**Policy Number:** CSUSA2104915

**INDIVIDUAL SECURITY DETAILS**

**UNDERWRITER:** Great Lakes Insurance SE, Plantation Place, 30 Fenchurch Street, London EC3M 3AJ, United Kingdom.

**SIGNED LINES:**

- **20%**
  - (Being USD 20,000,000 Part of USD 100,000,000)

**WRITTEN LINES:**

![Munich RE Logo](https://example.com/munich-re-logo.png)
Great Lakes Insurance SE
LSR
London
F 0 3 6 0 9 6 5 2 0 2 1
GS101
XIS
2021-05-20

**Security Details**
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2021-05-20