**INDIVIDUAL SECURITY DETAILS**

**UNDERWRITER:** Starr Surplus Lines Insurance Company,  
Administrative Office,  
399 Park Avenue,  
8th Floor,  
New York,  
NY 10022,  
United States of America.

**Claims to:**

Aon UK Limited  
North American Liability Claims Department  
The Aon Centre  
The Leadenhall Building  
122 Leadenhall Street  
London EC3V 4AV  
United Kingdom  
Email: uscasualtyclaims@aon.com

**SIGNED LINES:**  
15% (Being USD 15,000,000 Part of USD 100,000,000)

**WRITTEN LINES:**

Starr Surplus Lines Insurance Company  
A Member of Starr Companies  

| 1 | 0 | 0 | 0 | 0 | 4 | 1 | 0 | 9 | 7 | 2 | 1 | 1 |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| SIGNED | DATED |

Subject to receipt & satisfactory review of UL Binders within 7 days of Binding  
Subject to receipt & satisfactory review of Lead policy within 60 days of Issuance  
Completed Surplus Lines Form within 30 days of Binding

**Security Details**  
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