# AON

## INDIVIDUAL SECURITY DETAILS

**POLICY NUMBER:** C020117/009

**AON REFERENCE:** AB2022-00112

**CONDITIONS:**

The following conditions apply to this participation only:

1) The following language is hereby deleted from the Policy:
   (i) the reference to "and Quota Share Policy(ics)" in subparagraph (a) 2. of Conditions 2. Defense, Assistance and Cooperation, and;
   (ii) paragraph 13) of Condition 6., Restrictive as Underlying and Quota Share, and;
   (iii) the reference to "and Quota Share Policy(ics)" at the end of Condition 6., Restrictive as Underlying and Quota Share.

2) 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 AW policy.

3) Specimen Copies of any underlying endorsements or policy forms as requested by AW.

4) 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.

5) Quote Expiry Date: N/A

**COMPANY:**

Allied World Assurance Company, Ltd.
27 Richmond Road
Pembroke HM08 Bermuda
Telephone: +1 (441) 278-5400
Claims to:
Claims Department
Allied World Assurance Company, Ltd.
27 Richmond Road
Pembroke HM08 Bermuda
Telephone: (441)278-5400
GenCasClaims awac.com

**ENDORSEMENTS:**
One
Two
(as shown on the declarations page), and:
Three
Four
Five
Cancellation Amendatory Endorsement
Pandemic and Epidemic Exclusion
Economic or Trade Sanctions Endorsement

**SIGNED LINES:**
USD 25,000,000 part of USD 75,000,000 excess of USD 225,000,000 (100%)

**WRITTEN LINES:**
USD 25,000,000 part of USD 75,000,000 excess of USD 225,000,000
Layer Premium: USD 485,430
AW Premium: USD 161,810

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AON (Bermuda) Ltd.
BSF 03 - Ed 02/22