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0823</span><span style="left: calc(var(--scale-factor)*141.01px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*490.08px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.812952);" role="presentation" dir="ltr">Page</span><span style="left: calc(var(--scale-factor)*509.68px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*511.92px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">1</span><span style="left: calc(var(--scale-factor)*516.97px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*519.24px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.866416);" role="presentation" dir="ltr">of</span><span style="left: calc(var(--scale-factor)*527.56px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*529.80px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.796957);" role="presentation" dir="ltr">10</span></span><span class="markedContent" id="page1249R_mcid0"></span><span class="markedContent" id="page1249R_mcid2"><br role="presentation"><span style="left: calc(var(--scale-factor)*65.40px); top: calc(var(--scale-factor)*86.08px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.833334);" role="presentation" dir="ltr">SAFEHEALTH CYBER INSURANCE APPLICATION</span></span><span class="markedContent" id="page1249R_mcid3"></span><span class="markedContent" id="page1249R_mcid7"></span><span class="markedContent" id="page1249R_mcid10"></span><span class="markedContent" id="page1249R_mcid14"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid163"></span><span class="markedContent" id="page1249R_mcid18"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid164"></span><span class="markedContent" id="page1249R_mcid20"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid165"></span><span class="markedContent" id="page1249R_mcid22"></span><span class="markedContent" id="page1249R_mcid23"></span><span class="markedContent" id="page1249R_mcid166"><br role="presentation"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*127.62px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.82133);" role="presentation" dir="ltr">IMPORTANT NOTICE: INSURING AGREEMENTS F, G, AND H OF THE INSURANCE POLICY FOR WHICH THIS</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid167"><br role="presentation"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*140.94px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.859734);" role="presentation" dir="ltr">APPLICATION IS MADE (HEREINAFTER REFERRED TO AS THE “POLICY”) ARE WRITTEN ON A CLAIMS</span><br role="presentation"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*154.37px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.843516);" role="presentation" dir="ltr">MADE AND REPORTED BASIS AND ONLY COVER CLAIMS FIRST MADE AGAINST THE INSURED DURING</span><br role="presentation"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*167.81px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.851072);" role="presentation" dir="ltr">THE POLICY PERIOD OR ANY EXTENDED REPORTING PERIOD, IF APPLICABLE, AND REPORTED TO US</span><br role="presentation"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*181.24px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.869506);" role="presentation" dir="ltr">PURSUANT TO THE TERMS OF THE POLICY. INSURING AGREEMENTS A THROUGH E AND INSURING</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*194.68px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.820024);" role="presentation" dir="ltr">AGREEMENTS I THOUGH L ARE WRITTEN ON AN INCIDENT FIRST DISCOVED AND REPORTED BASIS AND</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*208.11px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.894116);" role="presentation" dir="ltr">ONLY COVER FIRST-PARTY EVENTS FIRST DISCOVERED BY THE INSURED AND REPORTED TO US</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*221.55px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.829312);" role="presentation" dir="ltr">PURSUANT TO THE TERMS OF THE POLICY.</span></span><span class="markedContent" id="page1249R_mcid25"></span><span class="markedContent" id="page1249R_mcid26"><br role="presentation"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.906328);" role="presentation" dir="ltr">THE POLICY FOR</span><span style="left: calc(var(--scale-factor)*154.29px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*160.91px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.888694);" role="presentation" dir="ltr">WHICH THIS</span><span style="left: calc(var(--scale-factor)*220.74px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*227.40px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.858531);" role="presentation" dir="ltr">APPLICATION</span><span style="left: calc(var(--scale-factor)*288.91px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*295.56px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.93117);" role="presentation" dir="ltr">IS MADE PROVIDES NO</span><span style="left: calc(var(--scale-factor)*413.30px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*419.99px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.827828);" role="presentation" dir="ltr">COVERAGE</span><span style="left: calc(var(--scale-factor)*470.38px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*477.12px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.817961);" role="presentation" dir="ltr">FOR</span><span style="left: calc(var(--scale-factor)*495.69px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*502.32px); top: calc(var(--scale-factor)*248.45px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.839708);" role="presentation" dir="ltr">CLAIMS,</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*261.89px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.85939);" role="presentation" dir="ltr">CIRCUMSTANCES THAT COULD REASONABLY BE THE BASIS FOR A CLAIM, OR FIRST-PARTY EVENTS,</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*275.21px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.8113);" role="presentation" dir="ltr">FIRST OCCURRING PRIOR TO THE RETROACTIVE DATE STATED IN THE POLICY DECLARATIONS. AMOUNTS</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*288.65px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.813266);" role="presentation" dir="ltr">INCURRED AS CLAIMS EXPENSE UNDER THE POLICY WILL REDUCE AND MAY COMPLETELY EXHAUST THE</span><br role="presentation"><span style="left: calc(var(--scale-factor)*71.99px); top: calc(var(--scale-factor)*302.08px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif; transform: scaleX(0.82167);" role="presentation" dir="ltr">LIMITS OF INSURANCE AND ARE SUBJECT TO THE DEDUCTIBLES. PLEASE READ THE POLICY CAREFULLY.