# INDIVIDUAL SECURITY DETAILS

**POLICY NUMBER:** LSMAEC327379A

**AON REFERENCE:** AB2023-00109

**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 Liberty Specialty Markets Agency Limited 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:**
Liberty Specialty Markets Agency Limited
141 Front Street
Hamilton, Bermuda HM19

For and on behalf of subscribing insurers as follows:
Liberty Specialty Markets Agency Limited (100%) (A AM Best rating)

Claims to:
Via Email to: BermudaClaims@libertyglobalgroup.com

**ENDORSEMENTS:**
One - Schedule of Underlying Policy(ies)
Two - Following Form Policy Issuance
(as shown on the declarations page), and:
Three - Cancellation Amendatory Endorsement
Four - Trade or Economic Sanctions Endorsement

**SIGNED LINES:** USD 25,000,000 pari of USD 50,000,000 excess of USD 300,000,000 (100%)
**WRITTEN LINES:** USD 25,000,000 part of USD 50,000,000 excess of USD 300,000,000 Layer Premium: USD 257,122 LSMA Premium: USD 128,561