, guaranteed in writing or witnessed any signatures whether for valuable consideration or not and whether or not such guaranteeing or witnessing is ultra vires the Insured, upon any transfers, assignments, bills of sale, powers of attorney, guarantees, endorsements or other obligations upon or in connection with any securities, documents or other written instruments and which pass or purport to pass title to such securities, documents or other written instruments; EXCLUDING, losses caused by FORGERY or ALTERATION of, on or in those instruments covered under Insuring Agreement (E) hereof.
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(G)
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COUNTERFEIT CURRENCY
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(H)
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STOP PAYMENT
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(I)
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UNCOLLECTIBLE ITEMS OF DEPOSIT
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41206 (9/84) | 1 | ©All rights reserved. |
A.
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ADDITIONAL OFFICES OR EMPLOYEES- CONSOLIDATION OR MERGER- NOTICE
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1.
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If the Insured shall, while this bond is in force, establish any additional office or offices, such office or offices shall be automatically covered hereunder from the dates of their establishment, respectively. No notice to the Underwriter of an increase during any premium period in the number of offices or in the number of Employees at any of the offices covered hereunder need be given and no additional premium need be paid for the remainder of such premium period.
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2.
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If an Investment Company, named as Insured herein, shall, while this bond is in force, merge or consolidate with, or purchase the assets of another institution, coverage for such acquisition shall apply automatically from the date of acquisition. The Insured shall notify the Underwriter of such acquisition within 60 days of said date, and an additional premium shall be computed only if such acquisition involves additional offices or employees.
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B.
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WARRANTY
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C.
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COURT COSTS AND ATTORNEYS' FEES (Applicable to all Insuring Agreements or Coverages now or hereafter forming part of this bond)
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(1)
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an Employee admits to being guilty of any dishonest or fraudulent act(s), including Larceny or Embezzlement; or
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(2)
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an Employee is adjudicated to be guilty of any dishonest or fraudulent act(s), including Larceny or Embezzlement;
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(3)
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in the absence of (1) or (2) above an arbitration panel agrees, after a review of an agreed statement of facts, that an Employee would be found guilty of dishonesty if such Employee were prosecuted.
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D.
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FORMER EMPLOYEE
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41206 (9/84) | 1 | ©All rights reserved. |
(a)
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"Employee" means:
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(1)
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any of the Insured's officers, partners, or employees, and
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(2)
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any of the officers or employees of any predecessor of the Insured whose principal assets are acquired by the Insured by consolidation or merger with, or purchase of assets or capital stock of such predecessor. and
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(3)
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attorneys retained by the Insured to perform legal services for the Insured and the employees of such attorneys while such attorneys or the employees of such attorneys are performing such services for the Insured, and
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(4)
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guest students pursuing their studies or duties in any of the Insured's offices, and
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(5)
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directors or trustees of the Insured, the investment advisor, underwriter (distributor), transfer agent, or shareholder accounting record keeper, or administrator authorized by written agreement to keep financial and/or other required records, but only while performing acts coming within the scope of the usual duties of an officer or employee or while acting as a member of any committee duly elected or appointed to examine or audit or have custody of or access to the Property of the Insured, and
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(6)
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any individual or individuals assigned to perform the usual duties of an employee within the premises of the Insured, by contract, or by any agency furnishing temporary personnel on a contingent or part-time basis, and
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(7)
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each natural person, partnership or corporation authorized by written agreement with the Insured to perform services as electronic data processor of checks or other accounting records of the Insured, but excluding any such processor who acts as transfer agent or in any other agency capacity in issuing checks, drafts or securities for the Insured, unless included under Sub- section (9) hereof, and
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(8)
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those persons so designated in Section 15, Central Handling of Securities, and
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(9)
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any officer, partner or Employee of
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a)
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an investment advisor,
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b)
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an underwriter (distributor),
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c)
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a transfer agent or shareholder accounting record- keeper, or
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d)
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an administrator authorized by written agreement to keep financial and/or other required records,
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41206 (9/84) | 1 | ©All rights reserved. |
(b)
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"Property" means money (i.e.. currency, coin, bank notes, Federal Reserve notes), postage and revenue stamps, U.S. Savings Stamps, bullion, precious metals of all kinds and in any form and articles made therefrom, jewelry, watches, necklaces, bracelets, gems, precious and semi- precious stones, bonds, securities, evidences of debts, debentures, scrip, certificates, interim receipts, warrants, rights, puts, calls, straddles, spreads, transfers, coupons, drafts, bills of exchange, acceptances, notes, checks, withdrawal orders, money orders, warehouse receipts, bills of lading, conditional sales contracts, abstracts of title, insurance policies, deeds, mortgages under real estate and/or chattels and upon interests therein, and assignments of such policies, mortgages and instruments, and other valuable papers, including books of account and other records used by the Insured in the conduct of its business, and all other instruments similar to or in the nature of the foregoing including Electronic Representations of such instruments enumerated above (but excluding all data processing records) in which the Insured has an interest or in which the Insured acquired or should have acquired an interest by reason of a predecessor's declared financial condition at the time of the Insured's consolidation or merger with, or purchase of the principal assets of, such predecessor or which are held by the Insured for any purpose or in any capacity and whether so held by the Insured for any purpose or in any capacity and whether so held gratuitously or not and whether or not the Insured is liable therefor.
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(c)
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"Forgery" means the signing of the name of another with intent to deceive; it does not include the signing of one's own name with or without authority, in any capacity, for any purpose.
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(d)
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"Larceny and Embezzlement" as it applies to any named Insured means those acts as set forth in Section 37 of the Investment Company Act of 1940.
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(e)
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"Items of Deposit" means any one or more checks and drafts. Items of Deposit shall not be deemed uncollectible until the Insured's collection procedures have failed.
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(a)
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loss effected directly or indirectly by means of forgery or alteration of, on or in any instrument, except when covered by Insuring Agreement (A), (E), (F) or (G).
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(b)
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loss due to riot or civil commotion outside the United States of America and Canada; or loss due to military, naval or usurped power, war or insurrection unless such loss occurs in transit in the circumstances recited in Insuring Agreement (D), and unless, when such transit was initiated, there was no knowledge of such riot, civil commotion, military, naval or usurped power, war or insurrection on the part of any person acting for the Insured in initiating such transit.
