# ALLIED WORLD ASSURANCE COMPANY

## Notices: (Conditions 3 and 5)
- **Item 10.**
  - **a)** All notices of Occurrence, Claim or Loss:
    - To:
      - ATTN: Claims Department
      - Allied World Assurance Company, AG
      - 27 Richmond Road
      - Pembroke HM 08 Bermuda
      - Telephone: (441) 278-5400
      - Fax No.: (441) 296-3428
      - GenCasClaims@awac.com
  - **b)** All other notices:
    - To:
      - ATTN: Underwriting Department
      - Allied World Assurance Company, AG
      - 27 Richmond Road
      - Pembroke HM 08 Bermuda
      - Telephone: (441) 278-5400
      - Fax No.: (441) 296-3428

## Representative of Named Insured
- **Item 11.**
  - **a)** Aon Group (Bermuda) Ltd.
  - **b)** Aon House,
    - 30 Woodbourne Avenue
    - Hamilton, HM 08
    - BERMUDA

## Endorsements at Policy Issuance
- **Item 12.** 1 - 8

## THE BERMUDA SHORTS FORM
## INSURING AGREEMENTS:

### 1. COVERAGE -
The Company (as stated in the Declarations) hereby agrees, subject to the limitations, terms and conditions contained herein, to pay those sums which the Insured shall be obligated to pay as Damages by reason of the liability arising out of the hazards covered by and as more fully defined in the Followed Policy (as stated in Item 8.) of the Declarations and hereinafter referred to as “Followed Policy”); provided always however, that this Policy shall not apply until the Underlying Policy(ies) (as set forth

Date of Issuance: July 16, 2013
ACBSF-02 (03/09)

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