# ASPEN BERMUDA LIMITED

## THE BERMUDA SHORT FORM

### ITEM 7 - NOTICES TO THE INSURER:
- **(a) All notices of Occurrence or Claim:**
  - Electronically: ExcessCasualtyClaims@aspen.co
  - Via Courier: Aspen Bermuda Limited, 141 Front Street, Hamilton, HM 19, Bermuda

- **(b) All other notices:** Aon Group (Bermuda) Ltd

### ITEM 8 - PREMIUM:
- **(a) PREMIUM:** USD 105,000
- **(b) MINIMUM EARNED PREMIUM:** 35%
- **(c) COMMISSION:** 0%

**IMPORTANT:** The premium payable to the Insurer does not include any amount with respect to insurance premium taxes or excise taxes. It is the obligation of the Insured to be liable for and pay any insurance premium taxes or excise taxes either itself or through its broker. Aspen Bermuda Limited will be indemnified and fully reimbursed by the Insured for any premium taxes (and costs associated with collection, including legal costs) in the event the Insured or its broker fail to pay.

### ITEM 9 - THE COMPANY:
Aspen Bermuda Limited, 141 Front Street, Hamilton HM 19, Bermuda

### ITEM 10 - POLICY FORM:
The Bermuda Shorts Form – Aspen (05/09)

- Endorsement No 1. Schedule of followed Policy, Primary Policies and Underlying Policies
- Endorsement No 2. Minimum Earned Premium Endorsement
- Endorsement No 3. Arbitration Endorsement
- Endorsement No 4. Choice of Law Endorsement - II
- Endorsement No 5. Non Followed Endorsement
- Endorsement No 6. Defense, Assistance and Cooperation Endorsement

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