# Fiscal and Regulatory

## Tax Payable and Administered by (Re)insurer(s)
- None

## Regulatory Risk Location
- **Risk Location:** As below
- **Territory:** United States of America
- **Premium Allocation:** 100%

## Overseas Broker
- **Name:** Aon Risk Services Northeast Inc
- **Address:** One Liberty Plaza, 165 Broadway, Suite 3201, New York 10006, United States of America

## US Classification
- Surplus Lines

## Surplus Lines Broker
- **Name:** Aon Risk Services Northeast Inc
- **Address:** One Liberty Plaza, 165 Broadway, Suite 3201, New York, United States of America 10006
- **Surplus Lines Broker Licence Number:** EX-648027

## State of Filing
- New York

## Allocation of Premium to Coding
- **Risk Code 1**
  - **Risk Code:** UA
  - **Premium Allocation:** 99%
- **Risk Code 1**
  - **Risk Code:** 7T
  - **Premium Allocation:** 1%

## Allocation of Premium to Years of Account
- **Year 1**
  - **Year of Account:** 2024
  - **Premium Allocation:** 100%

## In respect of electronic lines, please refer to the Settlement Information if shown under Security Details herein which is deemed to supersede the above.

## Premium Signing
- Signed for Period

**Fiscal and Regulatory**
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