# Excess Insurance Policy

**$50,000,000.00 - Each Occurrence**
**$50,000,000.00 - Aggregate Limit (where applicable)**

## Item 5: SCHEDULE OF UNDERLYING INSURANCE

### First Underlying Insurance Policy
- **Insurer:** ACE American Insurance Company
- **Policy Number:** XOO G25915951
- **Policy Period:** 5/21/2012 to 5/21/2013
- **Applicable Limit(s):**
  - $50,000,000.00 - Each Occurrence
  - $50,000,000.00 - Aggregate Limit (where applicable)

### Other Underlying Insurance - (Excess of First Underlying Insurance Policy)
- **Insurer:** Various Companies
- **Policy Number:** As Per On File With The Company
- **Policy Period:** 5/21/2012 to 5/21/2013
- **Applicable Limit(s):**
  - $50,000,000.00 - Each Occurrence
  - $50,000,000.00 - Aggregate Limit (where applicable)

## Item 6: FORMS AND ENDORSEMENTS attached hereto:
See Forms and Endorsement Schedule – 0104 XS (Ed. 03/00)

IN CONSIDERATION OF THE PAYMENT OF THE PREMIUM, IN RELIANCE UPON THE STATEMENTS IN THE DECLARATIONS, AND SUBJECT TO ALL TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE COVERAGE AS STATED IN THIS POLICY.

**President:** David A. Cohen  
**Secretary:** Dexter R. Legg  

May 17, 2012  
Date