# INDIVIDUAL SECURITY DETAILS

**POLICY NUMBER:** BM00033420L119A

**AON REFERENCE:** AB2019-00080

**CONDITIONS:**

The following conditions apply to this participation only:
1) Complete Copies of signed binders (including terms and conditions) for the Followed Policy and for all underlying excess policies (and all quota share policies) attaching between the Followed Policy and the XL policy.
2) The premium payable to the Insurer does not include any amount with respect to any applicable taxes. With respect to United Kingdom Insurance Premium Tax (UKIPT), any tax due is payable by the Insured. Please provide applicable information to determine if any such tax is due.
3) Quote Expiry Date: N/A

**COMPANY:**

XL Bermuda Ltd.
O'Hara House
One Bermudiana Road
Hamilton, HM08, Bermuda
P.O. Box HM 2245
Hamilton, HM JX
Telephone: (441)292-8515

Claims to:
New Claims Notices: intlproposelaimnewnotices@xlcatlin.com
All Other Claims Correspondence: intlproposelaims@xlcatlin.com

Mailing Address for Notices of Occurrence:
XL Catlin
c/o ACS, Inc.
P.O. Box 614002
Orlando, Florida 32861-4002
USA
Facsimile: (859)475-5667

All other notices: use Company address (O'Hara House)

**ENDORSEMENTS:**

One Schedule of Underlying Policy(ies)
Two Premium Payment Condition
Three Following Form Policy Issuance
(as shown on the declarations page),
and:
(f any)
Four Cancellation Amendatory Endorsement
Five Non Follow Form Amendatory Endorsement
Six Economine or Trade Sanctions Endorsement

**SIGNED LINES:**

USD 75,000,000 part of USD 200,000,000 excess of USD 200,000,000

**WRITTEN LINES:**

USD 75,000,000 part of USD 200,000,000 excess of USD 200,000,000
Layer Premium: USD 530,878 (100%)
XL Premium: USD 199,079

**05/20/2019**