# RISK DETAILS - WORDING

**AON SHORT EXCESS FORM (LONDON) 03-14 (OCC) (SELF PROCURED BASIS)**

## DECLARATIONS

### Item 1.
a) **Named Insured:** As per Risk Details  
b) **Address of Named Insured:** As per Risk Details  

### Item 2. **Policy Period:**
From: As per Risk Details at 12:01 a.m. standard time at the address of the Named Insured.  
To: As per Risk Details at 12:01 a.m. standard time at the address of the Named Insured.

### Item 3. a) **Followed Policy:**
- **Company:** ACE Property & Casualty Insurance Company  
- **Policy Number:** Quote Date Issued 23rd April 2020  
- **Coverage:** Lead Umbrella – Occurrence  
- **Policy Period:** From: 21st May 2020 at 12:01 a.m. standard time at the address of the Named Insured. To: 21st May 2021 at 12:01 a.m. standard time at the address of the Named Insured.  

### Limits of Liability:
USD 25,000,000  

### b) **Underlying Policy(ies):** As per Schedule of Underlying Policy(ies).

### Item 4. **Limit of Liability: (Insuring Agreement 2):**
a) As per Risk Details each Occurrence.  
b) As per Risk Details annual aggregate where stated in the Followed Policy.

### Item 5. **Underlying Limits: (Insuring Agreement 2):**
a) As per Risk Details each Occurrence.  
b) As per Risk Details annual aggregate where applicable.  

Which in turn is excess of various insurances and/or retentions as more fully set forth in the Followed Policy.

**XIS GREAT LAKES**

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