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(c)
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loss, in time of peace or war, directly or indirectly caused by or resulting from the effects of nuclear fission or fusion or radioactivity; provided, however, that this paragraph shall not apply to loss resulting from industrial uses of nuclear energy.
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(d)
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loss resulting from any wrongful act or acts of any person who is a member of the Board of Directors of the Insured or a member of any equivalent body by whatsoever name known unless such person is also an Employee or an elected official, partial owner or partner of the Insured in some other capacity, nor, in any event, loss resulting from the act or acts of any person while acting in the capacity of a member of such Board or equivalent body.
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(e)
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loss resulting from the complete or partial non- payment of, or default upon, any loan or transaction in the nature of, or amounting to, a loan made by or obtained from the Insured or any of its partners, directors or Employees, whether authorized or unauthorized and whether procured in good faith or through trick, artifice, fraud or false pretenses. unless such loss is covered under Insuring Agreement (A), (E) or (F).
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41206 (9/84) | 1 | ©All rights reserved. |
(f)
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loss resulting from any violation by the Insured or by any Employee
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(1)
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of law regulating (a) the issuance, purchase or sale of securities, (b) securities transactionsupon Security Exchanges or over the counter market, (c) Investment Companies, or (d) Investment Advisors, or
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(2)
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of any rule or regulation made pursuant to any such law, unless such loss, in the absence of such laws, rules or regulations, would be covered under Insuring Agreements (A) or (E).
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(g)
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loss of Property or loss of privileges through the misplacement or loss of Property as set forth in Insuring Agreement (C) or (D) while the Property is in the custody of any armored motor vehicle company, unless such loss shall be in excess of the amount recovered or received by the Insured under (a) the Insured's contract with said armored motor vehicle company, (b) insurance carried by said armored motor vehicle company for the benefit of users of its service, and (c) all other insurance and indemnity in force in whatsoever form carried by or for the benefit of users of said armored motor vehicle company's service, and then this bond shall cover only such excess.
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(h)
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potential income, including but not limited to interest and dividends, not realized by the Insured because of a loss covered under this bond, except as included under Insuring Agreement (I).
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(i)
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all damages of any type for which the Insured is legally liable, except direct compensatory damages arising from a loss covered under this bond.
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(j)
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loss through the surrender of Property away from an office of the Insured as a result of a threat
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(1)
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to do bodily harm to any person, except loss of Property in transit in the custody of any person acting as messenger provided that when such transit was initiated there was no knowledge by the Insured of any such threat, or
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(2)
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to do damage to the premises or Property of the Insured, except when covered under Insuring Agreement (A).
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(k)
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all costs, fees and other expenses incurred by the Insured in establishing the existence of or amount of loss covered under this bond unless such indemnity is provided for under Insuring Agreement (B).
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(l)
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loss resulting from payments made or withdrawals from the account of a customer of the Insured, shareholder or subscriber to shares involving funds erroneously credited to such account, unless such payments are made to or withdrawn by such depositor or representative of such person, who is within the premises of the drawee bank of the Insured or within the office of the Insured at the time of such payment or withdrawal or unless such payment is covered under Insuring Agreement (A).
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(m)
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any loss resulting from Uncollectible Items of Deposit which are drawn from a financial institution outside the fifty states of the United States of America, District of Columbia, and territories and possessions of the United States of America, and Canada.
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41206 (9/84) | 1 | ©All rights reserved. |
(a)
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becomes aware of facts, or
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(b)
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receives written notice of an actual or potential claim by a third party which alleges that the Insured is liable under circumstance which would cause a reasonable person to assume that a loss covered by the bond has been or will be incurred even though the exact amount or details of loss may not be then known.
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41206 (9/84) | 1 | ©All rights reserved. |
(a)
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any one act of burglary, robbery or holdup, or attempt thereat, in which no Partner or Employee is concerned or implicated shall be deemed to be one loss, or
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(b)
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any one unintentional or negligent act on the part of any one person resulting in damage to or destruction or misplacement of Property, shall be deemed to be one loss, or
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(c)
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all wrongful acts, other than those specified in (a) above, of any one person shall be deemed to be one loss, or
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(d)
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all wrongful acts, other than those specified in (a) above, of one or more persons (which dishonest act(s) or act(s) of Larceny or Embezzlement include, but are not limited to, the failure of an Employee to report such acts of others) whose dishonest act or acts intentionally or unintentionally, knowingly or unknowingly, directly or indirectly, aid or aids in any way, or permits the continuation of, the dishonest act or acts of any other person or persons shall be deemed to be one loss with the act or acts of the persons aided, or
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(e)
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any one casualty or event other than those specified in (a), (b), (c) or (d) preceding, shall be deemed to be one loss, and shall be limited to the applicable Limit of Liability stated in Item 3 of the Declarations of this bond irrespective of the total amount of such loss or losses and shall not be cumulative in amounts from year to year or from period to period.
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41206 (9/84) | 1 | ©All rights reserved. |
(a)
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as to any Employee as soon as anypartner, officer or supervisory Employee of the Insured, who is not in collusion with such Employee, shall learn of any dishonest or fraudulent act(s), including Larceny or Embezzlement on the part of such Employee without prejudice to the loss of any Property then in transit in the custody of such Employee (See Section 16[d]), or
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41206 (9/84) | 1 | ©All rights reserved. |
(b)
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as to any Employee 60 days after receipt by each Insured and by the Securities and Exchange Commission of a written notice from the Underwriter of its desire to terminate this bond as to such Employee, or
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(c)
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as to any person, who is a partner, officer or employee of any Electronic Data Processor covered under this bond, from and after the time that the Insured or any partner or officer thereof not in collusion with such person shall have knowledge or information that such person has committed any dishonest or fraudulent act(s), including Larceny or Embezzlement in the service of the Insured or otherwise, whether such act be committed before or after the time this bond is effective.
