# AMENDMENT TO CONDITION 5. – NON FOLLOW FORM

It is hereby understood and agreed that the following is added to Condition 5. – NON FOLLOW FORM of the Policy:

(g) Section VI. CONDITIONS Q. Conformance to New York Requirements

## SPECIFIC COVERAGES ENDORSEMENT

It is agreed that the insurance afforded by this Policy shall be extended to include Occurrences arising out of the Insured's Underlying Policy covering "Specific Coverages" issued by:

- **Insurer:** Chubb Bermuda Insurance Ltd.
- **Policy Number:** As per Subjectivities

The Company has received and satisfactorily reviewed the Followed Policy as shown in Item 3 of the Declarations, and Contract issuance prior to issuance/receipt of the Followed Policy Endorsement is deleted in its entirety.

## CONTRACT ISSUANCE PRIOR TO ISSUANCE/RECEIPT OF THE FOLLOWED POLICY

This Policy has been issued on the basis that it is following the same warranties, terms, definitions, exclusions and conditions (except as otherwise provided herein) as are, at inception hereof, contained in the Followed Policy as shown in Item 3 of the Declarations, and that such policy(ies) should reflect bound coverage as contained in the Binder date issued 28th April 2021, which has been noted by the Company and is held on file by Aon UK Limited, London.

Following the issuance of the above referenced policy, a copy of such policy should be forwarded to the Company, via Aon UK Limited, London, for review and agreement by the Company. Any difference in coverage between the binder and the policy will not be binding upon the Company hereunder until agreed by the Company in writing.

Upon satisfactory review of the above referenced policy by the Company, an endorsement will be issued to this Policy deleting this endorsement in its entirety.

## SANCTION LIMITATION AND EXCLUSION CLAUSE

No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the extent that the provision of such cover, payment of such claim or provision of such benefit would expose that (re)insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanctions, laws or regulations of the European Union, United Kingdom or United States of America.

15/09/10
LMA3100

Form approved by Lloyd's Market Association

Risk Details - Wording
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A0797544 19/5/2021 12:01 PM