# Allied World Assurance Company

## FOLLOWING FORM EXCESS LIABILITY INSURANCE POLICY DECLARATIONS (Cont'd)

**Policy No:** C007539/002  
**Renewal of:** C007539/001

### ITEM 8. FOLLOWED POLICY:
- **Company:** National Union Fire Insurance Company of Pittsburgh, PA
- **Policy Number:** 5443148
- **Coverage:** Commercial Umbrella Liability
- **Policy Period:** May 21, 2008 – May 21, 2009
- **Limits of Liability:** $50,000,000

### ITEM 9. PREMIUM:
- **US$81,250**

### ITEM 10. NOTICES TO THE INSURER:
- (a) All notices of Occurrence or Claim: Claim Department
- (b) All other notices: Underwriting Department
- At the address and numbers shown at the bottom of the first Declarations Page.

### ITEM 11.
- (a) Representative of Insured: Arthur J. Gallagher (UK) Limited
- (b) Address: 9 Alic Street, London E1 8DE, United Kingdom

### ITEM 12. POLICY FORM:
- **AWAC ACFF-300 (Ed. 03/07)**

### ENDORSEMENTS:
- 1 to 11

### ITEM 13. INSURING AGREEMENT:
This Policy shall provide the Insured with Excess Insurance coverage in accordance with the same warranties, terms, conditions, exclusions and limitations as are contained in the Followed Policy(ies) set forth in Item 8 above on the inception date of this Policy, subject to the premium, limits of liability, Policy Period, warranties, exclusions, limitations and any other terms and conditions of this Policy which may be inconsistent with the Followed Policy including any and all endorsements attached hereto. The limits of liability in Item 5 above apply in excess of (i) the sum of applicable per occurrence, claim, loss limits of liability (as shown in Item 6 above), or, (ii) the sum of applicable remaining aggregate limits of liability, if less than (i), of underlying policy(ies) listed in Item 7 for each applicable coverage. The sum of limits under (i) and (ii) above also includes any applicable Self-Insured Retention associated with such limits.

Ref: ACFF-300 (AWAC Ed. 03/07)

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