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(a)
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on the effective date of any other insurance obtained by the Insured, its successor in business or any other party, replacing in whole or in part the insurance afforded by this bond, whether or not such other insurance provides coverage for loss sustained prior to its effective date, or
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(b)
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upon takeover of the Insured's business by any State or Federal official or agency, or by any receiver or liquidator, acting or appointed for this purpose
without the necessity of the Underwriter giving notice of such termination. In the event that such additional period of time is terminated, as provided above, the Underwriter shall refund any unearned premium.
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41206 (9/84) | 1 | ©All rights reserved. |
(a)
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the total liability of the Underwriter hereunder for loss or losses sustained by any one or more or all of them shall not exceed the limit for which the Underwriter would be liable hereunder if all such loss were sustained by any one of them,
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(b)
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the one first named herein shall be deemed authorized to make, adjust and receive and enforce payment of all claims hereunder and shall be deemed to be the agent of the others for such purposes and for the giving or receiving of any notice required or permitted to be given by the terms hereof, provided that the Underwriter shall furnish each named Investment Company with a copy of the bond and with any amendment thereto, together with a copy of each formal filing of the settlement of each such claim prior to the execution of such settlement,
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(c)
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the Underwritershall not be responsible for the proper application of any payment made hereunder to said first named Insured,
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(d)
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knowledge possessed or discovery made by any partner, officer or supervisory Employee of any Insured shall for the purposes of Section 4 and Section 13 of this bond constitute knowledge or discovery by all the Insured, and
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(e)
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if the first named Insured ceases for any reason to be covered under this bond, then the Insured next named shall thereafter be considered as the first named Insured for the purposes of this bond.
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(a)
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the names of the transferors and transferees (or the names of the beneficial owners if the voting securities are requested in another name), and
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(b)
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the total number of voting securities owned by the transferors and the transferees (or the beneficial owners), both immediately before and after the transfer, and
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(c)
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the total number of outstanding voting securities.
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41206 (9/84) | 1 | ©All rights reserved. |
1.
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Insuring Agreement (A) FIDELITY of the INSURING AGREEMENTS Clause is amended by inserting the following at the end thereof:
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2.
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Paragraph (d) of Section 2. EXCLUSIONS of the CONDITIONS AND LIMITATIONS Clause is deleted in its entirety and replaced with the following:
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(d)
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loss resulting directly or indirectly from any acts of any director or trustee ofthe Insured other than one employed as a salaried, pensioned or elected official or an Employee of the Insured, except when performing acts coming within the scope of the usual duties of an Employee, or while acting as a member of any committee duly elected or appointed by resolution of the board of directors or trustees of the Insured to perform specific, as distinguished from general, directorial acts on behalf of the Insured;
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3.
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Paragraph (k) of Section 2. EXCLUSIONS of Section 2. EXCLUSIONS of the CONDITIONS AND LIMITATIONS Clause is deleted in its entirety and replaced with the following:
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(u)
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all fees, costs and expenses incurred by the Insured
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(1)
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in establishing the existence of or amount of loss covered under thisbond, except to the extent covered under the portion of Insuring Agreement (A) entitled Audit Expense, or
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(2)
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as a party to any legal proceeding whether or not such legalproceeding exposes the Insured to loss covered by this bond;
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4.
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Item 3 of the Declarations is amended to include the following:
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Single Loss | Single Loss | |
Limit of Liability | Deductible | |
Audit Expense | $50,000 | $5,000 |
5.
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Nothing contained here shall be held to vary, alter, waive or extend any of the terms, limitations, conditions, or agreements of the attached bond other than as above stated.
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AUTHORIZED REPRESENTATIVE |
1.
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All the terms and conditions of bond form 41206 (9/84) shall apply to coverage as is afforded by this endorsement unless specifically stated otherwise herein or in any endorsement attached hereto.
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2.
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Items 3 of the Declarations is hereby amended by adding the following under Optional Insuring Agreements and Coverages:
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Single Loss
Limit of Liability
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Single Loss
Deductible
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Computer Systems Fraud
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$1,000,000
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$10,000
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Data Processing Service Operations
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$1,000,000
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$10,000
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Voice Initiated Transfer Fraud
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$1,000,000
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$10,000
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Telefacsimile Transfer Fraud
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$1,000,000
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$10,000
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Destruction of Data or Programs by Hacker
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$1,000,000
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$10,000
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Destruction of Data or Programs by Virus
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$1,000,000
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$10,000
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Voice Computer Systems Fraud
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$0
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$0
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3.
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The Declarations page is hereby amended by adding the following paragraph to the end thereof:
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4.
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The Insuring Agreements are hereby amended by adding the following Insuring Agreements to the Bond:
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(G)
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Loss resulting directly from a fraudulent:
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(1)
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entry of Electronic Data or Computer Program into, or
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(2)
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change of Electronic Data or Computer Program within
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any Computer System operated by the Insured, whether owned or leased; or any Computer System identified in the application for this bond; or a Computer System first used by the Insured during the bond period; as provided by General Agreement B; provided the entry or change causes:
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(i)
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Property to be transferred, paid or delivered,
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(ii)
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an account of the Insured, or of its customer, to be added, deleted, debited or credited, or (iii)an unauthorized account or a fictitious account to be debited or credited.
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(iii)
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an unauthorized account or a fictitious account to be debited or credited.
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In this Insuring Agreement, fraudulent entry or change shall include such entry or change made by an Employee of the Insured acting in good faith:
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(a)
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on an instruction from a software contractor who has a written agreement with the Insured to design, implement or service programs for a Computer System covered by this Insuring Agreement, or
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(b)
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on an instruction transmitted by Tested telex or similar means of Tested communication identified in the application for this bond purportedly sent by a customer, financial institution or automated clearing house.
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(H)
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Loss sustained by a Client of the Insured resulting directly from a fraudulent:
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(1)
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entry of Electronic Data or a Computer Program into, or
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(2)
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change of Electronic Data or a Computer Program within
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a Computer System covered under the terms of the COMPUTER SYSTEMS FRAUD Insuring Agreement, or
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(3)
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entry or change of Electronic Data during electronic transmission or physical transit from the Insured to its Client, provided that the entry or change causes:
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(i)
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Property to be transferred, paid or delivered,
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(ii)
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an account of the Client, or a customer of the Client, to be added, deleted, debited or credited, or
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(iii)
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an unauthorized account or a fictitious account to be debited or credited,
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and for which loss the Insured is legally liable to the Client as a provider of data processing services for such Client.
