**FISCAL AND REGULATORY**

- **TAX PAYABLE BY (RE)INSURER(S):** None.
- **COUNTRY OF ORIGIN:** United States of America
- **REGULATORY RISK LOCATION:** 100% Non-EEA.
- **OVERSEAS BROKER:** Aon Risk Services Northeast Inc  
  One Liberty Plaza  
  165 Broadway  
  Suite 3201  
  New York 10006  
  United States of America
- **SURPLUS LINE BROKER:** One Liberty Plaza  
  165 Broadway  
  Suite 3201  
  New York  
  United States of America  
  10006  
  Licence Number: 1037562
- **STATE OF FILING:** New York
- **US CLASSIFICATION:** Surplus Lines
- **NAIC CODES:** Not Applicable
- **ALLOCATION OF PREMIUM TO CODING:** UA 99%  
  7T 1%
- **ALLOCATION OF PREMIUM TO YEARS OF ACCOUNT:** 2020.
- **REGULATORY CLIENT CLASSIFICATION:** Large Risk

In respect of electronic lines, please refer to the Settlement Information shown under Security Details herein.

**Fiscal and Regulatory**
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