</span></span><span class="markedContent" id="page1249R_mcid27"></span><span class="markedContent" id="page1249R_mcid28"></span><span class="markedContent" id="page1249R_mcid32"><br role="presentation"><span style="left: calc(var(--scale-factor)*58.44px); top: calc(var(--scale-factor)*338.32px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.876735);" role="presentation" dir="ltr">I.</span></span><span class="markedContent" id="page1249R_mcid33"><span style="left: calc(var(--scale-factor)*64.88px); top: calc(var(--scale-factor)*338.32px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*76.44px); top: calc(var(--scale-factor)*338.32px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.84156);" role="presentation" dir="ltr">APPLICATION INSTRUCTIONS</span></span><span class="markedContent" id="page1249R_mcid34"></span><span class="markedContent" id="page1249R_mcid39"></span><span class="markedContent" id="page1249R_mcid42"></span><span class="markedContent" id="page1249R_mcid46"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid168"></span><span class="markedContent" id="page1249R_mcid50"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid169"></span><span class="markedContent" id="page1249R_mcid52"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid170"></span><span class="markedContent" id="page1249R_mcid54"></span><span class="markedContent" id="page1249R_mcid55"></span><span class="markedContent" id="page1249R_mcid58"><br role="presentation"><span style="left: calc(var(--scale-factor)*76.56px); top: calc(var(--scale-factor)*376.14px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.844292);" role="presentation" dir="ltr">A.</span><span style="left: calc(var(--scale-factor)*85.34px); top: calc(var(--scale-factor)*376.14px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*94.56px); top: calc(var(--scale-factor)*376.14px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.824293);" role="presentation" dir="ltr">The term “Applicant," herein refers individually and collectively to all proposed insureds. All responses</span><br role="presentation"><span style="left: calc(var(--scale-factor)*94.56px); top: calc(var(--scale-factor)*388.87px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.80419);" role="presentation" dir="ltr">shall be deemed made on behalf of all proposed insureds.</span></span><span class="markedContent" id="page1249R_mcid62"><br role="presentation"><span style="left: calc(var(--scale-factor)*76.57px); top: calc(var(--scale-factor)*401.71px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.794491);" role="presentation" dir="ltr">B.</span><span style="left: calc(var(--scale-factor)*84.99px); top: calc(var(--scale-factor)*401.71px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*94.56px); top: calc(var(--scale-factor)*401.71px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.805394);" role="presentation" dir="ltr">The terms “we, us, or our” means the Underwriters providing the proposed SafeHealth cyber insurance.</span></span><span class="markedContent" id="page1249R_mcid66"><br role="presentation"><span style="left: calc(var(--scale-factor)*76.56px); top: calc(var(--scale-factor)*414.55px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.773547);" role="presentation" dir="ltr">C.</span><span style="left: calc(var(--scale-factor)*84.86px); top: calc(var(--scale-factor)*414.55px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*94.55px); top: calc(var(--scale-factor)*414.55px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.845656);" role="presentation" dir="ltr">Past cybersecurity incidents and claims must be reported. If an Applicant has no past cybersecurity</span><br role="presentation"><span style="left: calc(var(--scale-factor)*94.55px); top: calc(var(--scale-factor)*427.39px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.790702);" role="presentation" dir="ltr">incidents or claims in the past 3 years, the Claims and Incidents Supplementary Data in Section VIII of this</span><br role="presentation"><span style="left: calc(var(--scale-factor)*94.54px); top: calc(var(--scale-factor)*440.23px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.811148);" role="presentation" dir="ltr">Application does not need to be completed.</span></span><span class="markedContent" id="page1249R_mcid70"><br role="presentation"><span style="left: calc(var(--scale-factor)*76.55px); top: calc(var(--scale-factor)*452.96px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.795538);" role="presentation" dir="ltr">D.</span><span style="left: calc(var(--scale-factor)*85.69px); top: calc(var(--scale-factor)*452.96px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*94.55px); top: calc(var(--scale-factor)*452.96px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.799654);" role="presentation" dir="ltr">Please complete all questions clearly and completely. We will rely on statements made in this Application</span><br role="presentation"><span style="left: calc(var(--scale-factor)*94.55px); top: calc(var(--scale-factor)*465.80px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.807304);" role="presentation" dir="ltr">to determine program eligibility and terms.</span></span><span class="markedContent" id="page1249R_mcid74"><br role="presentation"><span style="left: calc(var(--scale-factor)*76.56px); top: calc(var(--scale-factor)*478.64px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.779734);" role="presentation" dir="ltr">E.</span><span style="left: calc(var(--scale-factor)*84.38px); top: calc(var(--scale-factor)*478.64px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*94.56px); top: calc(var(--scale-factor)*478.64px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.809495);" role="presentation" dir="ltr">This Application must be signed and dated by a principal of the proposed named insured within 60 days</span><br role="presentation"><span style="left: calc(var(--scale-factor)*94.56px); top: calc(var(--scale-factor)*491.48px); font-size: calc(var(--scale-factor)*10.56px); font-family: sans-serif; transform: scaleX(0.813993);" role="presentation" dir="ltr">of the proposed Policy inception date.</span></span><span class="markedContent" id="page1249R_mcid77"></span><span class="markedContent" id="page1249R_mcid78"></span><span class="markedContent" id="page1249R_mcid82"><br role="presentation"><span style="left: calc(var(--scale-factor)*58.44px); top: calc(var(--scale-factor)*527.08px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.889256);" role="presentation" dir="ltr">II.