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In this Insuring Agreement, fraudulent entry or change shall include such entry or change made by an Employee of the Insured acting in good faith:
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(a)
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on an instruction from a software contractor who has a written agreement with the Insured to design, implement or service programs for a Computer System covered by this Insuring Agreement, or
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(b)
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on an instruction transmitted by Tested telex or similar means of Tested communication identified in the application for this bond purportedly sent by a customer, financial institution or automated clearing house.
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In this Insuring Agreement, Client means an entity for which the Insured serves as data processor under the terms of a written agreement.
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(I)
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Loss resulting directly from the Insured having, in good faith, transferred Funds froma Customer's account through a Computer System covered under the terms of the COMPUTER SYSTEMS FRAUD Insuring Agreement in reliance upon a fraudulent voice instruction transmitted by telephone which was purported to be from:
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(1)
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an officer, director, partner or employee of a Customer of the Insured who was authorized by the Customer to instruct the Insured to make such transfer,
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(2)
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an individual person who is a Customer of the Insured, or
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(3)
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an Employee of the Insured in another office of the Insured who was authorized by the Insured to instruct other Employees of the Insured to transfer Funds,
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and was received by an Employee of the Insured specifically designated to receive and act upon such instructions, but the voice instruction was not from a person described in (1), (2) or (3) above, provided that:
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(i)
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such voice instruction was electronically recorded by the Insured and required password(s) or code word(s) given; and
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(ii)
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if the transfer was in excess of the amount shown on the Declarations Page as the verification call-back amount for this Insuring Agreement, the voice instruction was verified by a call-back according to a prearranged procedure.
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As used in this Insuring Agreement, Customer means an entity or individual which has a written agreement with the Insured authorizing the Insured to rely on voice instructions to initiate transfers and has provided the Insured with the names of persons authorized to initiate such transfers, and with which the Insured has established an instruction verification mechanism.
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(J)
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Loss resulting directly from the Insured having, in good faith, transferred ordelivered Funds, Certificated Securities or Uncertificated Securities through a Computer System covered under the terms of the COMPUTER SYSTEMS FRAUD Insuring Agreement in reliance upon a fraudulent instruction received through a Telefacsimile Device, and which instruction:
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(1)
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purports and reasonably appears to have originated from:
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(a)
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a Customer of the Insured,
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(b)
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another financial institution, or
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(c)
|
another office of the Insured
|
but,
|
but in fact, was not originated by the Customer or entity whose identification it bears, and
|
(2)
|
contains a valid test code which proves to have been used by a person who was not authorized to make use of it, and
|
(3)
|
contains the name of a person authorized to initiate such transfer;
|
|
provided that, if the transfer was in excess of the amount shown on the Declarations as the verification call-back amount for this Insuring Agreement, theinstructions was verified by a call-back according to a prearranged procedure.
|
|
As used in this Insuring Agreement, Customer means an entity or individual which has a written agreement with the Insured authorizing the Insured to rely on Telefacsimile Device instructions to initiate transfers and has provided the Insured with the names of persons authorized to initiate such transfers, and with which the Insured has established an instruction verification mechanism.
|
(K)
|
Loss resulting directly from the malicious destruction of, or damage to, Electronic Data or Computer Programs owned by the Insured or for which the Insured is legally liable while stored within a Computer System covered under the terms of the COMPUTER SYSTEMS FRAUD Insuring Agreement.
|
|
The liability of the Company shall be limited to the cost of duplication of such Electronic Data or Computer Programs from other Electronic Data or Computer Programs which shall have been furnished by the Insured.
|
|
In the event, however, that destroyed or damaged Computer Programs cannot be duplicated from other Computer Programs, the Company will pay the cost incurred for computer time, computer programmers, consultants or other technical specialists as is reasonable necessary to restore the Computer Programs to substantially the previous level of operational capability.
|
(L)
|
Loss resulting directly from the malicious destruction of, or damage to, Electronic Data or Computer Programs owned by the Insured or for which the Insured is legally liable while stored within a Computer System covered under the terms of the COMPUTER SYSTEMS FRAUD Insuring Agreement if such destruction or damage was caused by a computer program or similar instruction which was written or altered to incorporate a hidden instruction designed to destroy or damage Electronic Data or Computer Programs in the Computer System in which the computer program or instruction so written or so altered is used.
|
|
The liability of the Company shall be limited to the cost of duplication of such Electronic Data or Computer Programs from other Electronic Data or Computer Programs which shall have been furnished by the Insured.
|
|
In the event, however, that destroyed or damaged Computer Programs cannot be duplicated from other Computer Programs, the Company will pay the cost incurred for computer time, computer programmers, consultants or other technical specialists as is reasonably necessary to restore the Computer Programs to substantially the previous level of operational capability.
|
|
Special Condition: Under this Insuring Agreement, "Single Loss" means all covered costs incurred by the Insured between the time destruction or damage is discovered and the time the Computer System is restored to substantially the previous level of operational capability. Recurrence of destruction or damage after the Computer System is restored shall constitute a separate "Single Loss."
|
(M)
|
Loss resulting directly from charges for voice telephone long-distance toll callswhich were incurred due to the fraudulent use or fraudulent manipulation of an Account Code or System Password required
|
|
to obtain access to a Voice Computer System owned or leased by the Insured, installed on the Insured's premises, whose System Administration is performed and controlled by the Insured;provided, however, that the unauthorized access was not made possible by
|
(1)
|
failure to incorporate a System Password feature or failure to change the System Password at least once every 30 days thereafter, or
|
(2)
|
failure to have a call-disconnect feature in operation to automatically terminate a caller's access to the Voice Computer System after not more than three unsuccessful attempts to input an Account Code.
|
|
Special Condition: Under this Insuring Agreement, "Single Loss" means loss resulting from toll call charges made only on telephone lines directly controlled by one Voice Computer System and only toll call charges occurring for a period of not more than 30 days inclusive of the date on which the first such toll call charge was made.
|
5.
