**Policy Number:** CSUSA2407635

**TAX(ES) PAYABLE BY THE (RE)INSURED AND ADMINISTERED BY THE (RE)INSURERS**

Underwriters acknowledge that the exposure on this risk may be Worldwide. However, for rating purposes only they consider the exposure for this layer of insurance to be all United States of America based, and therefore no other taxes apply.

**TAX(ES) PAYABLE BY THE (RE)INSURERS AND ADMINISTERED BY (RE)INSURED OR THEIR AGENT**

None

**REINSURER CONTRACT DOCUMENTATION**

This Market Reform Contract details the contract terms entered into by the (Re)Insured(s) and (Re)Insurer(s) and constitutes the contract document.

The endorsement(s) or e-endorsement(s) signed by (Re)Insurers shall form the evidence of changes agreed.