# RISK DETAILS - WORDING

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

### DECLARATIONS

**Item 1.**
a) **Named Insured:** As per Risk Details and as more fully set forth in the Followed Policy.
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: As per Risk Details
Policy Number: As per Risk Details
Coverage: As per Risk Details
Policy Period:
From: As per Risk Details
To: As per Risk Details
Limits of Liability: As per Risk Details
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.

**Risk Details - Wording**
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