**Policy Number:** CSUSA1900724

## RISK DETAILS - WORDING

**AON SHORT EXCESS FORM (LONDON) 03-14 (OCC) (SELF PROCURED BASIS)**

### DECLARATIONS

#### Item 1.
a) **Named Insured:** As per Risk Details
b) **Address of Named Insured:** As per Risk Details

#### Item 2. **Policy Period:**
From: As per Risk Details at 12:01 a.m. standard time at the address of the Named Insured.
To: As per Risk Details at 12:01 a.m. standard time at the address of the Named Insured.

#### Item 3.
a) **Followed Policy:**
Company: ACE Property & Casualty Insurance Company
Policy Number: Renewal of G27983212 003
Coverage: Lead Umbrella – Occurrence
Policy Period:
From: 21st May 2019 at 12:01 a.m. standard time at the address of the Named Insured.
To: 21st May 2020 at 12:01 a.m. standard time at the address of the Named Insured.
Limits of Liability: USD 50,000,000
b) **Underlying Policy(ies):** As per Schedule of Underlying Policy(ies).

#### Item 4. **Limit of Liability: (Insuring Agreement 2):**
a) As per Risk Details each Occurrence.
b) As per Risk Details annual aggregate where stated in the Followed Policy.

#### Item 5. **Underlying Limits: (Insuring Agreement 2):**
a) As per Risk Details each Occurrence.
b) As per Risk Details annual aggregate where applicable.
Which in turn is excess of various insurances and/or retentions as more fully set forth in the Followed Policy.

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**CEBBS 20/5/2019 10:51 AM**

**Risk Details - Wording**