# NAVIGATORS INSURANCE COMPANY

**POLICY NO.:** NY23AXSZ056H1IV  
**RENEWAL OF:** NY22AXSZ056H1IV

**Endorsements:**

1. SCHEDULE OF EXCESS - NAV-AXS-SCH (06/18)
2. OFAC Endorsement - NAV-ML-002 (11/12)
3. Exclusion Asbestos - NAV-AXS-100 (06/18)
4. Exclusion - Nuclear Energy Liability - NAV-AXS-101 (06/18)
5. Exclusion - Specific Endorsements - NAV-AXS-102 (06/18)
6. QUOTA SHARE PARTICIPATION ENDORSEMENT - NAV-AXS-105 (06/18)
7. EXCLUSION – WAR - NAV-AXS-106 (06/18)
8. Policyholder Disclosure Notice of Terrorism Insurance - NAV-ML-TERRA (02/15)
9. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM - NAV-AXS-400 (06/18)

**IN WITNESS WHEREOF,** the Insurer has caused this Policy to be signed by its duly Authorized Representative.

**Kevin Barnett**  
**Secretary**  

**Ross Fisher**  
**President**

**Class 2-13000 Risk**

**NOTICE:** THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.

NAV-AXS-DEC (06/18)  
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