# INDIVIDUAL SECURITY DETAILS

**POLICY NUMBER:** EXC10000024510

**AON REFERENCE:** AB2019-00079

**CONDITIONS:**

The following conditions apply to this participation only:
1) Complete Copies of signed binders (including terms and conditions) for the Followed Policy and for all underlying excess policies (and all quota share policies) attaching between the Followed Policy and the ESIL policy.
2) The premium payable to the Insurer does not include any amount with respect to any applicable taxes. With respect to United Kingdom Insurance Premium Tax (UKIPT), any tax due is payable by the Insured. Please provide applicable information to determine if any such tax is due.
3) Quote Expiry Date: N/A

**COMPANY:**

Sompo International Insurance
dba Endurance Specialty Insurance Ltd.
Waterloo House
100 Pitts Bay Road
Pembroke HM 08
Bermuda

Claims to:

Sompo International Insurance
dba Endurance Specialty Insurance Ltd.
Waterloo House, Ground Floor
100 Pitts Bay Road
Pembroke HM 08
Bermuda
Via Email to: excesscasualtyclaims@sompo-intl.com

**ENDORSEMENTS:**

One
Two
Three
(as shown on the declarations page),
and:
Four
Five
Six
Premium Payment Condition
Following Form Policy Issuance
(if any)
Cancellation Amendatory Endorsement
U.S. Terrorism Risk Insurance Program Reauthorization Act and Non-Certified Acts of Terrorism Coverage Endorsement - II
Non Follow Form Amendatory Endorsement

**SIGNED LINES:**
USD 25,000,000
excess of USD
75,000,000

**WRITTEN LINES:**
USD 25,000,000 excess of USD 75,000,000
Premium: USD 105,478

![Endorsement Stamp](https://example.com/image.png)

**Signature:** [Signature]
**Date:** [Date]

**Ref:** EXC10000024510
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Please note that the image of the endorsement stamp has been replaced with a placeholder URL as the actual image cannot be included directly in the text format.