# Fiscal and Regulatory

| Field | Value |
|---|---|
| Policy Number | CSUSA2004915 |
| Tax Payable by (Re)Insurer(s): | None |
| Country of Origin: | United States of America |
| Regulatory Risk Location: | 100% Non EEA |
| Overseas Broker: | None – Independently procured by the Insured |
| Surplus Line Broker: | Not Applicable |
| State of Filing: | Not Applicable |
| US Classification: | Self Procured |
| NAIC Codes: | Not Applicable |
| Allocation of Premium to Coding: | Not Applicable |
| Allocation of Premium to Years of Account: | Not Applicable |
| Regulatory Client Classification: | Large Risk |

In respect of electronic lines, please refer to the Settlement Information shown under Security Details herein.