# ACE Risk Management

## H) PROGRAM PAYMENT TERMS

### PAYMENT TERMS

| Item | Payee | Payment Plan | Total Estimated Cost ($) | Deferral ($) | Total Pay - In ($) |
|------|-------|--------------|--------------------------|--------------|--------------------|
| Estimated Deductible Losses | ACE American Insurance Company | Semiannual Reimbursement | 1,539,111 |  |  |
| Estimated Liability Premium | ACE American Insurance Company | Due at Inception | 96,753 |  | 96,753 |
| Estimated Liability Premium - Canada | ACE CANADA | Due at Inception | *3,000 |  | *3,000 |
| Estimated Auto Liability Premium | ACE American Insurance Company | Due at Inception | 92,222 |  | 92,222 |
| Non-Premium Surcharges & Assessments | ACE American Insurance Company | Due at Inception | 4,140 |  | 4,140 |
| **TOTALS** |  |  | 1,732,226 |  | 196,115 |

*Canadian premium payment must be made to ACE Canada directly*

### Deferrals

#### Other Deferred Items

Other items shown as deferred in the schedule below are deferred until we calculate a premium adjustment. At adjustment we calculate revised premiums and surcharges; compare those revised premiums and surcharges to what has been paid; and bill the difference. Items shown as deferred may have a different value associated with them after the premium adjustment calculation.

## ACE USA INSTALLMENT SCHEDULE

| Due Date | ISA H09042854 | HDO G27852105 | Payment Amount ($) |
|----------|---------------|---------------|--------------------|
| 05/21/2016 | 96,315        | 96,800        | 193,115            |
| **Total Cash Pay-In to ACE** | 96,315        | 96,800        | 193,115            |

INTERNAT_05212016 05/16/2016 Notice of Election Page 6 of 17