Insurance Cyber Liability Agreement

INSURANCE CYBER LIABILITY AGREEMENT

This Insurance Cyber Liability Agreement (the Agreement) is entered into by the parties identified below. Insurer Name: and Applicant / Insured Name: . The parties agree that coverage will be provided subject to the terms, conditions, limits, deductibles and exclusions set forth herein.

1. APPLICANT / INSURED INFORMATION

Individual    Corporation    LLC    Partnership    Other

Date of Birth (if individual): Month Day Year

2. POLICY DETAILS

First-Party Cyber Coverage    Third-Party Liability    Media Liability    Privacy Regulatory Defense & Fines

Policy Period Commences: Month Day Year    Policy Period Ends: Month Day Year .

3. COVERED INSURING AGREEMENTS

Subject to the terms, conditions and exclusions of this Agreement, Insurer will indemnify or pay on behalf of Insured for loss resulting from the following coverages when such loss arises out of a Privacy Event, Security Failure, or Digital Asset Breach first discovered during the policy period and reported in accordance with Section 7:

Data Breach Response Costs (forensic, notification, credit monitoring)
Network Security & Privacy Liability (third-party claims for privacy violation)
Cyber Extortion / Ransomware Payments (subject to controls and legal compliance)
Business Interruption & Extra Expense due to system outage
Media Liability (defamation, infringement arising from digital publications)

4. LIMITS, SUBLIMITS AND RETENTIONS

Coverage limits and sublimits apply as set forth in the declarations. Sublimits may apply to regulatory fines, PCI-DSS fines, forensic costs, and extortion payments. Applicant acknowledges and agrees that certain coverages may be subject to a sublimit or separate retention as indicated below.

5. EXCLUSIONS

The following are material exclusions to coverage under this Agreement unless otherwise endorsed in writing: (a) bodily injury or property damage liability; (b) fraudulent, dishonest or criminal acts by Insured proven by final adjudication; (c) war, insurrection, sabotage or state-sanctioned acts; (d) liability arising from contractual obligations except to the extent Insured would have been liable absent such contract; (e) prior known incidents or claims that were reasonably likely to give rise to a claim at inception of this policy; (f) securities claims and regulatory matters unrelated to privacy/security events; and (g) punitive or exemplary damages to the extent uninsurable by law.

Applicant expressly acknowledges receipt of the above exclusions and represents that no additional facts exist which would alter the underwriting of these exclusions.

6. SECURITY REPRESENTATIONS AND CONDITIONS

As a condition precedent to coverage, Insured represents and warrants that at the inception date of the policy and throughout the policy period Insured shall maintain reasonable cybersecurity controls and practices. Applicant affirms the following statements by selecting the applicable representations:

Maintains up-to-date firewall and intrusion detection/prevention systems
Applies critical security patches to internet-facing systems within a reasonable timeframe
Uses encryption for storage and transmission of sensitive personal data
Uses multi-factor authentication for privileged remote access
Maintains and periodically tests an incident response plan

If any representation is inaccurate, incomplete or becomes false during the policy period, Insurer may deny coverage for claims to the extent the inaccuracy materially increased the risk of loss. False statements made with intent to deceive will void coverage in accordance with applicable law.

7. CLAIMS REPORTING, INVESTIGATION AND COOPERATION

Insured must provide prompt written notice to Insurer of any Claim, potential claim, privacy event, or security incident. Failure to provide timely notice that prejudices Insurer's ability to investigate shall relieve Insurer of liability to the extent of such prejudice.

Initial Incident Report / Summary
Forensic Analysis Report
Affected Individuals / Notification List
Law Enforcement or Regulatory Contact Information
Estimate of Loss / Business Interruption Calculations

Insured agrees to cooperate fully with Insurer's appointed counsel and forensic vendors, preserve all relevant evidence and logs, and permit Insurer to require independent examination or monitoring as a condition of coverage.

8. PREMIUM, PAYMENT AND CANCELLATION

Premium is due in accordance with the premium payment schedule. Insurer may cancel or non-renew for reasons permitted by law or for material misrepresentation, non-payment of premium, or deterioration in risk not disclosed to Insurer. Any refund of premium will be prorated in accordance with the policy provisions.

9. BENEFICIARY / THIRD-PARTY DESIGNATION

Insured may designate a beneficiary or additional insureds for certain first-party proceeds subject to the policy terms. Beneficiary designations do not expand coverage beyond the terms of this Agreement.

10. DECLARATIONS AND CERTIFICATION

By signing below the Applicant declares that the statements and representations contained in this Agreement and in all attachments are true, complete and accurate to the best of Applicant's knowledge. Applicant acknowledges that these statements form the basis of the underwriting decision and that coverage may be rescinded or modified for material misrepresentation or omission.

Applicant authorizes Insurer to obtain and verify information from third parties, including but not limited to service providers, law enforcement, and forensic vendors, where necessary to evaluate or investigate claims. Applicant further agrees that remediation actions taken at Insurer's direction shall not constitute an admission of liability and will be considered reasonable measures for coverage purposes if authorized in writing by Insurer.

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