</span></span><span class="markedContent" id="page1249R_mcid83"><span style="left: calc(var(--scale-factor)*68.12px); top: calc(var(--scale-factor)*527.08px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*76.44px); top: calc(var(--scale-factor)*527.08px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.833874);" role="presentation" dir="ltr">APPLICANT DETAILS</span></span><span class="markedContent" id="page1249R_mcid84"></span><span class="markedContent" id="page1249R_mcid89"></span><span class="markedContent" id="page1249R_mcid92"></span><span class="markedContent" id="page1249R_mcid96"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid171"></span><span class="markedContent" id="page1249R_mcid100"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid172"></span><span class="markedContent" id="page1249R_mcid102"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid173"></span><span class="markedContent" id="page1249R_mcid104"></span><span class="markedContent" id="page1249R_mcid105"></span><span class="markedContent" id="page1249R_mcid107"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid174"><br role="presentation"><span style="left: calc(var(--scale-factor)*67.32px); top: calc(var(--scale-factor)*566.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">A</span><span style="left: calc(var(--scale-factor)*73.32px); top: calc(var(--scale-factor)*566.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">.</span></span><span class="markedContent" id="page1249R_mcid112"><span style="left: calc(var(--scale-factor)*75.98px); top: calc(var(--scale-factor)*566.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*90.60px); top: calc(var(--scale-factor)*566.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.822142);" role="presentation" dir="ltr">Please provide the following information about the Applicant</span></span><span class="markedContent" id="page1249R_mcid114"></span><span class="markedContent" id="page1249R_mcid115"></span><span class="markedContent" id="page1249R_mcid117"><br role="presentation"><span style="left: calc(var(--scale-factor)*64.08px); top: calc(var(--scale-factor)*590.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.810708);" role="presentation" dir="ltr">Name of Company/Applicant:</span></span><span class="markedContent" id="page1249R_mcid119"></span><span class="markedContent" id="page1249R_mcid121"><br role="presentation"><span style="left: calc(var(--scale-factor)*64.08px); top: calc(var(--scale-factor)*609.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.805631);" role="presentation" dir="ltr">Primary Address:</span></span><span class="markedContent" id="page1249R_mcid123"><span style="left: calc(var(--scale-factor)*132.27px); top: calc(var(--scale-factor)*609.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*311.52px); top: calc(var(--scale-factor)*609.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.842517);" role="presentation" dir="ltr">Website:</span></span><span class="markedContent" id="page1249R_mcid124"></span><span class="markedContent" id="page1249R_mcid126"><br role="presentation"><span style="left: calc(var(--scale-factor)*64.08px); top: calc(var(--scale-factor)*629.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.798015);" role="presentation" dir="ltr">City:</span></span><span class="markedContent" id="page1249R_mcid128"><span style="left: calc(var(--scale-factor)*81.75px); top: calc(var(--scale-factor)*629.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*229.08px); top: calc(var(--scale-factor)*629.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.780535);" role="presentation" dir="ltr">State:</span></span><span class="markedContent" id="page1249R_mcid129"><span style="left: calc(var(--scale-factor)*252.26px); top: calc(var(--scale-factor)*629.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*393.96px); top: calc(var(--scale-factor)*629.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.742966);" role="presentation" dir="ltr">Zip:</span></span><span class="markedContent" id="page1249R_mcid130"></span><span class="markedContent" id="page1249R_mcid132"><br role="presentation"><span style="left: calc(var(--scale-factor)*64.08px); top: calc(var(--scale-factor)*649.36px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.792799);" role="presentation" dir="ltr">*List of all Subsidiaries:</span></span><span class="markedContent" id="page1249R_mcid134"></span><span class="markedContent" id="page1249R_mcid136"><br role="presentation"><span style="left: calc(var(--scale-factor)*64.08px); top: calc(var(--scale-factor)*669.04px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.802857);" role="presentation" dir="ltr">Applicant Contact Name:</span></span><span class="markedContent" id="page1249R_mcid138"><span style="left: calc(var(--scale-factor)*164.07px); top: calc(var(--scale-factor)*669.04px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*280.20px); top: calc(var(--scale-factor)*669.04px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.804579);" role="presentation" dir="ltr">Applicant Contact Email (required):</span></span><span class="markedContent" id="page1249R_mcid139"></span><span class="markedContent" id="page1249R_mcid141"><br role="presentation"><span style="left: calc(var(--scale-factor)*64.32px); top: calc(var(--scale-factor)*688.72px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.838015);" role="presentation" dir="ltr">**Applicant Phone Number:</span></span><span class="markedContent" id="page1249R_mcid143"></span><span class="markedContent" id="page1249R_mcid145"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid159"><br role="presentation"><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*32.70px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.816822);" role="presentation" dir="ltr">For Internal Use Only</span></span><span class="markedContent" id="page1249R_mcid149"></span><span class="markedContent" id="page1249R_mcid151"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid160"><br role="presentation"><span style="left: calc(var(--scale-factor)*54.12px); top: calc(var(--scale-factor)*46.14px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.808418);" role="presentation" dir="ltr">Rate Plan</span></span><span class="markedContent" id="page1249R_mcid155"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid161"><span style="left: calc(var(--scale-factor)*88.61px); top: calc(var(--scale-factor)*46.14px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*130.44px); top: calc(var(--scale-factor)*47.34px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.81467);" role="presentation" dir="ltr">☐ Physicians</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1249R_mcid162"><br role="presentation"><span style="left: calc(var(--scale-factor)*130.44px); top: calc(var(--scale-factor)*59.46px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.852467);" role="presentation" dir="ltr">☐ Other</span></span><span class="markedContent" id="page1249R_mcid158"></span><div class="endOfContent"></div></div><div class="annotationLayer" hidden=""></div><div class="annotationEditorLayer" tabindex="0" style="pointer-events: