# INDIVIDUAL SECURITY DETAILS

**POLICY NUMBER:** IBM-1168/BSF03

**AON REFERENCE:** AB2024-00129

**CONDITIONS:**
The following conditions apply to this participation only:
1) 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 Chubb Bermuda policy.
2) 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.
3) Quote Expiry Date: N/A

**COMPANY:** Chubb Bermuda Insurance Ltd.

**Claims to:**
Chubb Bermuda Insurance Ltd.
Claims Department
17 Woodbourne Avenue
Hamilton HM 08, Bermuda
Facsimile: +1 (441)292-2456
E-mail: bermudacclaimsnotices@chubb.com

**All other Notices to:**
Underwriting Department
Chubb Bermuda Insurance Ltd.
17 Woodbourne Avenue
Hamilton HM 08, Bermuda
Facsimile: +1 (441)296-7796

**ENDORSEMENTS:**
One
Two
(as shown on the declarations page), and:
Three
Four
Schedule of Underlying Policy(ies)
Following Form Policy Issuance
Cancellation Amendatory Endorsement
Trade or Economic Sanctions Endorsement

**SIGNED LINES:** USD 25,000,000 part of USD 50,000,000 excess of USD 300,000,000 (100%)
**WRITTEN LINES:** USD 25,000,000 part of USD 50,000,000 excess of USD 300,000,000 Layer Premium: USD 283,620 (100% annual) Chubb Premium: USD 141,810

**CHUBB Chubb Bermuda Insurance Ltd.**
Limit: USD 25,000,000
Part of: 50,000,000
Excess of: USD 300,000,000
Policy #: IBM-1168/BSF03
Signature: [Signature]
Date: 5/20/2024

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