# 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.:** EXC10000024501  
**RENEWAL OF:** EXC10000024500

## 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 121,250 (for 100% Flat Annual)
b) Minimum Earned Premium: USD 42,437.50
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:** [Signature]

Page 2 of 7

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