none; width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" data-main-rotation="0" hidden=""></div></div><div class="page" data-page-number="2" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 2" data-loaded="true"><div class="canvasWrapper"><canvas role="presentation" style="width: 1020px; height: 1320px;" width="1020" height="1320"></canvas></div><div class="textLayer" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" data-main-rotation="0" hidden=""><span class="markedContent"><span style="left: calc(var(--scale-factor)*72.00px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.795629);" role="presentation" dir="ltr">SH AP 1000 0823</span><span style="left: calc(var(--scale-factor)*141.01px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*490.08px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.812952);" role="presentation" dir="ltr">Page</span><span style="left: calc(var(--scale-factor)*509.68px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*511.92px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">2</span><span style="left: calc(var(--scale-factor)*516.97px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*519.24px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.866416);" role="presentation" dir="ltr">of</span><span style="left: calc(var(--scale-factor)*527.56px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*529.80px); top: calc(var(--scale-factor)*754.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.796957);" role="presentation" dir="ltr">10</span></span><span class="markedContent" id="page1R_mcid1"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid240"><br role="presentation"><span style="left: calc(var(--scale-factor)*58.68px); top: calc(var(--scale-factor)*69.64px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.888261);" role="presentation" dir="ltr">IMPORTANT:</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid241"><br role="presentation"><span style="left: calc(var(--scale-factor)*58.68px); top: calc(var(--scale-factor)*81.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.805669);" role="presentation" dir="ltr">*The Applicant must disclose all entity names, annual revenues, number of physicians (or number of employees if no</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid242"><br role="presentation"><span style="left: calc(var(--scale-factor)*58.68px); top: calc(var(--scale-factor)*94.12px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.807703);" role="presentation" dir="ltr">physicians), and business activities, for all subsidiaries and other proposed insureds for whom coverage is requested.</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid243"><br role="presentation"><span style="left: calc(var(--scale-factor)*58.68px); top: calc(var(--scale-factor)*106.24px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.817716);" role="presentation" dir="ltr">**The Applicant’s phone number will only be used to coordinate Shield Up loss control and/or claim services.</span></span><span class="markedContent" id="page1R_mcid9"></span><span class="markedContent" id="page1R_mcid10"></span><span class="markedContent" id="page1R_mcid11"></span><span class="markedContent" id="page1R_mcid13"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid244"><br role="presentation"><span style="left: calc(var(--scale-factor)*67.20px); top: calc(var(--scale-factor)*140.10px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr">B</span><span style="left: calc(var(--scale-factor)*73.44px); top: calc(var(--scale-factor)*140.10px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr">.</span></span><span class="markedContent" id="page1R_mcid245"><span style="left: calc(var(--scale-factor)*76.39px); top: calc(var(--scale-factor)*140.10px); font-size: calc(var(--scale-factor)*11.04px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*90.60px); top: calc(var(--scale-factor)*140.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.80744);" role="presentation" dir="ltr">Please indicate the Applicant’s gross annual revenue</span><span style="left: calc(var(--scale-factor)*303.63px); top: calc(var(--scale-factor)*140.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*305.88px); top: calc(var(--scale-factor)*140.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.808505);" role="presentation" dir="ltr">and total number of licensed physician(s)</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid20"></span><span class="markedContent" id="page1R_mcid21"></span><span class="markedContent" id="page1R_mcid23"></span><span class="markedContent" id="page1R_mcid26"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid246"><br role="presentation"><span style="left: calc(var(--scale-factor)*219.96px); top: calc(var(--scale-factor)*171.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.874708);" role="presentation" dir="ltr">Prior Year</span></span><span class="markedContent" id="page1R_mcid31"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid247"><span style="left: calc(var(--scale-factor)*261.17px); top: calc(var(--scale-factor)*171.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*331.20px); top: calc(var(--scale-factor)*171.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.85359);" role="presentation" dir="ltr">Current Year</span></span><span class="markedContent" id="page1R_mcid36"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid248"><span style="left: calc(var(--scale-factor)*383.81px); top: calc(var(--scale-factor)*171.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*459.12px); top: calc(var(--scale-factor)*165.16px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.856291);" role="presentation" dir="ltr">Next Year</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid249"><br role="presentation"><span style="left: calc(var(--scale-factor)*458.16px); top: calc(var(--scale-factor)*178.24px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.823096);" role="presentation" dir="ltr">(Estimate)</span></span><span class="markedContent" id="page1R_mcid42"></span><span class="markedContent" id="page1R_mcid44"><br role="presentation"><span style="left: calc(var(--scale-factor)*74.40px); top: calc(var(--scale-factor)*194.68px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.81413);" role="presentation" dir="ltr">Gross Annual Revenue</span></span><span class="markedContent" id="page1R_mcid46"></span><span class="markedContent" id="page1R_mcid47"></span><span class="markedContent" id="page1R_mcid48"></span><span class="markedContent" id="page1R_mcid49"></span><span class="markedContent" id="page1R_mcid51"><br role="presentation"><span style="left: calc(var(--scale-factor)*74.40px); top: calc(var(--scale-factor)*214.