|
GENERAL AGREEMENTS B. ADDITIONAL OFFICES OR EMPLOYEES-CONSOLIDATION, MERGER OR PURCHASE OF ASSETS-NOTICE is hereby deleted in its entirety and is replaced with the following:
|
B.
|
If the Insured shall, while this bond is in force, establish any additional offices, other than by consolidation or merger with, or purchase or acquisition of assets or liabilities or computer systems of, another institution, such offices and computer systems shall be automatically covered hereunder from the date of such establishment without the requirement of notice to the Underwriter or the payment of additional premium for the remainder of the premium period.
|
(a)
|
has occurred or will occur in offices or premises or computer systems, or
|
(b)
|
has been caused or will be caused by an employee or employees of such institution, or
|
(c)
|
has arisen or will arise out of the assets or liabilities or computer systems acquired by the Insured as a result of such consolidation, merger or purchase of assets or liabilities or computer systems unless the Insured shall:
|
(i)
|
give the Underwriter written notice of the proposed consolidation, merger or purchase of assets or liabilities or computer systems prior to the proposed effective date of such action; and
|
(ii)
|
obtain the written consent of the Underwriter to extend the coverage provided by this bond to such additional offices or premises or computer systems, Employees and other exposures; and
|
(iii)
|
upon obtaining such consent, pay to the Underwriter an additional premium.
|
6.
|
Solely for the coverage provided by this rider, Section 1. DEFINITIONS (b) "Property" of the CONDITIONS AND LIMITATIONS section is hereby amended to include Electronic Data and Computer Programs.
|
7.
|
Solely for the coverage provided by this rider, Section 1. DEFINITIONS of the CONDITIONS AND LIMITATIONS section is hereby amended by adding the following definitions to the end thereof:
|
|
(i) |
Account Code means a confidential and protected string of characters which identifies or authenticates a person and permits that person to gain access to a Voice Computer System for the purpose of making toll calls or utilizing voice mail box messaging capabilities or other similar functional features of the System;
|
|
(ii) |
Computer Program means a set of related electronic instructions which direct the operations and functions of a computer or devices connected to it which enable the computer or devices to receive, process, store or send Electronic Data;
|
|
(iii) |
Computer System means:
|
(1)
|
computers with related peripheral components, including storage components wherever located;
|
(2)
|
systems and applications software;
|
(3)
|
terminal devices; and
|
(4)
|
related communication networks, including the internet
|
|
by which Electronic Data are electronically collected, transmitted, processed, stored and retrieved;
|
(iv)
|
Electronic Data means facts or information converted to a form usable in a Computer System by Computer Programs and which is stored on magnetic tapes or disks, or optical storage disks or other bulk media;
|
(v)
|
Funds means Money on deposit in an account;
|
(vi)
|
System Administration means the performance of security functions including but not limited to defining authorized persons to access a Voice Computer System and adding, changing and deleting Account Codes or passwords in connection therewith; and invoking or revoking a System option which directs telephone call routing or which adds, moves or drops telephone lines or which performs any other similar activity allowed by a hardware or software-based System option that has been incorporated by a manufacturer or vendor into a System or any component thereof provided said System option is not intended for the sole use of such manufacturer or vendor;
|
(vii)
|
Sytem Maintenance means the performance of hardware and software installation, diagnostics and corrections and similar activities that are performed in the usual custom and practice by a manufacturer or vendor to establish or maintain the basic operational functionality of a Voice Computer System or any component thereof;
|
(viii)
|
System Password means a confidential and protected string of characters which identifies or authenticates a person and permits that person to gain access to a Voice Computer System or any portion thereof for the purpose of performing System Administration or System Maintenance activities;
|
(ix)
|
Telefacsimile Device means a machine capable of sending or receiving a duplicate image of a document by means of electronic impulses transmitted through a telephone line and which reproduces the duplicate image on paper;
|
(x)
|
Tested means a method of authenticating the contents of a communication by placing a valid test key on it which has been agreed upon by the Insured and a customer, automated clearing house, or another financial institution for the purpose of protecting the integrity of the communication in the ordinary course of business;
|
(xi)
|
Uncertificated Security means a share, participation or other interest in property of, or an enterprise of, the issuer or an obligation of the issuer, which is:
|
1)
|
not represented by an instrument and the transfer of which is registered upon books maintained for that purpose by or on behalf of the issuer;
|
2)
|
of a type commonly dealt in securities, exchanges or markets; and
|
3)
|
either one of a class or series or by its terms divisible into a class or series of shares, participations, interests or obligations;
|
(xii)
|
Voice Computer System means a Computer System installed in one location which functions as a private branch exchange (PBX), voice mail processor, automated call attendant or provides a similar capability used for the direction or routing of telephone calls in a voice communications network.
|
8.
