Policy Number: WED4MA010028207 Renewal of Policy: WED4MA010028206 Forms / Endorsements SP 4 604O 12-15 DECLARATION PAGE SP 4 584 12-15 IIP LIABILITY COVERAGE FOR INS. AGENCIES SP 000 244 01-12 DAMAGES AND CLAIM EXPENSES DEDUCTIBLE SP 000 259 06-10 PREPAID LEGAL EXPENSE PLAN COVERAGE SP 000 275 06-10 MUTUAL FUNDS ENDORSEMENT SP 4 859 12-11 NOTICE TO COMPANY ENDORSEMENT WGPL-110 12-11 ADDL INSD-VICARIOUS LIABILITY In witness whereof, the Company issuing this POLICY has caused this POLICY to be signed by its authorized officers, but it shall not be valid unless also signed by the duly authorized representative of the Company. WESTPORT INSURANCE CORPORATION Countersignature Date Authorized Representative SP 4 604 O 1215 Page 2 of 2 Copyright 2015 Westport Insurance Corporation. All rights reserved. The reproduction or utilization of this work in any form whether by any electronic, mechanical, or other means, now known or hereafter invented, including xerography, photocopying, and recording, and information storage and retrieval system is forbidden without the written permission of Westport Insurance Corporation. Insured Copy