# INDIVIDUAL SECURITY DETAILS

**POLICY NUMBER:** EXC10000024509

**AON REFERENCE:** AB2018-00076

**CONDITIONS:** The following conditions apply to this participation only:

**COMPANY:** Sompo International Insurance dba Endurance Specialty Insurance Ltd.
Waterloo House
100 Pitts Bay Road
Pembroke, HM08
Bermuda

Claims to:
excesscasualtyclaims@sompo-intl.com

Sompo International Insurance dba Endurance Specialty Insurance Ltd.
Waterloo House
100 Pitts Bay Road
Pembroke, HM08
Bermuda

**ENDORSEMENTS:**
- Number One: Schedule of Underlying Policy(ies)
- Number Two: Premium Payment Condition
- Number Three: Following Form Policy Issuance (as noted on the declarations page) and:
- Number Four: Cancellation Amendatory Endorsement
- Number Five: U.S. Terrorism Risk Insurance Program Reauthorization Act and Non-Certified Acts of Terrorism Coverage Endorsement - II
- Number Six: 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
Sompo International Premium: USD 102,905

**Endorsements:**
- Number One: Schedule of Underlying Policy(ies)
- Number Two: Premium Payment Condition
- Number Three: Following Form Policy Issuance (as noted on the declarations page) and:
- Number Four: Cancellation Amendatory Endorsement
- Number Five: U.S. Terrorism Risk Insurance Program Reauthorization Act and Non-Certified Acts of Terrorism Coverage Endorsement - II
- Number Six: Non Follow Form Amendatory Endorsement

**Signature:** [Signature]
**Date:** 5/8/18
**Ref.:** EXC10000024509