# ITEM4

NOTICES TO THE INSURER:
- To report a new loss online, email you loss to **MBFNOL@US.QBE.COM**
- Claim correspondence may be sent to **MBCLAIMMAIL@US.QBE.COM** or faxed to 866.251.5389
- Claim related mail can be directed to:
  - QBE the Americas
  - PO Box 975
  - Sun Prairie, WI 53590
- All other notices should be sent to the Underwriting Department at the address shown at the top of the Declarations Page.

## ITEMS

### SCHEDULE OF UNDERLYING INSURANCE

#### CONTROLLING UNDERLYING INSURANCE:

| Coverage: | Commercial Umbrella Liability |
|-----------|--------------------------------|
| Insurer:  | ACE American Insurance Company |
| Policy Number: | XOO G25915951 |
| Policy Period | May 21, 2012 to May 21, 2013 |
| Limits of Liability | $50,000,000 Each Occurrence<br>$50,000,000 General Aggregate<br>$50,000,000 Products/Comp<br>Operations Aggregate |

XS 70 05 09 11
Date of Issuance: 05-31-2012
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