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.814464);" role="presentation" dir="ltr">Number of Physicians</span></span><span class="markedContent" id="page1R_mcid53"></span><span class="markedContent" id="page1R_mcid54"></span><span class="markedContent" id="page1R_mcid55"></span><span class="markedContent" id="page1R_mcid56"></span><span class="markedContent" id="page1R_mcid57"></span><span class="markedContent" id="page1R_mcid58"></span><span class="markedContent" id="page1R_mcid60"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid250"><br role="presentation"><span style="left: calc(var(--scale-factor)*67.92px); top: calc(var(--scale-factor)*269.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.785175);" role="presentation" dir="ltr">C.</span></span><span class="markedContent" id="page1R_mcid63"></span><span class="markedContent" id="page1R_mcid67"><br role="presentation"><span style="left: calc(var(--scale-factor)*90.84px); top: calc(var(--scale-factor)*250.96px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.809124);" role="presentation" dir="ltr">Please provide the following information regarding the “Applicant’s Healthcare Professional Liability Insurance</span><br role="presentation"><span style="left: calc(var(--scale-factor)*90.84px); top: calc(var(--scale-factor)*263.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.82095);" role="presentation" dir="ltr">Policies”.</span></span><span class="markedContent" id="page1R_mcid68"><span style="left: calc(var(--scale-factor)*127.91px); top: calc(var(--scale-factor)*263.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*130.08px); top: calc(var(--scale-factor)*263.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.814158);" role="presentation" dir="ltr">The “Applicant’s Healthcare Professional Liability Policies”</span></span><span class="markedContent" id="page1R_mcid69"><span style="left: calc(var(--scale-factor)*364.78px); top: calc(var(--scale-factor)*263.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*366.96px); top: calc(var(--scale-factor)*263.20px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.808191);" role="presentation" dir="ltr">means the Applicant’s in force primary or</span><br role="presentation"><span style="left: calc(var(--scale-factor)*90.84px); top: calc(var(--scale-factor)*275.33px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.861846);" role="presentation" dir="ltr">excess healthcare or medical malpractice insurance policies designed to provide coverage for errors or</span><br role="presentation"><span style="left: calc(var(--scale-factor)*90.84px); top: calc(var(--scale-factor)*287.56px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.810013);" role="presentation" dir="ltr">omissions in the delivery or failure to deliver healthcare professional services.</span></span><span class="markedContent" id="page1R_mcid70"></span><span class="markedContent" id="page1R_mcid73"></span><span class="markedContent" id="page1R_mcid75"></span><span class="markedContent" id="page1R_mcid79"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*300.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">1)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*300.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*300.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.813239);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy insurance company:</span></span><span class="markedContent" id="page1R_mcid82"></span><span class="markedContent" id="page1R_mcid83"></span><span class="markedContent" id="page1R_mcid85"></span><span class="markedContent" id="page1R_mcid89"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*313.00px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">2)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*313.00px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*313.00px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.816649);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy Number:</span></span><span class="markedContent" id="page1R_mcid92"></span><span class="markedContent" id="page1R_mcid93"></span><span class="markedContent" id="page1R_mcid95"></span><span class="markedContent" id="page1R_mcid99"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*325.72px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">3)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*325.72px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*325.72px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.812187);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy Limits of Insurance:</span></span><span class="markedContent" id="page1R_mcid102"><br role="presentation"><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*337.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.80395);" role="presentation" dir="ltr">(Please include the per claim limit and the aggregate limit.)</span></span><span class="markedContent" id="page1R_mcid103"></span><span class="markedContent" id="page1R_mcid104"></span><span class="markedContent" id="page1R_mcid106"></span><span class="markedContent" id="page1R_mcid110"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*350.56px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">4)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*350.56px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*350.56px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.813928);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy Deductible:</span></span><span class="markedContent" id="page1R_mcid113"><br role="presentation"><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*362.80px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.803525);" role="presentation" dir="ltr">(Please include the per claim and aggregate deductibles, if applicable)</span></span><span class="markedContent" id="page1R_mcid114"></span><span class="markedContent" id="page1R_mcid115"></span><span class="markedContent" id="page1R_mcid117"></span><span class="markedContent" id="page1R_mcid121"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*375.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">5)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*375.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*375.