# Berkley National Insurance Company

**A Stock Company**

- **Domicile Address:** 11201 Douglas Avenue, Urbandale, IA 50322-3707
- **Home Office:** 215 Shuman Boulevard, Suite 200, Naperville, IL 60563-8495
- **Underwriting Office:** Berkley Custom Insurance Managers (a W.R. Berkley Company) 725 S Figueroa Street, Suite 2200 Los Angeles, CA 90017
- **Telephone Number:** (855) 597-7616

**IN WITNESS WHEREOF,** Berkley National Insurance Company has executed and attested these presents.

**Secretary**
**President**

![Signatures](attachment:signatures.png)

**IL DS 77 00 BNLS 04 10**
© 2010 Berkley National Insurance Company
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