# ASPEN BERMUDA LIMITED

## THE BERMUDA SHORT FORM DECLARATIONS

**Policy Number:** ECA1KFW13A0W  
**Renewal of:** ECA1KFW12A0W

### ITEM 7 - NOTICES TO THE INSURER:

**(a) All notices of Occurrence or Claim:**

- **Electronically:** ExcessCasualtyClaims@aspen.co
- **Via Courier:** Aspen Bermuda Limited, 141 Front Street, Hamilton, HM 19, Bermuda

**(b) All other notices:** Aon Group (Bermuda) Ltd

### ITEM 8 - PREMIUM:

**(a) PREMIUM:** USD 115,000  
**(b) MINIMUM EARNED PREMIUM:** 35%  
**(c) COMMISSION:** 0%

**IMPORTANT:** The premium payable to the insurer does not include any amount with respect to insurance premium taxes or excise taxes. It is the obligation of the Insured to be liable for and pay any insurance premium taxes or excise taxes, whether held or through its broker. Aspen Bermuda Limited will be indemnified and fully reimbursed by the Insured for any premium taxes (and cost associated with collections, including legal costs) in the event the Insured or its broker fail to pay.

### ITEM 9 - THE COMPANY:

Aspen Bermuda Limited, 141 Front Street, Hamilton HM 19, Bermuda

### ITEM 10 - POLICY FORM:

**Endorsement No:** 1. Schedule of Followed Policy, Primary Policies and Underlying Policies  
2. Minimum Earned Premium Endorsement  
3. Arbitration Endorsement  
4. Choice of Law Endorsement - II  
5. Non Followed Endorsement  
6. Business Continuity Endorsement  
7. Defense, Assistance and Cooperation Endorsement

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