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.816453);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy Premium:</span></span><span class="markedContent" id="page1R_mcid124"></span><span class="markedContent" id="page1R_mcid125"></span><span class="markedContent" id="page1R_mcid127"></span><span class="markedContent" id="page1R_mcid131"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*388.24px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">6)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*388.24px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*388.24px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.813293);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy Retroactive Date:</span></span><span class="markedContent" id="page1R_mcid134"></span><span class="markedContent" id="page1R_mcid135"></span><span class="markedContent" id="page1R_mcid137"></span><span class="markedContent" id="page1R_mcid141"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*400.96px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">7)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*400.96px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*400.96px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.81185);" role="presentation" dir="ltr">Applicant’s Healthcare Professional Liability Policy Effective Date:</span></span><span class="markedContent" id="page1R_mcid144"></span><span class="markedContent" id="page1R_mcid145"></span><span class="markedContent" id="page1R_mcid147"></span><span class="markedContent" id="page1R_mcid151"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*414.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">8)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*414.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*414.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.812351);" role="presentation" dir="ltr">Does the Applicant’s Healthcare Professional Liability Policy provide coverage for</span><br role="presentation"><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*426.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.801616);" role="presentation" dir="ltr">cyber risks?</span></span><span class="markedContent" id="page1R_mcid154"><br role="presentation"><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*438.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.807004);" role="presentation" dir="ltr">If “YES”, please provide the limits of insurance and deductible.</span></span><span class="markedContent" id="page1R_mcid155"><br role="presentation"><span style="left: calc(var(--scale-factor)*465.72px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.791418);" role="presentation" dir="ltr">YES</span><span style="left: calc(var(--scale-factor)*480.51px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*482.76px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">☐</span><span style="left: calc(var(--scale-factor)*491.34px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*493.80px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.872233);" role="presentation" dir="ltr">NO</span><span style="left: calc(var(--scale-factor)*507.14px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*509.28px); top: calc(var(--scale-factor)*414.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">☐</span></span><span class="markedContent" id="page1R_mcid156"></span><span class="markedContent" id="page1R_mcid158"><br role="presentation"><span style="left: calc(var(--scale-factor)*449.40px); top: calc(var(--scale-factor)*427.60px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.809907);" role="presentation" dir="ltr">Limit:</span></span><span class="markedContent" id="page1R_mcid159"><br role="presentation"><span style="left: calc(var(--scale-factor)*449.40px); top: calc(var(--scale-factor)*439.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.815329);" role="presentation" dir="ltr">Deductible:</span></span><span class="markedContent" id="page1R_mcid160"></span><span class="markedContent" id="page1R_mcid162"></span><span class="markedContent" id="page1R_mcid166"><br role="presentation"><span style="left: calc(var(--scale-factor)*94.32px); top: calc(var(--scale-factor)*453.40px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.789191);" role="presentation" dir="ltr">9)</span><span style="left: calc(var(--scale-factor)*102.38px); top: calc(var(--scale-factor)*453.40px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*453.40px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.812733);" role="presentation" dir="ltr">Does the Applicant’s Healthcare Professional Liability Policy provide medical</span><br role="presentation"><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*465.64px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.808617);" role="presentation" dir="ltr">billing E&O coverage?</span></span><span class="markedContent" id="page1R_mcid169"><br role="presentation"><span style="left: calc(var(--scale-factor)*107.88px); top: calc(var(--scale-factor)*477.88px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.807019);" role="presentation" dir="ltr">If “YES”, please provide the limits of insurance and deductible.</span></span><span class="markedContent" id="page1R_mcid170"><br role="presentation"><span style="left: calc(var(--scale-factor)*465.72px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.791418);" role="presentation" dir="ltr">YES</span><span style="left: calc(var(--scale-factor)*480.51px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*482.76px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">☐</span><span style="left: calc(var(--scale-factor)*491.34px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*493.80px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.872233);" role="presentation" dir="ltr">NO</span><span style="left: calc(var(--scale-factor)*507.14px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*509.28px); top: calc(var(--scale-factor)*453.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">☐</span></span><span class="markedContent" id="page1R_mcid171"></span><span class="markedContent" id="page1R_mcid173"><br role="presentation"><span style="left: calc(var(--scale-factor)*449.40px); top: calc(var(--scale-factor)*466.48px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.809907);" role="presentation" dir="ltr">Limit:</span></span><span class="markedContent" id="page1R_mcid174"><br role="presentation"><span style="left: calc(var(--scale-factor)*449.40px); top: calc(var(--scale-factor)*478.72px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.815329);" role="presentation" dir="ltr">Deductible:</span></span><span class="markedContent" id="page1R_mcid175"></span><span class="markedContent" id="page1R_mcid176"></span><span class="markedContent" id="page1R_mcid177"></span><span class="markedContent" id="page1R_mcid181"><br role="presentation"><span style="left: calc(var(--scale-factor)*60.72px); top: calc(var(--scale-factor)*510.52px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.895634);" role="presentation" dir="ltr">III.