# Endurance

**POLICY NO.:** P000466 007  
**RENEWAL OF:** P000466 006

## DECLARATIONS, cont’d

### Item 7. Notice to:
- **(Conditions 3 and 5)**
  - **a) All Notices of Occurrence, Claim or Loss:**
    - **To:**  
      Endurance Specialty Insurance Ltd.  
      Wellesley House  
      90 Pitts Bay Road, Pembroke  
      Bermuda HM08
  - **b) All other Notices:**
    - **To:**  
      Aon (Bermuda) Ltd.  
      Cumberland House  
      One Victoria Street  
      Hamilton, Bermuda HM11

### Item 8.
- **a) Premium:** USD 81,250 (for 100% Flat Annual)
- **b) Minimum Earned Premium:** USD 28,438
- **c) Commission:** Net

### Item 9. The Company:
- Endurance Specialty Insurance Ltd.  
  At the address stated at the top of the Declarations Page

### Item 10. Policy Form:
- **The Bermuda Shorts Form – 01 (Ed. 02/09)**  
  1 - 6 at Policy Issuance

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**Authorized Representative**

**Page 2 of 6**

**Date of Issuance:** June 19, 2009  
**BSF-01 (Ed. 02/09)**