**Policy Number:** WE0900137

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**To:**

The Company.

**All other Notices:**

via

Aon Limited,
8 Devonshire Square,
London EC2M 4PL,
United Kingdom.

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**To:**

The Company.

**Endorsements:**

1) Arbitration Endorsement, as attached.
2) Choice of Law Endorsement, as attached.
3) Endorsement for Excess Following Form Policy Issuance Prior to Issuance / Receipt of the Lead Underlying Policy, as attached.
4) Assistance and Co-operation Amendment Endorsement, as attached.
5) Cancellation Clause, as attached.

**CHOICE OF LAW AND JURISDICTION:**

As per Arbitration Endorsement and Choice of Law Endorsement, as attached.

**PREMIUM:**

USD 650,000 (for 100%) annual.

**PAYMENT TERMS:**

As per attached Premium Payment Clause.

**TAXES PAYABLE BY THE INSURED AND ADMINISTERED BY UNDERWRITERS:**

European Economic Area (EEA) Insurance Premium Tax

Premiums paid to Underwriters are subject to EEA Insurance Premium Tax at the rates prevailing within each member Country on revenues generated within each member Country, subject to the de minimus limit for each member Country. EEA Insurance Premium Tax shall be calculated in accordance with the attached sheet and are in addition to the Premium.

**TAXES PAYABLE BY THE INSURED:**

In respect of Unlicensed or "Alien" participation: Premiums paid to Underwriters by U.S. Insureds may be subject to State and/or Federal Taxes. The Insured is responsible for reporting and remitting this Tax to the appropriate authorities.

**RECORDING, TRANSMITTING AND STORING OF INFORMATION:**

Aon Limited may retain risk and claim data / information / documents electronically, and where this is done these documents shall be regarded with the same Legal effect as the original documents.

**INSURER CONTRACT DOCUMENTATION:**

This document details the contract terms entered into by the insurer(s), and constitutes the contract document. No further Policy documentation will be issued.

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**Market Submission - Risk Details**
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