| Item 7. | Notice to: (Conditions 3 and 4) |
| --- | --- |
| a) | All Notices of Occurrence: |
| To: | The Company as shown in the attached Individual Security Details. |
| And: | Aon Bermuda Ltd., 30 Woodbourne Ave., Pembroke, Bermuda HM08 E-mail: debbie.brown@aon.com and baron.barton@aon.com |
| b) | All other Notices: |
| via: | Aon Bermuda Ltd., 30 Woodbourne Ave., Pembroke, Bermuda HM08 |
| To: | The Company. |

| Item 8. | a) Premium: USD 517,830 (100% of layer) |
| --- | --- |
| b) | Minimum Earned Premium: 35% |
| c) | Commission: Net |

| Item 9. | The Company: Name: As per Individual Security Details. Address: Reference: As per Individual Security Details. |

| Item 10. | Policy Form: The Bermuda Shorts Form – 03 (Ed. 03/14) |
| Endorsements: | Number One Schedule of Underlying Policy(ies) Number Two Premium Payment Condition Number Three Following Form Policy Issuance Others as shown on Individual Security Details (if applicable) |

2

MAY 18 2018