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PICC P&C US TERRORISM RISK INSURANCE ACT CLAUSE

(TRIA CLAUSE)

2003-01-01

By accepting this Policy, the Assured(s), Member(s), Joint-Member(s), and or Co-Assured(s), named herein acknowledge an confirm that:

(a) cover for “acts of terrorism” as defined in the US Terrorism Risk Insurance

Act 2002 was made available to the Assured (s), Member (s), Joint-Member(s), and or Co-Assured(s), named herein;

(b) the Assured(s), Member(s), Joint-Member(s), and or Co-Assured(s), named herein declined to purchase such cover;

(c) Assured(s), Member(s), Joint-Member(s), and or Co-Assured(s), named herein has/have not paid the Association any premium for such cover.

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