</span></span><span class="markedContent" id="page1R_mcid182"><span style="left: calc(var(--scale-factor)*73.64px); top: calc(var(--scale-factor)*510.52px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*78.72px); top: calc(var(--scale-factor)*510.52px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.832711);" role="presentation" dir="ltr">COMPUTER AND NETWORK SECURITY QUESTIONS</span></span><span class="markedContent" id="page1R_mcid183"></span><span class="markedContent" id="page1R_mcid188"></span><span class="markedContent" id="page1R_mcid191"></span><span class="markedContent" id="page1R_mcid195"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid251"></span><span class="markedContent" id="page1R_mcid199"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid252"></span><span class="markedContent" id="page1R_mcid201"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid253"></span><span class="markedContent" id="page1R_mcid203"></span><span class="markedContent" id="page1R_mcid204"></span><span class="markedContent" id="page1R_mcid206"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid254"><br role="presentation"><span style="left: calc(var(--scale-factor)*62.76px); top: calc(var(--scale-factor)*548.56px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.819816);" role="presentation" dir="ltr">IMPORTANT: All Applicants must complete the Computer and Network Security questions in Section III.A through III.E of</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid255"><br role="presentation"><span style="left: calc(var(--scale-factor)*62.76px); top: calc(var(--scale-factor)*560.80px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.822979);" role="presentation" dir="ltr">this Application below. A ‘YES’ response to any of the questions may not be accompanied by additional information on</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid256"><br role="presentation"><span style="left: calc(var(--scale-factor)*62.76px); top: calc(var(--scale-factor)*572.92px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.813335);" role="presentation" dir="ltr">this Application form. If the Applicant would like to provide additional details, please do so on a separate sheet of paper</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid257"><br role="presentation"><span style="left: calc(var(--scale-factor)*62.76px); top: calc(var(--scale-factor)*585.16px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.818267);" role="presentation" dir="ltr">and submit with this Application.</span></span><span class="markedContent" id="page1R_mcid210"></span><span class="markedContent" id="page1R_mcid212"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid258"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid259"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid260"><br role="presentation"><span style="left: calc(var(--scale-factor)*68.52px); top: calc(var(--scale-factor)*622.12px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.858796);" role="presentation" dir="ltr">A.</span></span><span class="markedContent" id="page1R_mcid220"><br role="presentation"><span style="left: calc(var(--scale-factor)*90.24px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.806013);" role="presentation" dir="ltr">Does</span><span style="left: calc(var(--scale-factor)*110.45px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*112.56px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.832154);" role="presentation" dir="ltr">the</span><span style="left: calc(var(--scale-factor)*126.16px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*128.16px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.823122);" role="presentation" dir="ltr">Applicant</span><span style="left: calc(var(--scale-factor)*166.66px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*168.60px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.805387);" role="presentation" dir="ltr">use</span><span style="left: calc(var(--scale-factor)*182.80px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*184.80px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.82983);" role="presentation" dir="ltr">multi</span><span style="left: calc(var(--scale-factor)*205.92px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">-</span><span style="left: calc(var(--scale-factor)*208.92px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.831093);" role="presentation" dir="ltr">factor</span><span style="left: calc(var(--scale-factor)*233.15px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*235.20px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.82511);" role="presentation" dir="ltr">authentication</span><span style="left: calc(var(--scale-factor)*294.91px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*297.00px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.897341);" role="presentation" dir="ltr">(“MFA”)</span><span style="left: calc(var(--scale-factor)*330.26px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*332.28px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.858568);" role="presentation" dir="ltr">for</span><span style="left: calc(var(--scale-factor)*344.03px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*346.08px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.804244);" role="presentation" dir="ltr">all</span><span style="left: calc(var(--scale-factor)*355.44px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*357.60px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.835255);" role="presentation" dir="ltr">remote</span><span style="left: calc(var(--scale-factor)*387.52px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*389.52px); top: calc(var(--scale-factor)*597.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.80002);" role="presentation" dir="ltr">access to the</span><br role="presentation"><span style="left: calc(var(--scale-factor)*90.12px); top: calc(var(--scale-factor)*610.00px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.823985);" role="presentation" dir="ltr">Applicant’s computer network?</span></span><span class="markedContent" id="page1R_mcid221"></span><span class="markedContent" id="page1R_mcid222"><br role="presentation"><span style="left: calc(var(--scale-factor)*91.32px); top: calc(var(--scale-factor)*632.32px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.798417);" role="presentation" dir="ltr">If the Applicant does not allow remote access to the Applicant’s computer</span></span><span class="markedContent" id="page1R_mcid261"><br role="presentation"><span style="left: calc(var(--scale-factor)*91.08px); top: calc(var(--scale-factor)*644.56px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.792875);" role="presentation" dir="ltr">network, please check N/A. Please check only one response.</span></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid224"><br role="presentation"><span style="left: calc(var(--scale-factor)*483.36px); top: calc(var(--scale-factor)*598.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.791418);" role="presentation" dir="ltr">YES</span><span style="left: calc(var(--scale-factor)*498.15px); top: calc(var(--scale-factor)*598.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*500.28px); top: calc(var(--scale-factor)*598.