|
Solely for the coverage provided by this rider, Section 2. EXCLUSIONS of the CONDITIONS AND LIMITATIONS section is hereby amended by adding the following definitions to the end thereof:
|
(i)
|
any loss of the type or kind covered by any other Insuring Agreement provided in this financial institution bond, regardless of any deductible amount or limit of liability;
|
(ii)
|
loss caused by a director or Employee of the Insured or by a person in collusion with any director or Employee of the Insured; (Collusion shall include the willful withholding of knowledge from the Insured by any director or Employee that a fraudulent act by a person not an Employee has been or will be perpetrated against the Insured.);
|
(iii)
|
loss resulting directly or indirectly from entry or change of Electronic Data or Computer Programs in a Computer System, unless covered under the COMPUTER SYSTEMS FRAUD or DATA PROCESSING SERVICE OPERATIONS Insuring Agreements;
|
(iv)
|
loss resulting directly or indirectly from the Insured having transferred Funds in reliance on the validity of a voice instruction, unless covered under the COMPUTER SYSTEMS FRAUD or VOICE INITIATED TRANSFER FRAUD Insuring Agreements;
|
(v)
|
loss resulting directly or indirectly by the Insured having transferred or delivered Funds, Certificated Securities or Uncertificated Securities in reliance on an instruction received through a Telefacsimile Device, unless covered under the TELEFACSIMILE TRANSFER FRAUD Insuring Agreement;
|
(vi)
|
loss resulting directly or indirectly from theft of confidential information;
|
(vii)
|
loss resulting directly or indirectly from the assumption of liability by the Insured by contract unless the liability arises from a loss covered by this rider and would be imposed on the Insured regardless of the existence of the contract;
|
(viii)
|
the cost of duplication of Electronic Data or Computer Programs, unless covered under the DESTRUCTION OF DATA OR PROGRAMS BY HACKER or DESTRUCTION OF DATA OR PROGRAMS BY VIRUS Insuring Agreements;
|
(ix)
|
loss involving a Voice Computer System, unless covered under the VOICE COMPUTER SYSTEM FRAUD Insuring Agreement;
|
(x)
|
loss resulting directly or indirectly from:
|
(1)
|
written instructions or advices, or
|
(2)
|
telegraphic or cable instructions or advices;
|
|
unless the instructions or advices are Tested and the loss is covered under the COMPUTER SYSTEMS FRAUD or DATA PROCESSING SERVICE OPERATIONS Insuring Agreements;
|
(xi)
|
loss resulting directly or indirectly from negotiable instruments, securities,documents or other written instruments which bear a forged signature, or are counterfeit, altered or otherwise fraudulent and which are used as source documentation in the preparation of Electronic Data or manually keyed into a data terminal;
|
(xii)
|
loss resulting directly or indirectly from the fraudulent preparation, or fraudulentmodification of Computer Programs unless covered under the COMPUTER SYSTEMS FRAUD or DATA PROCESSING SERVICE OPERATIONS Insuring Agreements;
|
(xiii)
|
loss resulting directly or indirectly from:
|
a.
|
mechanical failure, faulty construction, error in design, latent defect, fire, wear or tear, gradual deterioration, electrical disturbance or electrical surge which affects a Computer System; or
|
b.
|
failure or breakdown of electronic data processing media; or
|
c.
|
error or omission in programming or processing;
|
(xiv)
|
loss as a result of a threat to Computer System operations;
|
(xv)
|
loss resulting directly or indirectly from the use of a telephone credit, debit, charge, identification or similar card to gain access to the Insured's Voice Computer System;
|
(xvi)
|
loss resulting directly or indirectly from the input of Electronic Data into a Computer System terminal device either on the premises of a customer of the Insured or under the control of such customer by a person who had authorized access to the customer's authentication mechanism.
|
(xvii)
|
loss resulting directly or indirectly from payments made or withdrawals from a depositor's account involving items of deposit which are not finally paid for any reason;
|
(xviii)
|
loss of potential income, including but not limited to interest and dividends;
|
(xix)
|
loss of any type for which the Insured is legally liable, except compensatory damages, but not multiples thereof, arising directly from a loss covered under this policy;
|
(xx)
|
any fees, costs and expenses incurred by the Insured;
|
(xxi)
|
indirect or consequential loss of any nature;
|
(xxii)
|
loss involving automated mechanical devices which on behalf of the Insured, disburse money, accept deposits, cash checks, drafts or similar written instruments, or make credit card loans;
|
(xxiii)
|
loss due to riot or civil commotion or loss due to military, naval or usurped power, war or insurrection;
|
(xxiv)
|
loss resulting directly or indirectly from the effects of nuclear fission or fusion or radioactivity; provided, however, that this exclusion shall not apply to loss resulting from industrial uses of nuclear energy; and
|
(xxv)
|
loss as a result of a threat
|
(1)
|
to do bodily harm to any person;
|
(2)
|
to do damage to the premises or property of the Insured; or to Computer Systems operations;
|
(3)
|
to Computer Systems operations;
|
9.
|
Solely for the coverage provided by this rider, Section 4. LOSS-NOTICE-PROOF- LEGAL PROCEEDINGS of the CONDITIONS AND LIMITATIONS section is hereby amended by adding the following section to the end thereof:
|
|
Proof of loss for claim under the Voice Initiated Transfer Fraud Insuring Agreement must include electronic recordings of such voice instructions and the verification call-back, if such call-back was required.
|
|
Proof of loss for claim under the Telefacsimile Transfer Fraud Insuring Agreement must include a copy of the document reproduced by the Telefacsimile Device.
|
AUTHORIZED REPRESENTATIVE |
1.
|
The Name of Insured stated in the Declarations is amended to include the following as an Insured under the attached bond:
|
|
any of the Insured's Employee Welfare or Pension Benefit Plans now existing or hereafter created or acquired which are required to be bonded under the Employee Retirement Income Security Act of1974 ("ERISA") (as amended).
|
2.
|
Solely for the purpose of the coverage provided by this rider, the definition of "Employee" is amended to include the following at the end of thereof:
|
|
Employee shall also include any natural person who is a director or trustee of the Insured while such director or trustee is engaged in handling funds or other property of any Employee Welfare orPension Benefit Plan owned, controlled or operated by the Insured or any natural person who is a trustee, manager, officer or employee of any such Plan.
|
3.
|
Solely for the purpose of the coverage provided by this rider, it is hereby understood and agreed that if the bond, in accordance with the agreements, limitations and conditions thereof, covers loss sustained by two or more Employee Welfare or Pension Benefit Plans or sustained by any such Plan in addition to loss sustained by an Insured other than such Plan, it is the obligation of the Insured or the Plan Administrator(s) of such Plans under Regulations published by the Secretary of Labor implementing Section 13 of the Welfare and Pension Plan Disclosure Act of 1958 to obtain under one or more bonds issued by one or more Insurers an amount of coverage for each such Plan at least equal to that which would be required if such Plans were bonded separately.
|
4.
|
In compliance with the foregoing, payment by the Underwriter in accordance with the agreements, limitations and conditions of the bond shall be held by the Insured, or if more than one by the Insured first named, for the use and benefit of any Employee Welfare or Pension Benefit Plan sustaining loss so covered and to the extent of that such payment is in excess of the amount of coverage required by such Regulations to be carried by said Plan sustaining such loss, such excess shall be held for the use and benefit of any other such Plan also covered in the event that such other Plan discovers that it has sustained loss covered thereunder.
|
5.
