# Endurance Specialty Insurance Ltd.

**The Wellesley House, 90 Pitts Bay Road, Pembroke HM08, Bermuda**

**Telephone:** 441-278-0400 **Facsimile:** 441-296-1474

**For Claim Matters Only:** Facsimile: 441-296-5151 or excesscasualtyclaims@endurance.bm

**POLICY NO.:** P000466 008  
**RENEWAL OF:** P000466 007

## DECLARATIONS, cont’d

### Item 7. Notice to:
**(Conditions 3 and 5)**
a) All Notices of Occurrence, Claim or Loss:
**To:**  
Endurance Specialty Insurance Ltd.  
Wellesley House  
90 Pitts Bay Road, Pembroke  
Bermuda HM08  

b) All other Notices:
**To:**  
Aon (Bermuda) Ltd.  
Cumberland House  
One Victoria Street  
Hamilton, Bermuda HM11  

### Item 8.
a) Premium: USD 78,795 (for 100% Flat Annual)
b) Minimum Earned Premium: USD 27,578.25
c) Commission: Net  

### Item 9. The Company:  
Endurance Specialty Insurance Ltd.  
At the address stated at the top of the Declarations Page  

### Item 10. Policy Form:  
The Bermuda Shorts Form – 02 (Ed. 07/09)  
1 - 6 at Policy Issuance  

**Authorized Representative**  
**Date of Issuance:** June 8, 2010  
**BSF-02 Declarations (Ed. 07/09)**  

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