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.877054);" role="presentation" dir="ltr">☐ NO</span><span style="left: calc(var(--scale-factor)*524.29px); top: calc(var(--scale-factor)*598.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*525.60px); top: calc(var(--scale-factor)*598.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">☐</span></span><span class="markedContent" id="page1R_mcid225"></span><span class="markedContent" id="page1R_mcid226"></span><span class="markedContent" id="page1R_mcid227"><br role="presentation"><span style="left: calc(var(--scale-factor)*476.64px); top: calc(var(--scale-factor)*631.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.963196);" role="presentation" dir="ltr">N/A</span><span style="left: calc(var(--scale-factor)*493.60px); top: calc(var(--scale-factor)*631.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*495.12px); top: calc(var(--scale-factor)*631.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr">☐</span><span style="left: calc(var(--scale-factor)*503.70px); top: calc(var(--scale-factor)*631.84px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*505.56px); top: calc(var(--scale-factor)*632.58px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.814917);" role="presentation" dir="ltr">Applicant</span><br role="presentation"><span style="left: calc(var(--scale-factor)*479.04px); top: calc(var(--scale-factor)*643.86px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.819239);" role="presentation" dir="ltr">does not permit</span><br role="presentation"><span style="left: calc(var(--scale-factor)*480.96px); top: calc(var(--scale-factor)*654.90px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.79924);" role="presentation" dir="ltr">remote access.</span></span><span class="markedContent" id="page1R_mcid228"></span><span class="markedContent" id="page1R_mcid230"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid262"></span><span class="markedContent" id="undefined"></span><span class="markedContent" id="page1R_mcid263"><br role="presentation"><span style="left: calc(var(--scale-factor)*68.76px); top: calc(var(--scale-factor)*679.00px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.80677);" role="presentation" dir="ltr">B.</span></span><span class="markedContent" id="page1R_mcid236"><br role="presentation"><span style="left: calc(var(--scale-factor)*90.00px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.806013);" role="presentation" dir="ltr">Does</span><span style="left: calc(var(--scale-factor)*110.21px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*113.28px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.832154);" role="presentation" dir="ltr">the</span><span style="left: calc(var(--scale-factor)*126.88px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*129.84px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.823122);" role="presentation" dir="ltr">Applicant</span><span style="left: calc(var(--scale-factor)*168.34px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*171.24px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.841494);" role="presentation" dir="ltr">download,</span><span style="left: calc(var(--scale-factor)*214.41px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*217.68px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.811642);" role="presentation" dir="ltr">test,</span><span style="left: calc(var(--scale-factor)*235.76px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*239.04px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.810892);" role="presentation" dir="ltr">and</span><span style="left: calc(var(--scale-factor)*254.23px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*257.16px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.813205);" role="presentation" dir="ltr">install</span><span style="left: calc(var(--scale-factor)*281.40px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*284.64px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.804918);" role="presentation" dir="ltr">security</span><span style="left: calc(var(--scale-factor)*316.64px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*319.80px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.801929);" role="presentation" dir="ltr">patches</span><span style="left: calc(var(--scale-factor)*351.41px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*354.48px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.844687);" role="presentation" dir="ltr">within</span><span style="left: calc(var(--scale-factor)*379.99px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*382.92px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.796957);" role="presentation" dir="ltr">30</span><span style="left: calc(var(--scale-factor)*393.01px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*395.88px); top: calc(var(--scale-factor)*666.28px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.833779);" role="presentation" dir="ltr">days of release</span><br role="presentation"><span style="left: calc(var(--scale-factor)*90.00px); top: calc(var(--scale-factor)*678.52px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.874782);" role="presentation" dir="ltr">onto the Applicant’s computer network (including all hardware and software publicly</span><br role="presentation"><span style="left: calc(var(--scale-factor)*90.00px); top: calc(var(--scale-factor)*690.76px); font-size: calc(var(--scale-factor)*9.96px); font-family: sans-serif; transform: scaleX(0.814082);" role="presentation" dir="ltr">accessible through the internet)?</span></span><span class="markedContent" id="page1R_mcid237"></span><span class="markedContent" id="page1R_mcid238"></span></div><div class="annotationLayer" hidden=""></div><div class="annotationEditorLayer" tabindex="0" style="pointer-events: none; width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" data-main-rotation="0" hidden=""></div></div><div class="page" data-page-number="3" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 3"></div><div class="page" data-page-number="4" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 4"></div><div class="page" data-page-number="5" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 5"></div><div class="page" data-page-number="6" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 6"></div><div class="page" data-page-number="7" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 7"></div><div class="page" data-page-number="8" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 8"></div><div class="page" data-page-number="9" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 9"></div><div class="page" data-page-number="10" role="region" style="width: calc(var(--scale-factor) * 612px); height: calc(var(--scale-factor) * 792px);" aria-label="Page 10"></div></div>
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