|
If money or other property of two or more Employee Welfare or Pension Benefit Plans covered under the bond is commingled, recovery for loss of such money or other property through fraudulent or dishonest acts of Employees shall be shared by such Plans on a pro rata basis in accordance with the amount for which each such Plan is required to carry bonding coverage in accordance with the applicable provisions of said Regulations.
|
6.
|
Solely for the purpose of the coverage afforded by this rider, the Deductible Amount of the attached bond shall not apply to loss sustained by a Plan through acts committed by an Employee.
|
7.
|
Item 3 of the Declarations is amended to include the following:
|
Single Loss | Single Loss | |
Limit of Liability | Deductible | |
ERISA | $1,000,000 | $10,000 |
8.
|
Nothing contained here shall be held to vary, alter, waive or extend any of the terms, limitations, conditions, or agreements of the attached bond other than as above stated.
|
AUTHORIZED REPRESENTATIVE |
1.
|
The Underwriter will makr its recores to indicate that the Securities and Exchange Commission is to be notified thirty (30) days prior to cancellation, termination or substantial modification of the attached bond, whether at the request of the Insured or the Underwriter, and will use its best efforts to so notify Securities and Exchange Commission but failure to so notify Securities and Exchange Commission shall not impair or delay the effectiveness of any such cancellation, termination or modification.
|
2.
|
Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions or limitations of the attached policy except as above stated.
|
AUTHORIZED REPRESENTATIVE |
1.
|
The INSURING AGREEMENTS Clause of the attached bond is amended by adding the following additional Insuring Agreement to the end thereof:
|
|
Loss resulting directly from the Insured having accepted, paid or cashed any check or withdrawal order made or drawn on a customer's account which bears the signature or endorsement of one other than a person whose name and signature is on file with the Insured as an authorized signatory on such account.
|
|
It shall be a condition precedent to the Insured's right of recovery under this Insuring Agreement that the Insured shall have on file signatures of all persons who are authorized signatories on such account.
|
2.
|
The Underwriter's Aggregate Liability under this Unauthorized Signature Insuring Agreement shall be $100,000, which shall be part of, not in addition to, the Aggregate Liability stated in the Declarations. A deductible amount of $10,000 shall apply to each and every loss under this Unauthorized Signatures Insuring Agreement.
|
3.
|
Nothing contained here shall be held to vary, alter, waive or extend any of the terms, limitations, conditions, or agreements of the attached bond other than as above stated.
|
AUTHORIZED REPRESENTATIVE |
1.
|
(J) STATEMENT OF UNCERTIFICATED SECURITY IN ANY BOOK ENTRY FORM
|
|
Loss resulting directly from the Insured having, in good faith, for its own account, or for the account of others, acquired, sold or delivered, or given value, extended credit or assumed liability on the faith of any original statement of uncertificated security in any book entry form.
|
2.
|
Solely for the purpose of the coverage afforded by this rider, paragraph (b) of Section 1. DEFINITIONS of the CONDITIONS AND LIMITATIONS Clause is amended to include the following: Certificated Securities, Uncertificated Securities of any issuer, Negotiable Instruments, Certificates of Deposit, Documents of Title, Acceptances, Security Agreements, Withdrawal Orders, Certificates of Origin or Title, Letters of Credit, insurance policies, abstracts of title, deeds and mortgages on real estate, revenue and other stamps, tokens, unsold state lottery tickets, books of account and other records whether recorded in writing or electronically, gems, jewelry, precious metals in bars or ingots and tangible items of personal property which are not hereinbefore enumerated.
|
3.
|
Nothing contained here shall be held to vary, alter, waive or extend any of the terms, limitations, conditions, or agreements of the attached bond other than as above stated.
|
AUTHORIZED REPRESENTATIVE |
1.
|
In granting coverage under this bond, the Underwriter has relied upon the statements and representations contained in the below referenced application (including materials submitted thereto and, if such application is a renewal application, all such previous bond applications and their attachments and materials, for which this bond is a renewal or succeeds in time) as being accurate and complete.
|
2.
|
The Insured warrants and represents to the Underwriter that the statements and representations made in such application were accurate on the date such representations and statements were so given and that in connection therewith the Insured reaffirms each and every statement made in the application to ACE as accurate as of December 19, 2011 as if it was made to the Underwriter on such date. All such statements and representations shall be deemed to be material to the risk assumed by the Underwriter, and are the basis of this bond and are deemed to be considered as incorporated into this bond.
|
Type of Bond Application | Carrier | Date Signed |
Financial Institutions Crime | ACE | 12/19/2011 |
3.
|
Nothing contained here shall be held to vary, alter, waive or extend any of the terms, limitations, conditions, or agreements of the attached bond other than as above stated.
|
AUTHORIZED REPRESENTATIVE |
1.
|
Email Reporting of Claims: In addition to the postal address set forth for any Notice of Claim Reporting under this policy, such notice may also be given in writing pursuant to the policy's other terms and conditions to the Insurer by email at the following email address:
|
|
Your email must reference the policy number for this policy. The date of the Insurer's receipt of the emailed notice shall constitute the date of notice.
|
|
In addition to Notice of Claim Reporting via email, notice may also be given to the Insurer by mailing such notice to: Chartis, Financial Lines Claims, P.O. Box 25947, Shawnee Mission, KS 66225 or faxing
such notice to (866) 227- 1750. |
2.
|
Definitions: For this endorsement only, the following definitions shall apply:
|
(a)
|
"Insurer" means the "Insurer," "Underwriter" or "Company" or other namespecifically ascribed in this policy as the insurance company or underwriter for this policy.
|
(b)
|
"Notice of Claim Reporting" means "notice of claim/circumstance," "notice of loss" or other reference in the policy designated for reporting of claims, loss or occurrences or situations that may give rise or result in loss under this policy.
|
(c)
|
"Policy" means the policy, bond or other insurance product to which this endorsement is attached.
|
3.
|
This endorsement does not apply to any Kidnap & Ransom/Extortion CoverageSection, if any, provided by this policy.
|
AUTHORIZED REPRESENTATIVE |
(1)
|
Nonpayment of premium, including payment due on a prior policy issued bythe Insurer and due during the current policy term covering the same risks.
|
(2)
|
A judgment by a court or an administrative tribunal that the named Insuredhas violated any law of this state of or of the United States having as one of its necessary elements an act which materially increases any of the risks insured against.
|
(3)
|
Discovery of fraud or material misrepresentation by either of the following:
|
(a)
|
The Insured or Other Insured(s) or his or her representative in obtaining the insurance; or
|
(b)
|
The named Insured or his or her representative in pursuing a claim under the policy.
|
(4)
|
Discovery of willful or grossly negligent acts or omissions, or of any violationsof state laws or regulations establishing safety standards, by the named Insured or Other Insured(s) or a representative of same, which materially increase any of the risks insured against.
|
(5)
|
Failure by the named Insured or Other Insured(s) or a representative of sameto implement reasonable loss control requirements which were agreed to by the Insured as a condition of policy issuance or which were conditions precedent to the use by the Insurer of a particular rate or rating plan if the failure materially increases any of the risks insured against.
|
(6)
|
A determination by the commissioner that the loss of, or changes in, aninsurer's reinsurance covering all or part of the risk would threaten the financial integrity or solvency of the Insurer.
|
(7)
|
A determination by the commissioner that a continuation of the policy coverage could place the Insurer in violation of the laws of this state or the state of its domicile or that the continuation of coverage would threaten the solvency of the Insurer.
|
(8)
|
A change by the name Insured or Other Insured(s) or a representative of same in the activities or property of the commercial or industrial enterprise which results in a material added risk, a materially increased risk or a materially changed risk, unless the added, increased, or changed risk is included in the policy.
|
(1)
|
If the transfer or renewal of a policy, without any changes in terms, conditions or rates, is between the Insurer and a member of the insurance group.
|
(2)
|
If the policy has been extended for 90 days or less, provided that notice has been given in accordance with the nonrenewal notice requirements noted above.
|
(3)
|
If the Named Insured has obtained replacement coverage, or has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage.
|
(4)
|
If the policy is for a period of no more than 60 days and the Insured is notified at the time of issuance that it will not be renewed.
|
(5)
|
If the First Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period.
|
(6)
|
If the Insurer has made a written offer to the First Named Insured, in accordance with timeframes shown above to renew the policy under changed terms or conditions or at an increased premium rate.
|
AUTHORIZED REPRESENTATIVE |
AUTHORIZED REPRESENTATIVE |
The contents of the Policy is comprised of the following forms:
|
FORM NUMBER | EDITION DATE | FORM TITLE |
41205 | 04/95 |
INVESTMENT COMPANY BLANKET BOND - DEC-PAGE
|
41206 | 09/84 |
Investment Company Blanket Bond guts
|
MNSCPT |
AUDIT EXPENSE RIDER
|
|
MNSCPT |
COMPUTER CRIME COVERAGE
|
|
MNSCPT |
ERISA RIDER
|
|
MNSCPT | NOTICE OF CANCELLATION TO SEC | |
MNSCPT | UNAUTHORIZED SIGNATURES RIDER | |
MNSCPT | UNCERTIFICATED SECURITIES RIDER | |
MNSCPT |
RELIANCE UPON OTHER CARRIER'S APPLICATION RIDER
|
|
99758 | 08/08 |
NOTICE OF CLAIM (REPORTING BY E-MAIL)
|
52133 | 03/07 |
CALIFORNIA AMENDATORY - CANCELLATION/NONRENEWAL
|
89644 | 07/05 |
COVERAGE TERRITORY ENDORSEMENT (OFAC)
|
78859 | 10/01 |
FORMS INDEX ENDORSEMENT
|
AUTHORIZED REPRESENTATIVE |
ITEM 2.
|
BOND PERIOD: |
From: 12:01 A.M. on December 19, 2011
To: 12:01 A.M. on March 31, 2013
|
|
AUTHORIZED REPRESENTATIVE |
FORM NUMBER | DATE |
EDITION FORM TITLE
|
SYSLIB | 01/05 | BOND PERIOD EXPANDED |
SYSLIB | 01/05 | FORMS INDEX (AMENDED) |
AUTHORIZED REPRESENTATIVE |
Reported under Policy/Bond Number: | 01-424-27-15 | Date: _______________________________________ | ||
Type of Coverage: | D&O ____________________________ | E&O _______________________________________ | Fidelity________________________ | (complete the Fidelity Supplemental on the next page) |
Insured's Name, as given on Policy Declarations (Face Page): _____________________________________________________ | ||||
DOUBLELINE CREDIT OPPORTUNITIES FUND | ||||
Contact Person: | _________________________________ | |||
Title: | _________________________________ | |||
Phone: | ( _______ ) ________ - _________ Ext __________________ | |||
eMail: | _______________________________ @ _______________________ | |||
Case or Claimant Name: | _____________________________________________________________________________ | |||
If the party involved is different from "Insured" Name (as given on Policy Declarations) state relationship: __________________________________________________ | ||||
Insurance Broker/Agent: |
ARTHUR J. GALLAGHER & CO INS BROKERS OF CA, INC.
|
|||
Address: | 505 N. BRAND BLVD., SUITE 600
GLENDALE, CA 91203-3018
|
|||
Contact: | GUIDO OSENZA | Phone:______________________________________ | ||
eMail: | Guido Cosenza@ajg.com |
Send Notice of Claims to:
|
Chartis | Phone: (888) 602-5246 |
Financial Lines Claims | Fax: (866) 227-1750 | |
P.O. Box 25947 | Email: c- Claim@chartisinsurance.com | |
Shawnee Mission, KS 66225 |
Date of Discovery:
|
Estimated Amount of loss:
|
|||
Cause of Loss: | Employee Dishonesty | Computer Fraud | |||
Funds Transfer | Robbery/Burglary | ||||
ID Theft
|
Forgery
|
||||
Client Property
|
In Transit
|
||||
ERISA | Credit Card Forgery | ||||
Other | If Other, describe: | ||||
Send Notice of Claims to:
|
Chartis | Phone: (888) 602-5246 |
Financial Lines Claims | Fax: (866) 227-1750 | |
P.O. Box 25947 | Email: c- Claim@chartisinsurance.com | |
Shawnee Mission, KS 66225 |